Effective clinical faculty are essential for disseminating substance abuse screening, brief intervention, and referral to treatment (SBIRT). The authors developed an 8-hour SBIRT training for internal medicine faculty preceptors. Trainers conducted SBIRT lectures and small-group communication practice sessions. The authors assessed participants'…

Investigates the referral of subjects (N=7,335) to alcohol treatment. Variables were demographics, drinking pattern, alcohol-related behavior, and pathology. The most important factor in referring to outpatient therapy was employment. Inpatient subjects had heavier prior involvement with alcohol and more severe physical problems. (JAC)

Since at least 4.5 million arrests per year involve people who may have alcohol problems, it is obvious that close cooperation between the courts and the alcoholism treatment progression would be productive. Since judges cannot themselves be expected either to identify or treat people with drinking problems, they need help in the form of a…

Describes study of representative case findings (N=100) in four social work programs which did not have in-house substance abuse treatment for indications whether the social worker had recognized substance abuse as a problem for the client or had made a referral for treatment. Findings suggest many clients were substance abusers, but few were…

Chronic callers (N=67) are reviewed; 51 percent were diagnosed as drug or alcohol dependent. Four were known to have committed suicide and 37 had made suicide attempts; 47 percent of the group was eventually referred to an ongoing treatment resource. Agency strategies for dealing with the chronic caller are discussed. (Author)

Objective: Emergency Departments (EDs) offer an opportunity to improve the care of patients with at-risk and dependent drinking by teaching staff to screen, perform brief intervention and refer to treatment (SBIRT). We describe here the implementation at 14 Academic EDs of a structured SBIRT curriculum to determine if this learning experience…

Driving While Intoxicated (DWI) offenders (N=151) identified as alcoholics were coerced to seek treatment for their alcoholism. A follow-up study six months later revealed that these coerced alcoholics did no better or no worse than other alcoholics entering treatment without coercion. (Author/RC)

A study examined the feasibility of using standardized health evaluation, counseling, and rehabilitation to increase employability of welfare recipients and to develop a demonstration model for health service suitable for national implementation in the WIN (Work Incentive Program). Health evaluations of referred welfare clients showed that the…