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'…

Screening and brief intervention (SBI) for alcohol problems in the emergency department (ED) is effective. The objective of this study was to examine the translation of SBI into a busy community ED environment. The authors assessed key stakeholders views of SBI delivery model, then utilized feedback to adapt model. Adoption of SBI was recorded,…

Abstract Objective: The authors evaluated the efficacy of the 2002 college-based National Alcohol Screening Day (NASD) by determining: (1) the demographic and clinical characteristics of the participants that were screened and (2) the degree to which those scoring at hazardous drinking levels received clinical intervention or were referred for…

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…

This study of an information and referral service for problem drinkers examines two variables that affect its use: (1) the number of problems related to drinking and (2) the service provided by a social worker-information specialist. (Author)

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)

Addresses common critiques of Alcoholics Anonymous by offering a way of understanding it as a "normative narrative community" where identity transformation takes place through the use of metaphor and storytelling. Suggests alternative meanings of key metaphors, describes areas of program strength and potential barriers for social…

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…

Discusses elements of the Employee Assistance Program: why employees need it, their acceptance of the program, when to refer an employee to the program, counseling, formal referral, plan of action, and how the program helps the supervisor. (CT)

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)

Clinical counselors have been recently added to the staff of centers for the treatment of alcohol and drug abuse. The role of a counselor and the problems she/he meets in such a setting are described. The main problem faced is a relatively short time to deal with clients. (SE)

This article attempts to provide the social worker with a frame of reference for working with alcohol-related problems in the nonalcoholic treatment agency by: dispelling myths about alcoholism; providing a working definition of alcoholism; describing an effective means of identifying alcoholism; providing tools for intervention in the life of the…