Skip to main content
Top
Published in: Community Mental Health Journal 5/2015

01-07-2015 | Brief Communication

Screening and Brief Intervention for Alcohol Misuse in Older Adults: Training Outcomes Among Physicians and Other Healthcare Practitioners in Community-Based Settings

Authors: Constance L. Coogle, Myra G. Owens

Published in: Community Mental Health Journal | Issue 5/2015

Login to get access

Abstract

Screening and brief intervention (SBI) is increasingly available to older adults who engage in at-risk drinking. This study examined the extent to which SBI training influenced the willingness of healthcare providers in a community-based hospital and other clinical settings to promote the implementation of SBI. Ninety-three healthcare practitioners (primarily physicians, nurses, and social workers) who attended SBI training were asked about their intentions to apply the information in their professional practice, as well as their enthusiasm about recommending the training to others in their profession. Although there were no differences among the professions in terms of commitment to apply the information or level of comfort using the techniques, physicians were less interested in promoting SBI training among their colleagues. Although it may be more difficult to promote SBI in locations that don’t primarily provide mental health services, results suggest that primary care settings are precisely where training may be most useful.
Literature
go back to reference Arie, T. H. D. (1984). Education in the care of the elderly. Bulletin of the New York Academy of Medicine, 61(6), 492–500. Arie, T. H. D. (1984). Education in the care of the elderly. Bulletin of the New York Academy of Medicine, 61(6), 492–500.
go back to reference Babor, T. F., McRee, B. G., Kassebaum, P. A., Grimaldi, P. L., Ahmed, K., & Bray, J. (2007). Screening, brief intervention, and referral to treatment (SBIRT): Toward a public health approach to the management of substance abuse. Substance Abuse, 28(3), 7–30.PubMedCrossRef Babor, T. F., McRee, B. G., Kassebaum, P. A., Grimaldi, P. L., Ahmed, K., & Bray, J. (2007). Screening, brief intervention, and referral to treatment (SBIRT): Toward a public health approach to the management of substance abuse. Substance Abuse, 28(3), 7–30.PubMedCrossRef
go back to reference Barry, K. L., Blow, F. C., Willenbring, M., McCormick, R., Brockman, L., & Visnic, S. (2004). Use of alcohol screening and brief interventions in primary care settings: Implementation and barriers. Substance Abuse, 25(1), 27–36.PubMedCrossRef Barry, K. L., Blow, F. C., Willenbring, M., McCormick, R., Brockman, L., & Visnic, S. (2004). Use of alcohol screening and brief interventions in primary care settings: Implementation and barriers. Substance Abuse, 25(1), 27–36.PubMedCrossRef
go back to reference Blow, F. C., & Barry, K. L. (2000). Older patients with at-risk and problem drinking patterns: New developments in brief interventions. Journal of Geriatric Psychiatry and Neurology, 13(3), 115–123.PubMedCrossRef Blow, F. C., & Barry, K. L. (2000). Older patients with at-risk and problem drinking patterns: New developments in brief interventions. Journal of Geriatric Psychiatry and Neurology, 13(3), 115–123.PubMedCrossRef
go back to reference Blow, F., Gillespie, B. W., Barry, K. L., Mudd, S. A., & Hill, E. M. (1998). Brief screening for alcohol problems in elderly populations using the Short Michigan Alcohol Test-Geriatric Version (SMAST-G). Alcoholism: Clinical and Experimental Research, 22(3), 165A. Blow, F., Gillespie, B. W., Barry, K. L., Mudd, S. A., & Hill, E. M. (1998). Brief screening for alcohol problems in elderly populations using the Short Michigan Alcohol Test-Geriatric Version (SMAST-G). Alcoholism: Clinical and Experimental Research, 22(3), 165A.
go back to reference Bush, K., Kivlahanm, D. R., McDonell, M. B., Fihn, S. D., & Bradley, K. A. (1998). The AUDIT alcohol consumption questions (AUDIT-C): An effective brief screening test for problem drinking. Archives of Internal Medicine, 158, 1789–1795.PubMedCrossRef Bush, K., Kivlahanm, D. R., McDonell, M. B., Fihn, S. D., & Bradley, K. A. (1998). The AUDIT alcohol consumption questions (AUDIT-C): An effective brief screening test for problem drinking. Archives of Internal Medicine, 158, 1789–1795.PubMedCrossRef
go back to reference Casswell, S., & McPherson, M. (1984). Attitudes of New Zealand general practitioners to alcohol-related problems. Journal of Studies on Alcohol, 44, 342–351.CrossRef Casswell, S., & McPherson, M. (1984). Attitudes of New Zealand general practitioners to alcohol-related problems. Journal of Studies on Alcohol, 44, 342–351.CrossRef
go back to reference Center for Substance Abuse Treatment (2005). Substance abuse relapse prevention: A group treatment approach for older adults (DHHS Publication No. SMA 05-4053). Rockville, MD: Substance Abuse and Mental Health Services Administration, Department of Health and Human Services. Center for Substance Abuse Treatment (2005). Substance abuse relapse prevention: A group treatment approach for older adults (DHHS Publication No. SMA 05-4053). Rockville, MD: Substance Abuse and Mental Health Services Administration, Department of Health and Human Services.
go back to reference Clement, S. (1986). The identification of alcohol-related problems by general practitioners. British Journal of Addiction, 81, 257–264.PubMedCrossRef Clement, S. (1986). The identification of alcohol-related problems by general practitioners. British Journal of Addiction, 81, 257–264.PubMedCrossRef
go back to reference Coogle, C. L., Osgood, N. O., & Parham, I. A. (2000). A statewide model detection and prevention program for geriatric alcoholism and alcohol abuse: Increased knowledge among service providers. Community Mental Health Journal, 36(2), 137–148. Coogle, C. L., Osgood, N. O., & Parham, I. A. (2000). A statewide model detection and prevention program for geriatric alcoholism and alcohol abuse: Increased knowledge among service providers. Community Mental Health Journal, 36(2), 137–148.
go back to reference Coogle, C. L., Osgood, N. O., & Parham, I. A. (2001). Follow-up to the statewide model detection and prevention program for geriatric alcoholism. Community Mental Health Journal, 37(5), 381–391. Coogle, C. L., Osgood, N. O., & Parham, I. A. (2001). Follow-up to the statewide model detection and prevention program for geriatric alcoholism. Community Mental Health Journal, 37(5), 381–391.
go back to reference Estee, S., Wickizer, T., He, L., Shah, M. F., & Mancuso, D. (2010). Evaluation of the Washington state screening, brief intervention, and referral to treatment project. Medical Care, 48, 18–24.PubMedCrossRef Estee, S., Wickizer, T., He, L., Shah, M. F., & Mancuso, D. (2010). Evaluation of the Washington state screening, brief intervention, and referral to treatment project. Medical Care, 48, 18–24.PubMedCrossRef
go back to reference Fleming, M. F., Manwell, L. B., Barry, K. L., Adams, W., & Stauffacher, E. A. (1999). Brief physician advice for alcohol problems in older adults: A randomized community-based trial. Journal of Family Practice, 48(5), 378–384.PubMed Fleming, M. F., Manwell, L. B., Barry, K. L., Adams, W., & Stauffacher, E. A. (1999). Brief physician advice for alcohol problems in older adults: A randomized community-based trial. Journal of Family Practice, 48(5), 378–384.PubMed
go back to reference Fleming, M. F., Mundt, M. P., French, M. T., Manwell, L. B., Stauffacher, E. A., & Barry, K. L. (2002). Brief physician advice for problem drinkers: Long-term efficacy and benefit-cost analysis. Alcoholism, Clinical and Experimental Research, 26(1), 36–43.PubMedCrossRef Fleming, M. F., Mundt, M. P., French, M. T., Manwell, L. B., Stauffacher, E. A., & Barry, K. L. (2002). Brief physician advice for problem drinkers: Long-term efficacy and benefit-cost analysis. Alcoholism, Clinical and Experimental Research, 26(1), 36–43.PubMedCrossRef
go back to reference Friedmann, P., McCulloch, D., Chin, M., & Saltz, R. (2000). Screening and intervention for alcohol problems: A national survey of primary care physicians and psychiatrists. Journal of General Internal Medicine, 15, 84–91.PubMedCentralPubMedCrossRef Friedmann, P., McCulloch, D., Chin, M., & Saltz, R. (2000). Screening and intervention for alcohol problems: A national survey of primary care physicians and psychiatrists. Journal of General Internal Medicine, 15, 84–91.PubMedCentralPubMedCrossRef
go back to reference Fussell, H. E., Rieckmann, T. R., & Quick, M. B. (2011). Medicaid reimbursement for screening and brief intervention for substance misuse. Psychiatric Services, 62(3), 306–309.PubMedCrossRef Fussell, H. E., Rieckmann, T. R., & Quick, M. B. (2011). Medicaid reimbursement for screening and brief intervention for substance misuse. Psychiatric Services, 62(3), 306–309.PubMedCrossRef
go back to reference Hui, E. C. (2005). The centrality of patient–physician relationship to medical professionalism: An ethical evaluation of some contemporary models. Hong Kong Medical Journal, 11(3), 222–223.PubMed Hui, E. C. (2005). The centrality of patient–physician relationship to medical professionalism: An ethical evaluation of some contemporary models. Hong Kong Medical Journal, 11(3), 222–223.PubMed
go back to reference Lin, J. C., Karno, M. P., Barry, K. L., Blow, F. C., Davis, J. W., Tang, L., et al. (2010). Determinants of early reductions in drinking in older at-risk drinkers participating in the intervention arm of a trial to reduce at-risk drinking in primary care. Journal of the American Geriatrics Society, 58, 227–233.PubMedCentralPubMedCrossRef Lin, J. C., Karno, M. P., Barry, K. L., Blow, F. C., Davis, J. W., Tang, L., et al. (2010). Determinants of early reductions in drinking in older at-risk drinkers participating in the intervention arm of a trial to reduce at-risk drinking in primary care. Journal of the American Geriatrics Society, 58, 227–233.PubMedCentralPubMedCrossRef
go back to reference Lin, J. C., Karno, M. P., Tang, L., Barry, K. L., Blow, F. C., Davis, J. W., et al. (2009). Do health educator telephone calls reduce at-risk drinking among older adults in primary care? Journal of General Internal Medicine, 25(4), 334–339.CrossRef Lin, J. C., Karno, M. P., Tang, L., Barry, K. L., Blow, F. C., Davis, J. W., et al. (2009). Do health educator telephone calls reduce at-risk drinking among older adults in primary care? Journal of General Internal Medicine, 25(4), 334–339.CrossRef
go back to reference McKnight-Eily, L. R., Liu, Y., Brewer, R. D., Kanny, D., Lu, H., Denny, C. H., et al. (2011). Vital signs: Communication between health professionals and their patients about alcohol use—44 states and the District of Columbia, 2011. Morbidity and Mortality Weekly Report, 63(1), 16–22. McKnight-Eily, L. R., Liu, Y., Brewer, R. D., Kanny, D., Lu, H., Denny, C. H., et al. (2011). Vital signs: Communication between health professionals and their patients about alcohol use—44 states and the District of Columbia, 2011. Morbidity and Mortality Weekly Report, 63(1), 16–22.
go back to reference Miller, W. R., & Rollnick, S. (1991). Motivational interviewing: Preparing people to change addictive behavior. New York: Guilford. Miller, W. R., & Rollnick, S. (1991). Motivational interviewing: Preparing people to change addictive behavior. New York: Guilford.
go back to reference Miller, W. R., & Sanchez, V. C. (1993). Motivating young adults for treatment and lifestyle change. In G. Howard (Ed.), Issues in alcohol use and misuse in young adults (pp. 55–82). Notre Dame, IN: University of Notre Dame Press. Miller, W. R., & Sanchez, V. C. (1993). Motivating young adults for treatment and lifestyle change. In G. Howard (Ed.), Issues in alcohol use and misuse in young adults (pp. 55–82). Notre Dame, IN: University of Notre Dame Press.
go back to reference Moore, A. A., Blow, F. C., Hoffing, M., Welgreen, S., Tang, L., & Barry, K. (2010). Reducing at-risk drinking among older adults in primary care: The healthy living as you age study. The Gerontologist, 50(suppl. 1), 167. Moore, A. A., Blow, F. C., Hoffing, M., Welgreen, S., Tang, L., & Barry, K. (2010). Reducing at-risk drinking among older adults in primary care: The healthy living as you age study. The Gerontologist, 50(suppl. 1), 167.
go back to reference Mundt, M. P., French, M. T., Roebuck, M. C., Manwell, L. B., & Barry, K. L. (2005). Brief physician advice for problem drinking among older adults: An economic analysis of costs and benefits. Journal of Studies on Alcohol, 66(3), 389–394.PubMedCrossRef Mundt, M. P., French, M. T., Roebuck, M. C., Manwell, L. B., & Barry, K. L. (2005). Brief physician advice for problem drinking among older adults: An economic analysis of costs and benefits. Journal of Studies on Alcohol, 66(3), 389–394.PubMedCrossRef
go back to reference Peter D. Hart Research Associates, Inc (1998). The road to recovery. A landmark study on public perceptions of alcoholism and barriers to treatment. Washington, DC: The Rush Recovery Institute. Peter D. Hart Research Associates, Inc (1998). The road to recovery. A landmark study on public perceptions of alcoholism and barriers to treatment. Washington, DC: The Rush Recovery Institute.
go back to reference Roy, A. K., & Miller, M. M. (2010). Parity and the medicalization of addiction treatment. Journal of Psychoactive Drugs, 42(2), 115–120.PubMedCrossRef Roy, A. K., & Miller, M. M. (2010). Parity and the medicalization of addiction treatment. Journal of Psychoactive Drugs, 42(2), 115–120.PubMedCrossRef
go back to reference Roy, A. K., & Miller, M. M. (2012). The medicalization of addiction treatment professionals. Journal of Psychoactive Drugs, 44(2), 107–118.PubMedCrossRef Roy, A. K., & Miller, M. M. (2012). The medicalization of addiction treatment professionals. Journal of Psychoactive Drugs, 44(2), 107–118.PubMedCrossRef
go back to reference Rush, B. R., Bass, M., Stewart, M. A., McCracken, E., Labreque, M., & Bondy, S. (1994). Detecting, preventing, and managing patients’ alcohol problems. Canadian Family Physician, 40, 1557–1566.PubMedCentralPubMed Rush, B. R., Bass, M., Stewart, M. A., McCracken, E., Labreque, M., & Bondy, S. (1994). Detecting, preventing, and managing patients’ alcohol problems. Canadian Family Physician, 40, 1557–1566.PubMedCentralPubMed
go back to reference Schonfeld, L., King-Kallimanis, B. L., Duchene, D. M., Etheridge, R. L., Herrera, J. R., Barry, K. L., et al. (2010). Screening and brief intervention for substance misuse among older adults: The Florida BRITE project. American Journal of Public Health, 99(7), 1–7. Schonfeld, L., King-Kallimanis, B. L., Duchene, D. M., Etheridge, R. L., Herrera, J. R., Barry, K. L., et al. (2010). Screening and brief intervention for substance misuse among older adults: The Florida BRITE project. American Journal of Public Health, 99(7), 1–7.
go back to reference Sharp, L., & Vacha-Haase, T. (2011). Physician attitudes regarding alcohol use screening in older adult patients. Journal of Applied Gerontology, 30(2), 226–240.CrossRef Sharp, L., & Vacha-Haase, T. (2011). Physician attitudes regarding alcohol use screening in older adult patients. Journal of Applied Gerontology, 30(2), 226–240.CrossRef
go back to reference Sorocco, K., & Ferrell, S. (2006). Alcohol use among older adults. Journal of General Psychology, 133, 453–467.PubMedCrossRef Sorocco, K., & Ferrell, S. (2006). Alcohol use among older adults. Journal of General Psychology, 133, 453–467.PubMedCrossRef
go back to reference Substance Abuse and Mental Health Services Administration (2011). Leading change: A plan for SAMHSA’s roles and actions 2011–2014. HHS Publication No. (SMA) 11-4629. Rockville, MD: Substance Abuse and Mental Health Services Administration. Retrieved from http://store.samhsa.gov/product/SMA11-4629 Substance Abuse and Mental Health Services Administration (2011). Leading change: A plan for SAMHSA’s roles and actions 2011–2014. HHS Publication No. (SMA) 11-4629. Rockville, MD: Substance Abuse and Mental Health Services Administration. Retrieved from http://​store.​samhsa.​gov/​product/​SMA11-4629
go back to reference U.S. Preventive Services Task Force. (2004). Screening and behavioral counseling interventions in primary care to reduce alcohol misuse: Recommendation statement. Annals of Internal Medicine, 140, 554–556.CrossRef U.S. Preventive Services Task Force. (2004). Screening and behavioral counseling interventions in primary care to reduce alcohol misuse: Recommendation statement. Annals of Internal Medicine, 140, 554–556.CrossRef
go back to reference Warburg, M. M., Cleary, P. D., Rohman, M. E., Barnes, H. N., Aronson, M., & Delbanco, T. L. (1987). Residents’ attitudes, knowledge, and behavior regarding diagnosis and treatment of alcoholism. Journal of Medical Education, 62, 497–503.PubMed Warburg, M. M., Cleary, P. D., Rohman, M. E., Barnes, H. N., Aronson, M., & Delbanco, T. L. (1987). Residents’ attitudes, knowledge, and behavior regarding diagnosis and treatment of alcoholism. Journal of Medical Education, 62, 497–503.PubMed
go back to reference Zimmerman, M., Farber, N. J., Hartung, J., Lush, D. T., & Kuzma, M. A. (1994). Screening for psychiatric disorders in medical patients: A feasibility and patient acceptance study. Medical Care, 32(6), 603–608.PubMedCrossRef Zimmerman, M., Farber, N. J., Hartung, J., Lush, D. T., & Kuzma, M. A. (1994). Screening for psychiatric disorders in medical patients: A feasibility and patient acceptance study. Medical Care, 32(6), 603–608.PubMedCrossRef
go back to reference Zimmerman, M., Lush, D. T., Farber, N. J., Hartung, J., Plescia, G., Kuzma, M. A., et al. (1996). Primary care patients’ reactions to mental health screening. International Journal of Psychiatry in Medicine, 26(4), 431–441.PubMedCrossRef Zimmerman, M., Lush, D. T., Farber, N. J., Hartung, J., Plescia, G., Kuzma, M. A., et al. (1996). Primary care patients’ reactions to mental health screening. International Journal of Psychiatry in Medicine, 26(4), 431–441.PubMedCrossRef
Metadata
Title
Screening and Brief Intervention for Alcohol Misuse in Older Adults: Training Outcomes Among Physicians and Other Healthcare Practitioners in Community-Based Settings
Authors
Constance L. Coogle
Myra G. Owens
Publication date
01-07-2015
Publisher
Springer US
Published in
Community Mental Health Journal / Issue 5/2015
Print ISSN: 0010-3853
Electronic ISSN: 1573-2789
DOI
https://doi.org/10.1007/s10597-014-9804-x

Other articles of this Issue 5/2015

Community Mental Health Journal 5/2015 Go to the issue