
Addressing Adolescent Substance Use through the Integration of SBIRT in a Primary Care Clinic: A Quality Improvement Project
This quality improvement project fulfills the requirements for the DNP degree at The Pennsylvania State University.
Background: Adolescent substance use is a serious public health problem. Negative consequences may include risky sexual behaviors, violence, mental health risks, and lifelong consequences including substance use disorder, unemployment, and lower life satisfaction.
Local problem: Outpatient clinical providers may not consistently utilize evidence-based screening tools such as the CRAFFT for adolescent substance use. Providers identify barriers to implementation of Screening, Brief Intervention, and Referral to Treatment (SBIRT).
Methods: This quality improvement project used a mixed-methods design. Quantitative statistics included CRAFFT completion rates and pre- and post-provider readiness, comfort, and knowledge constructs of SBIRT. Qualitative data included provider comments about the DNP project.
Interventions: Following provider SBIRT educational training, the project occurred over an eight-week period. Intervention instruments included the CRAFFT 2.1 screening tool and provider questionnaires. CRAFFT screening completion rates were obtained biweekly. Anonymous provider questionnaires were completed pre- and post- project assessing provider readiness, comfort, and knowledge using a Readiness Ruler of 0-10 scale.
Results: Quarterly CRAFFT screening completion rates fluctuated but trended upward during the last quarter toward the goal of 75%. P-value of >0.05 indicated no statistical significance between baseline and completion for provider readiness, comfort, and knowledge of SBIRT.
Conclusions: While there was not statistical significance with seven providers, there was clinical significance with screening 80 adolescents and no negative outcomes. Despite challenging circumstances during the Coronavirus-19 pandemic, providers successfully engaged in SBIRT.
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Work Title | Addressing Adolescent Substance Use through the Integration of SBIRT in a Primary Care Clinic: A Quality Improvement Project |
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License | No Copyright - U.S. |
Work Type | Project |
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Publication Date | 2022 |
Deposited | April 07, 2022 |
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