Schonfeld Lawrence, Hazlett Robert W, Hedgecock Deborah K, Duchene Darran M, Burns L Vance, Gum Amber M
At the time of the study, Lawrence Schonfeld, Deborah K. Hedgecock, and Amber M. Gum were with the Louis de la Parte Florida Mental Health Institute, University of South Florida, Tampa. Robert W. Hazlett, Darran M. Duchene, and L. Vance Burns were with the Florida Department of Children and Families, Tallahassee.
Am J Public Health. 2015 Jan;105(1):205-211. doi: 10.2105/AJPH.2013.301859.
Objectives. We compared substance use and SBIRT (Screening, Brief Intervention, and Referral to Treatment) services received for older adults screened by the Florida BRITE (BRief Intervention and Treatment of Elders) Project, across 4 categories of service providers. Methods. Staff from 29 agencies screened for substance use risk in 75 sites across 18 Florida counties. Clients at no or low risk received feedback about screening; moderate risk led to brief intervention, moderate or high risk led to brief treatment, and highest severity led to referral to treatment. Six-month follow-ups were conducted with a random sample of clients. Results. Over 5 years (September 15, 2006-September 14, 2011), 85 001 client screenings were recorded. Of these, 8165 clients were at moderate or high risk. Most received brief intervention for alcohol or medication misuse. Differences were observed across 4 categories of agencies. Health educators screening solely within medical sites recorded fewer positive screens than those from mental health, substance abuse, or aging services that screened in a variety of community-based and health care sites. Six-month follow-ups revealed a significant decrease in substance use. Conclusions. The Florida BRITE Project demonstrated that SBIRT can be extended to nonmedical services that serve older adults.
目标。我们比较了由佛罗里达州BRITE（老年人简短干预与治疗）项目筛查的老年人在4类服务提供者处接受的物质使用情况及SBIRT（筛查、简短干预和转介治疗）服务。方法。来自29个机构的工作人员在佛罗里达州18个县的75个地点对物质使用风险进行了筛查。无风险或低风险的客户收到了关于筛查的反馈；中度风险导致简短干预，中度或高度风险导致简短治疗，最高严重程度导致转介治疗。对随机抽取的客户进行了为期6个月的随访。结果。在5年期间（2006年9月15日至2011年9月14日），记录了85001次客户筛查。其中，8165名客户处于中度或高度风险。大多数人接受了针对酒精或药物滥用的简短干预。在4类机构中观察到了差异。仅在医疗场所进行筛查的健康教育工作者记录的阳性筛查结果少于在各种社区和医疗场所进行筛查的心理健康、药物滥用或老年服务机构的工作人员。6个月的随访显示物质使用情况显著下降。结论。佛罗里达州BRITE项目表明，SBIRT可以扩展到为老年人提供服务的非医疗服务中。
