Department of Psychiatry, Postgraduate Institute of Medical Education & Research, Chandigarh, India.
Am J Drug Alcohol Abuse. 2021 Mar 4;47(2):154-159. doi: 10.1080/00952990.2020.1865996. Epub 2021 Jan 22.
The ongoing pandemic has led to a sudden disruption of routine treatment services. Consequently, the already existing treatment gap for substance use disorders is likely to widen. There is an opportunity to expand the scope of Screening and Brief Intervention (SBI) to meet this unprecedented challenge. Its brevity, flexibility, and generalizability have positioned SBI to deal with additional systemic, structural, and attitudinal barriers that pertain to the pandemic. The standard content of SBI could be modified to adapt to the current context. SBI could also be used as a vehicle to render strategies for infection risk minimization. In this Perspective, we anticipate the challenges of expanding and implementing SBI in the present circumstances and present potential solutions. SBI, with adaptations, could bridge the augmented treatment gap for substance use disorders during COVID-19.
正在持续的大流行导致常规治疗服务突然中断。因此，本来就存在的物质使用障碍治疗缺口可能会扩大。现在有机会扩大筛查和简短干预（SBI）的范围，以应对这一前所未有的挑战。SBI 的简洁性、灵活性和通用性使其能够应对与大流行有关的额外的系统性、结构性和态度性障碍。SBI 的标准内容可以进行修改，以适应当前的情况。SBI 也可以用作提供感染风险最小化策略的工具。在本观点中，我们预计在当前情况下扩大和实施 SBI 所面临的挑战，并提出潜在的解决方案。经过调整的 SBI 可以在 COVID-19 期间弥合物质使用障碍治疗缺口的扩大。
