screening, brief intervention, and referral to treatment: promoting healthy pregnancies by...

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MEETING ABSTRACT Open Access Screening, brief intervention, and referral to treatment: promoting healthy pregnancies by identifying and addressing alcohol use Brie Reimann 1* , Leigh Fischer 1 , Carolyn Swenson 2 From International Network on Brief Interventions for Alcohol and Other Drugs (INEBRIA) Meeting 2013 Rome, Italy. 18-20 September 2013 Sexually active women who drink and who do not use effective methods of contraceptives are at-risk of alcohol exposed pregnancies. Routinely screening and interven- ing for alcohol use provides an opportunity to educate women about the risks of drinking and the importance of using effective methods of contraceptives. Despite the evidence, screening, brief intervention, referral treatment (SBIRT) protocols have not been widely adopted in healthcare settings in the United States. For the past several years, Colorado has worked to integrate SBIRT as a standard of care in a variety of healthcare settings. Recently the SBIRT Colorado program expanded its approach to better identify and intervene for risky alcohol use among women of childbearing age and pregnant women, with the goal to prevent alcohol-exposed preg- nancies. The SBIRT Colorado approach to identifying and intervening for risky alcohol use among women of childbearing age and pregnant women focuses on admin- istering screening questions to assess for risky alcohol use and contraceptive use. Additionally, questions are administered to assess readiness to change alcohol use behavior and/or use of contraceptives. Brief interventions focus on providing women information about the health risks associated with risky alcohol consumption and about the harm associated with alcohol consumption during pregnancy. Data collected to date indicate that of women reporting risky alcohol behavior as indicated on the Alcohol, Smoking, and Substance, Involvement Screening Test, a high percentage report ineffective use of contraceptives. Routinely screening women of child- bearing age and pregnant women and offering brief interventions provides an opportunity to prevent alcohol- exposed pregnancies. Authorsdetails 1 Peer Assistance Services, Inc. Denver, Colorado, USA. 2 HealthTeamWorks, Lakewood, Colorado, USA. Published: 4 September 2013 doi:10.1186/1940-0640-8-S1-A55 Cite this article as: Reimann et al.: Screening, brief intervention, and referral to treatment: promoting healthy pregnancies by identifying and addressing alcohol use. Addiction Science & Clinical Practice 2013 8(Suppl 1):A55. Submit your next manuscript to BioMed Central and take full advantage of: Convenient online submission Thorough peer review No space constraints or color figure charges Immediate publication on acceptance Inclusion in PubMed, CAS, Scopus and Google Scholar Research which is freely available for redistribution Submit your manuscript at www.biomedcentral.com/submit * Correspondence: [email protected] 1 Peer Assistance Services, Inc. Denver, Colorado, USA Full list of author information is available at the end of the article Reimann et al. Addiction Science & Clinical Practice 2013, 8(Suppl 1):A55 http://www.ascpjournal.org/content/8/S1/A55 © 2013 Reimann et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Page 1: Screening, brief intervention, and referral to treatment: promoting healthy pregnancies by identifying and addressing alcohol use

MEETING ABSTRACT Open Access

Screening, brief intervention, and referral totreatment: promoting healthy pregnancies byidentifying and addressing alcohol useBrie Reimann1*, Leigh Fischer1, Carolyn Swenson2

From International Network on Brief Interventions for Alcohol and Other Drugs (INEBRIA) Meeting 2013Rome, Italy. 18-20 September 2013

Sexually active women who drink and who do not useeffective methods of contraceptives are at-risk of alcoholexposed pregnancies. Routinely screening and interven-ing for alcohol use provides an opportunity to educatewomen about the risks of drinking and the importanceof using effective methods of contraceptives. Despite theevidence, screening, brief intervention, referral treatment(SBIRT) protocols have not been widely adopted inhealthcare settings in the United States. For the pastseveral years, Colorado has worked to integrate SBIRTas a standard of care in a variety of healthcare settings.Recently the SBIRT Colorado program expanded itsapproach to better identify and intervene for risky alcoholuse among women of childbearing age and pregnantwomen, with the goal to prevent alcohol-exposed preg-nancies. The SBIRT Colorado approach to identifyingand intervening for risky alcohol use among women ofchildbearing age and pregnant women focuses on admin-istering screening questions to assess for risky alcoholuse and contraceptive use. Additionally, questions areadministered to assess readiness to change alcohol usebehavior and/or use of contraceptives. Brief interventionsfocus on providing women information about the healthrisks associated with risky alcohol consumption andabout the harm associated with alcohol consumptionduring pregnancy. Data collected to date indicate that ofwomen reporting risky alcohol behavior as indicated onthe Alcohol, Smoking, and Substance, InvolvementScreening Test, a high percentage report ineffective useof contraceptives. Routinely screening women of child-bearing age and pregnant women and offering brief

interventions provides an opportunity to prevent alcohol-exposed pregnancies.

Authors’ details1Peer Assistance Services, Inc. Denver, Colorado, USA. 2HealthTeamWorks,Lakewood, Colorado, USA.

Published: 4 September 2013

doi:10.1186/1940-0640-8-S1-A55Cite this article as: Reimann et al.: Screening, brief intervention, andreferral to treatment: promoting healthy pregnancies by identifying andaddressing alcohol use. Addiction Science & Clinical Practice 20138(Suppl 1):A55.

Submit your next manuscript to BioMed Centraland take full advantage of:

• Convenient online submission

• Thorough peer review

• No space constraints or color figure charges

• Immediate publication on acceptance

• Inclusion in PubMed, CAS, Scopus and Google Scholar

• Research which is freely available for redistribution

Submit your manuscript at www.biomedcentral.com/submit

* Correspondence: [email protected] Assistance Services, Inc. Denver, Colorado, USAFull list of author information is available at the end of the article

Reimann et al. Addiction Science & Clinical Practice 2013, 8(Suppl 1):A55http://www.ascpjournal.org/content/8/S1/A55

© 2013 Reimann et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the CreativeCommons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, andreproduction in any medium, provided the original work is properly cited.