An evaluation of documentation and follow-up on the use of SBIRT in an outpatient behavioral health clinic through the use of the CRAFFT tool

IF 1.6 Q2 NURSING
Maria Fernald DNP, RN, Brenda Cassidy DNP, PNP-PC, Dianxu Ren MD, PhD, Ann Mitchell PhD, RN, Brayden Kameg DNP, PMHNP-BC
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引用次数: 0

Abstract

Background

Substance use among adolescents continues to present as a public health concern. Screening, Brief Intervention and Referral to Treatment (SBIRT) is an effective process that has been proven to identify, reduce, and prevent at-risk use of substances when appropriately applied. The CRAFFT tool is an evidence-based screen used to identify substance use in adolescents aged 12–21 years of age.

Purpose

The purpose of this project is to assess the rates of substance use in the adolescent population at a behavioral health clinic through the CRAFFT tool while also assessing for provider documentation compliance and overall revenue benefits of SBIRT.

Methodology

A retrospective chart review was used for this practice evaluation. Descriptive statistics were used through assessing frequencies and averages to gain insight not only on the rates of at-risk substance use and documentation compliance, but also on psychiatric diagnoses and medication regimens.

Results

Three hundred and forty-one patient encounters were reviewed over a 3-month period. Of these 341 encounters, 63.6% of the visits were in-person and 36.4% were conducted virtually. 72.4% of patient encounters had no documented CRAFFT screen, yet 31% of completed CRAFFT screens were positive for substance use or misuse. For those encounters with no completed CRAFFT screen documented, there was an estimated lost income for potential billings at a rate of $33.41 per encounter for a total of $8252.27.

Conclusions

Substance use and misuse in adolescents continues to exist as a public health concern. The CRAFFT tool can be a feasible means of screening for substance use in adolescents when consistently and longitudinally incorporated.

通过使用craft工具对一家门诊行为健康诊所使用SBIRT的记录和随访进行评估
背景:青少年药物使用仍然是一个公共卫生问题。筛选、短暂干预和转诊治疗(SBIRT)是一个有效的过程,已被证明在适当应用时可以识别、减少和预防危险物质的使用。craft工具是一种基于证据的筛查,用于确定12-21岁青少年的物质使用情况。目的本项目旨在通过craft工具评估行为健康诊所青少年人群的物质使用率,同时评估提供者文件合规性和SBIRT的总体收入效益。方法回顾性图表回顾用于实践评估。描述性统计通过评估频率和平均值来深入了解危险物质使用率和文件依从性,以及精神病学诊断和药物治疗方案。结果在3个月的时间里回顾了341例患者。在这341次会面中,63.6%的访问是亲自进行的,36.4%是虚拟进行的。72.4%的患者没有记录craft筛查,但31%的完成craft筛查的患者在药物使用或滥用方面呈阳性。对于那些没有完整的craft筛选记录的接触,估计潜在账单的收入损失为每次接触33.41美元,总计8252.27美元。结论:青少年药物使用和滥用仍然是一个公共卫生问题。craft工具可以是一个可行的手段筛选青少年物质使用,如果持续和纵向纳入。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
2.90
自引率
6.70%
发文量
41
期刊介绍: Journal of Child and Adolescent Psychiatric Nursing (JCAPN) is the only nursing journal to focus exclusively on issues of child and adolescent mental health around the world. As a primary resource for nurses and other healthcare professionals in clinical practice, educator roles, and those conducting research in mental health and psychiatric care, the journal includes peer-reviewed, original articles from a wide range of contributors in a broad variety of settings.
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