Name of the Procedure:

Alcohol and/or substance (other than tobacco) abuse structured screening (e.g., AUDIT, DAST), and brief intervention (SBI) services; greater than 30 minutes

Summary

This procedure involves a comprehensive screening and brief intervention for individuals with potential alcohol or substance abuse issues. Tools like the Alcohol Use Disorders Identification Test (AUDIT) or the Drug Abuse Screening Test (DAST) are used to evaluate the extent of substance use. This is followed by an intervention aimed at reducing substance use or addressing risky behaviors.

Purpose

The procedure aims to identify and address alcohol and drug abuse issues early on, preventing further health complications. The goal is to encourage healthier behaviors, provide counseling, and, if necessary, refer for specialized treatment.

Indications

• Individuals exhibiting signs of substance abuse, such as frequent intoxication or usage of drugs.
• Patients with a history of substance use disorders.
• People with health conditions linked to substance abuse.

Preparation

• No specific fasting or medication adjustments required.
• Patients may be asked to complete preliminary questionnaires related to their substance use.

Procedure Description

1. Screening: The healthcare provider conducts a structured interview using tools like AUDIT or DAST.
2. Assessment: The patient's responses are assessed to determine the level of risk or presence of substance abuse.
3. Intervention: If needed, the provider conducts a motivational interview, discussing the risks, providing education, and setting goals for reducing use.
4. Follow-Up: The provider may schedule follow-up appointments or refer the patient to specialized services.

Duration

The procedure typically takes greater than 30 minutes.

Setting

This procedure can be conducted in various settings, including a primary care office, outpatient clinic, or hospital.

Personnel

• Primary care physician or a qualified healthcare provider, such as a nurse practitioner or a licensed counselor.

Risks and Complications

• Minimal risks, primarily related to patient discomfort in discussing personal substance use.
• Rarely, patients may become defensive or upset.

Benefits

• Early identification of substance abuse problems.
• Immediate intervention can prevent escalation and encourage healthier behaviors.
• Enhances overall health outcomes.

Recovery

• No recovery time needed as this is a non-invasive procedure.
• Patients may be given additional resources or referrals for continuous support.

Alternatives

• Self-assessment tools available online.
• Regular check-ins with a healthcare provider without a formal screening process.
• Informal counseling or peer support groups.

Patient Experience

• Patients may experience some discomfort or embarrassment discussing their substance use.
• The conversation is confidential and aimed at support, not judgment.
• Pain management is not necessary as this is a non-invasive procedure.