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35th AM (2025) - Poster Session
Expanding Access Evaluating SBIRT As a Lifeline fo ...
Expanding Access Evaluating SBIRT As a Lifeline for Opioid Use Disorder in Rural Emergency Departments
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Pdf Summary
This study evaluated the implementation and effectiveness of Screening, Brief Intervention, and Referral to Treatment (SBIRT) for opioid use disorder (OUD) patients in emergency departments (EDs) serving a primarily rural area of Southern New Jersey. Rural communities often face barriers in accessing substance use disorder (SUD) treatments, and despite innovative efforts, effective solutions remain limited. The hospital system uses nursing staff at triage to conduct initial screening with the NIDA Quick Screen, followed by further assessment with the NIDA-Modified ASSIST by the Behavioral and Addiction Resource Team (BART).<br /><br />A retrospective chart review of 78 patients diagnosed with OUD in 2024 revealed that 42% were screened via NIDA Quick Screen and 32.1% via NIDA-Modified ASSIST. Nearly half (46.2%) received brief interventions and referrals by BART. A positive NIDA Quick Screen significantly increased the odds of further screening (OR 4.6) and tended toward higher likelihood of receiving BART services (OR 2.9) and medication for opioid use disorder (MOUD) administration (OR 2.6). The only significant predictor of a 30-day ED revisit was a co-occurring mental health diagnosis (OR 3.3).<br /><br />Findings indicate that while current screening captures many patients in need, SBIRT services are underutilized by ED physicians. Recommendations include streamlining SBIRT workflow through warm handoffs, better coordination with MOUD providers, and establishing addiction medicine consult services. Additionally, integrating psychiatric consultation for patients with co-occurring mental health disorders could improve care. This evaluation identifies practical improvements that could enhance outcomes for rural ED patients with OUD and may be applicable to similar rural health systems.
Keywords
SBIRT
opioid use disorder
emergency departments
rural health
NIDA Quick Screen
NIDA-Modified ASSIST
Behavioral and Addiction Resource Team
brief intervention
medication for opioid use disorder
co-occurring mental health diagnosis
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