capítulos de libros
Interventions to reduce alcohol-related injury in the emergency department: Screening, brief intervention and monitoring
CREMONTE, M.; MONTEIRO, M.; CHERPITEL C.
Prevention of Alcohol-Related Injuries in the Americas: From Evidence to Policy Action
Organización Panamericana de la Salud
Año: 2013; p. 159 - 168
Screening and brief intervention (SBI) is one of the most promising measures to reduce alcohol-related injuries targeted at the individual level. Because SBI is relatively easy to perform, low in cost, and can be carried out quickly, it is ideally suited for implementation in busy health care settings such as emergency departments (EDs). As many injured patients are seen in EDs, and ED patients generally are heavier alcohol consumers than those in primary care or in the general population, patient arrival at the ED is a good opportunity for intervention. Injured patients who report drinking before the injury event or habitual alcohol consumption that exceeds low-risk drinking can be identified through screening followed by brief intervention (BI). This type of intervention involves providing feedback about the results of the screening, educating the patient about low-risk drinking, motivating him/her to change drinking behaviors, setting a goal, fostering coping skills, and monitoring the progress. BI is a short, undemanded, structured intervention delivered by a health care worker and aimed at reducing drinking and/or related problems. The efficacy and effectiveness of BI in ED settings has been supported by numerous studies. Positive outcomes of BI include reduction in alcohol intake and alcohol-related consequences (including re-occurrence of injuries) at six and 12 months after the ED visit. This chapter characterizes BI and describes the evidence supporting its implementation in EDs in the Americas.