To test the feasibility and effectiveness of Project ASSERT, an innovative program developed by us to facilitate access to the substance abuse treatment system and to primary care and preventive services for emergency department patients with drug-and alcohol-related health problems.
Multicultural health promotion advocates (HPAs) were trained by ED personnel to screen patients using a health needs history, to administer a brief negotiated interview based on readiness-to-change principles, and to use an active referral process to capture the marginal capacity of the substance abuse treatment system.
Outcome measures included (1) number of referrals to the substance abuse treatment system, (2) patient self-report of satisfaction with services received from Project ASSERT and utilization of treatment resources, and (3) changes in self-reported frequency of drug and alcohol use and in Drug Abuse Screening Test scores between enrollment and follow-up at 60 to 90 days.
Between March 1,1995, and February 29,1996,7,118 adult ED patients were screened.
Substance abuse was detected among 2,931 patients (41%), and 1,096 (37% of detected patients) were enrolled.
A total of 8,848 referrals were made : 3,189 to primary care, 2,018 to a variety of substance abuse treatment services, 2,253 for smoking cessation, 339 for mammography, and 689 to other support services (eg, psychiatric nurse, social worker, battered women's advocate or shelter). (...)
Mots-clés Pascal : Programme sanitaire, Etats Unis, Amérique du Nord, Amérique, Faisabilité, Sevrage, Toxicomanie, Alcoolisme, Accessibilité, Prévention, Homme, Soin, Soin santé primaire, Service urgence
Mots-clés Pascal anglais : Sanitary program, United States, North America, America, Feasibility, Weaning, Drug addiction, Alcoholism, Accessibility, Prevention, Human, Care, Primary health care, Emergency department
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0429509
Code Inist : 002B30A03B. Création : 19/12/1997.