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Home > News Releases 

For Immediate Release

Mercy Screens ER Patients for Substance Abuse

Oklahoma City—Thanks to a $50,000 grant from the Oklahoma Department of Mental Health and Substance Abuse Services, Mercy Health Center has screened more than 600 ER patients since last fall for substance abuse. Not only is Mercy the only hospital in the state taking preventive measures, it’s one of only a handful in the nation doing so.

“By intervening early, we can have a significant impact on people who are struggling with drug and alcohol problems,” said Gary Parker, PhD, MS, BSN, Mercy’s research lead. “In an ER setting, people are focused on their health, and they are much more likely to hear and act on any advice they receive. It’s a critical teaching moment to help reduce drug and alcohol abuse in our state.”

Known as Screening, Brief Intervention, and Referral to Treatment, SBIRT shifts the emphasis to alcohol and drug users the traditional system has largely ignored — those who consume more than medically accepted limits but are not yet dependent.

Rejecting the notion that only people with serious levels of abuse or dependency need targeted interventions, SBIRT assumes that everyone, regardless of their current level of alcohol or drug consumption, can benefit from learning the facts about alcohol consumption and knowing the effects of substance abuse. SBIRT further assumes that many people who consume amounts above those limits do not understand the risks they face but can and will change their behavior when they find out. For that reason, providing education about the consequences of alcohol and other drug use is a major part of the program.

Since October, Mercy has screened 631 ER patients and of those, 122 have been identified with alcohol-related problems and 73 have had drug-related problems, including eight pregnant women with alcohol/drug issues.

With five SBIRT-trained screeners, Mercy conducts private interviews with ER patients and provides each person with an individualized intervention appropriate to the level of risk for abuse. “What’s made this program effective is that the screeners, also known as peer health educators, are well trained to not be judgmental or threatening and they are well scripted on how to conduct interactions that produce accurate screening results and effective interventions,” said Jessica Hawkins, director of Prevention Services for the Oklahoma Department of Mental Health and Substance Abuse Services.

“These brief interventions can reorient many people away from behavior that, unchecked, can lead to high risk behaviors and even addiction,” said Parker. “Besides interventions, we have also successfully referred some of our ER patients to programs where they’ve received additional help. Many of the people screened who have that single interaction change their alcohol consumption and months later they are still consuming less than before contact with SBIRT.”

The project was made possible specifically because of a Transformation State Incentive Grant through the Substance Abuse and Mental Health Services Administration.

Press release dated: February 4, 2009

 

Mercy Health Center, the first Magnet hospital in Oklahoma, is a member of Mercy Health System of Oklahoma and the Sisters of Mercy Health System. Magnet-designated facilities: report higher patient satisfaction rates, deliver better patient outcomes, provide more nursing care at the bedside of patients and consistently outperform non-magnet organizations.

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Sisters of Mercy Health System