Impact of screening, brief intervention, and referral to treatment (SBIRT) in schizophrenic patients on healthcare utilization rates
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Ajanaku, Adebola.
Impact of screening, brief intervention, and referral to treatment (SBIRT) in schizophrenic patients on healthcare utilization rates. Retrieved from
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TitleImpact of screening, brief intervention, and referral to treatment (SBIRT) in schizophrenic patients on healthcare utilization rates
Date Created2021
Other Date2021-05 (degree)
Extent1 online resource (62 pages)
DescriptionPurpose of Project: There is an established consensus in the literature that substance abuse can exacerbate psychotic symptoms in schizophrenic patients and, therefore, increase the risk of emergency hospitalization. The PICOT question that was generated for the project is, “in schizophrenic patients with ASU, how does implementation of the SBIRT guideline, over three provider-patient encounters in a three-month period, impact healthcare utilization rates when compared to pre-SBIRT guidelines?”
Methodology: Thorough literature search showed that Screening, Brief Intervention, and Referral to Treatment (SBIRT) reduced inpatient hospitalization amongst patients with Active Substance Use (ASU). The Knowledge to Action (KTA) framework was used to guide the project. This is a pre/post intervention-design quality improvement project at an urban mental health private clinic in NJ. SBIRT was a practice change and data was collected from 48 patients with schizophrenia and ASU over a 3-month period. Participants completed AUDIT-C Plus 2 screening tools at different time intervals.
Results: When comparing pre-SBIRT data to post-SBIRT data, there is a statistically significant decrease in healthcare utilization (Z=2.719, p=0.006). There is also observed decrease in alcohol use (Z=0.116, p=0.907), cannabis use (Z=0.848, p=0.3972), and other drug use (Z=0.6452, p=0.645), however, these observed decreases were not statistically significant.
Implications for Practice: This DNP project had good sample size and its results are promising in decreasing healthcare utilization. Given this impact, the practice plans on continuing to incorporate this intervention in their treatments of schizophrenic patients with ASU and further expands it to include all patients with ASU. The practice also plans on continuing to collect data on the effects of this intervention on healthcare utilization and substance use.
NoteDNP
NoteIncludes bibliographical references
Genretheses, ETD doctoral
LanguageEnglish
CollectionSchool of Nursing (RBHS) DNP Projects
Organization NameRutgers, The State University of New Jersey
RightsThe author owns the copyright to this work.
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