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Screening, Brief Intervention And Referral To Treatment (Sbirt): Process Improvement In A Nurse-Managed Clinic Serving The Homeless, Ryan Kerrins, Ryan Kerrins, Jean Hemphill Phd
Screening, Brief Intervention And Referral To Treatment (Sbirt): Process Improvement In A Nurse-Managed Clinic Serving The Homeless, Ryan Kerrins, Ryan Kerrins, Jean Hemphill Phd
Ryan Kerrins
Purpose
The Johnson City Downtown Day Center (JCDDC) provides integrated inter-professional primary care, mental health, and social work case management services to homeless and under-served persons who have difficulty accessing traditional systems. Because of the exponential rise in substance abuse in the Appalachian region, the JCDDC providers and staff initiated SBIRT as recommended standard of care, as endorsed by SAMHSA, United States Public Health Services Task Force, and the National Institute on Alcohol Abuse and Alcoholism. The JCDDC has two mechanisms by which patients can choose to participate in substance abuse treatment: SMART Recovery, and psychiatric nurse practitioner (NP) referrals. …