70.6 BRINGING SUBSTANCE SCREENING, BRIEF INTERVENTION, AND REFERRAL TO TREATMENT (SBIRT) TO THE HOSPITAL FLOOR

Abstract

This brief presentation will describe psychiatric consultation-liaison (CL) procedures for evaluating substance use disorders in medically hospitalized adolescents and the limitations of current procedures for referring such youth to specialized substance treatment. The Teen Recovery Program at Children’s Health is designed to provide specialized services for adolescents with mental health diagnoses and problematic substance use. Established collaboration between medical providers at Children’s Medical Center Hospital in Dallas and the Teen Recovery Program allows for inpatient evaluation of medically hospitalized substance-involved youth on the psychiatry CL service. David Atkinson, MD, will discuss current challenges associated with substance treatment referral and engagement. He will also consider ways in which the Screening, Brief Intervention, and Referral for Brief Consultative Evaluation (SBIRE) model may be adapted to enhance treatment engagement in the Teen Recovery Program at Children’s Health providing specialized services for adolescents with co-occurring mental illness and substance use disorders. Dr. Atkinson will present data on the current rates of substance treatment engagement among medically hospitalized youth with problematic substance use referred to the Teen Recovery Program. He will also discuss how the SBIRE model may be adapted in this setting to enhance substance treatment engagement compared to poor rates of treatment engagement using a more conventional Screening, Brief Intervention, and Referral for Treatment (SBIRT) protocol used currently. The SBIRE model may be modified or adapted to increase substance treatment engagement among medically hospitalized youth referred to a subspecialty substance treatment program.