If you are a health care provider interested in receiving the SAIL Initiative educational program, you have recognized that your patients need help in accessing the care they need.
You may desire to be able to better define what a “substance use disorder” is and how to screen for the disease. Many doctors, nurse practitioners, physician assistants and nurses are not comfortable with addressing the topic of substance abuse with patients because they believe it will alienate the patient from care. Or the provider is uncertain about how to refer patients who screen positive for a substance use disorder. 90% of all controlled substances in the world are prescribed by clinicians in the United States, which yields room for consideration in prescription writing practices. The SAIL Initiative Provider Education Program is designed to enable clinicians to become better at recognizing the disease of substance abuse. Our staff will assist the clinical practice with developing adequate screening and providing brief intervention. We will assist with the institution of adequate screening and intervention in clinical practice. Our staff will help identify local resources for referral and educate staff in motivational interviewing and charting of validated screening tools. By requesting the Provider Education Program, the clinical team will contribute to the outcome measures of this project.
Healthcare providers have the ability to help arrest this epidemic. When we understand the disease of substance use disorder and empower the community with the solutions, the same results can be appreciated as are being seen with cervical and breast cancer. It’s time to SEE, ASSEMBLE, AND INITIATE change in clinical practice so that more patients have a chance to LIVE. Most providers were given very little formal instruction regarding the disease of substance abuse, motivational interviewing and incorporating screening and intervention into clinical practice. We will teach you to SEE where the disease may exist. SAIL Initiative will help your practice ASSEMBLE so that the team has a clear objective. SAIL Initiative will help your practice INITIATE the practice changes efficiently and effectively. By helping clinical practices meet the disease of addiction with healing and hope, SAIL Initiative will help patients LIVE healthier and longer lives. When we know we have accomplished compassion in action at the end of the day, we can consider it a “job well done.”
The staff members in your practice will be given a pre and post education survey instrument. This instrument will be administered immediately post education, in three months and once again in six months. The education will be in one of three formats and will be randomized for our study: written content, video presentation or in-person luncheon with a medical doctor presenting. Each practice will then be offered on site assistance with referral resource references, initiating validated screening, adopting SCRIPTS into practice and patient education handouts.
Regardless of education format, the content of the provider education session will include:
- Definition of “substance use disorder,” and “at risk drinking”
- CDC and Practice Guidelines for Substance Use Disorder Screening
- List of validated screening tools
- Overcoming barriers to adequate screening
- SCRIPTS for monitoring of prescribed controlled substances to patients
- Toxicology screening in clinical practice
- Prescription writing practices for controlled substances
- Brief Intervention for patients who screen positive
- Legal Implications
- Billing for Substance Use Disorder Screening
Substance use disorders occur when the recurrent use of alcohol and/or drugs causes clinically and functionally significant impairment, such as health problems, disability, and failure to meet major responsibilities at work, school, or home. According to the DSM-5, a diagnosis of substance use disorder is based on evidence of impaired control, social impairment, risky use, and pharmacological criteria. —Substance Abuse and Mental Health Services Administration, SAMSHA