Each summer, the incoming class of emergency medicine residents receive an SBIRT training and a tour of the surrounding community to better understand and serve the patients at Boston Medical Center. Below are thoughts from one resident on the day. Boston Medical Center Emergency Medicine Residents’ Class of 2019: A UNITY TOUR TO MEET THE […]
Dr. Bernstein taught a public health class over the summer called Merging Clinical & Population-Based Perspectives in Public Health Practice: Tension & Resolution. As part of the class the students learn brief interventions via a training in the Brief Negotiated Interview (BNI). They then spend time in the BMC emergency room with Dr. Bernstein screening […]
A recent journal article outlines two models for adolescent SBIRT in federally qualified health centers. Looking forward to the results of the study! http://www.ncbi.nlm.nih.gov/pubmed/26297321
A great partner of the BNI ART Institute Dr. Edwin Boudreaux of UMASS Memorial Medical School Departments of Emergency Medicine, Psychiatry, and Quantitative Health Sciences recently published an article on RBIRT (Remote Brief Intervention and Referral to Treatment). After an in-hospital screening, the BIRT part of SBIRT is performed through the RBIRT call-in service and […]
Boston Medical Center Responds to Opioid Overdose Epidemic and Public Health Emergency The Boston Opioid Overdose Education and Naloxone Distribution (OEND) programs began in 2006 when the Public Health Commission (BPHC), passed a regulation that authorized intranasal naloxone distribution by trained, nonmedical public health workers and EMS personnel under a standing order from Dr. Peter […]
In the brief intervention part of SBIRT, we teach people to give feedback as a way to educate patients on drugs and alcohol, consistent with the tenants of motivational interviewing: respecting the patient’s autonomy and building a shared agenda toward behavior change. We recommend using “elicit-provide-elicit” when providing any feedback or health education. The first […]
Take a look and listen to this interesting story on the wiring of our brains and where addiction fits in. Could mindfulness be a way to rewire the rewiring?? How Addiction Can Effect Brain Connections? http://commonhealth.wbur.org/2014/07/addiction-brain
We often find ourselves judging people with addictions. On the commute to work, we shake our heads at the man on the train who can’t seem to get a grip (literally) because he’s been drinking early and falls on to a fellow passenger. He doesn’t even say sorry. The stigma is real – I work […]
This is the first in a series of posts on what we think about when we think about a good brief negotiated interview (BNI). Empathy is a word that often comes up when we ask trainees what they think is important when having a conversation with a patient about making important changes in their lives. […]
In the past couple of years, we have been working on ways to increase Naloxone distribution in the emergency department – a seemingly perfect match of public health and best clinical care. Project ASSERT is able to distribute rescue kits to patients who are at risk for overdose as well as parts of their social […]
