Category: Uncategorized

The Importance of Understanding Where Patients Come From

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 […]

The Brief Intervention Experience: A Student Perspective

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 […]

SBIRT and Adolescents

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  

SBIRT and Feedback: Getting it Right

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 […]

More addiction and the brain

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

Empathy revisited

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 […]

Most health professionals not trained to identify substance abuse in patients

by Llaen Coston-Clark The American Medical News article: Recognizing the Alcoholic Patient, by Carolyne Krupa, really describes the need for SBIRT in medical settings. There’s certainly a push for health professionals to know how to recognize and help patients with risky or unhealthy alcohol use. As one doctor describes this gap in care: “There are […]