Managing AUD and Liver Disease Workshop Module 2

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Session 2: Screening, Brief intervention (Motivational interviewing), and patient-centered goal setting

By the end of this session, participants will be able to:

  1. Describe the AUDIT-C and how it can be used to provide patient-centered feedback
  2. Apply motivational interviewing skills and use interactive tools (e.g. decisional balance table, scaling) with patients diagnosed with alcohol use disorder
  3. Provide patients with a menu of therapeutic options depending on their readiness to change (e.g. managed alcohol use to abstinence)

Video

If you are experiencing issues with the audio for the “SBIRT in Action” video appearing at 19:00, click the following link: Watch Now!

Additional resources

Definition of Addiction – American Society of Addiction Medicine 

Rat Park 

Motivational Interviewing – Alcohol Video

Helping Patients Who Drink Too Much: A Clinicians Guide

Screening and Assessment Tools Resource

The Alcohol, Smoking and Substance Involvement Screening Test

SBIRT in Action Video

Retention Toolkit: Free MI Resource

Canadian Resources

Canada’s Low Risk Drinking Guidelines

Guidelines for Healthcare Providers to Promote Low Risk Drinking Guidelines

Alcohol in Canada: Canadian Centre on Substance Use and Addiction

Substance Use Treatment Centres for First Nations and Inuit

211.ca

Practical Approach to Substance Use Disorders for the Family Physicians

Canadian Alcohol Use Disorder Society

Alberta Resources

Find Day Treatment and Detox

Alberta Addiction Treatment Directory

Recovery Access Alberta: Treatment directory for patients and providers

Recovery Access Alberta: Alberta College of Family Physicians Tools for Practice

Alcoholics Anonymous Meetings Alberta

Smart Recovery Alberta

Recovery Dharma Alberta: Using Buddhist Practices

Recovery College: Free access to courses focusing on developing awareness and resourcefulness to help individuals and their loves ones through recovery

United States Resources

Substance Use and Mental Health Services Administration

National Institute on Drug Abuse

US Preventative Services Task Force: Alcohol

National Institute on Alcohol Abuse and Alcoholism

Further Reading

High Performance Healthcare: Using the Power of Relationships to Achieve Quality, Efficiency and Resilience

Healthcare Teamwork: Interprofessional Practice and Education

Beyond the Checklist: What Else Healthcare Can Learn from Aviation Teamwork and Safety

A Definition and Approach To Motivational Interviewing

NIAAA Treatment Navigator

Managing Chronic Pain in Adults With or in Recovery From Substance Use Disorders

Talking with Your Adult Patients about Alcohol, Drug, and/or Mental Health Problems: A Discussion for Primary Care Providers

 

References

    1. US preventative task force; JAMA 2018
    2. Satre, D. D., Leibowitz, A. S., Leyden, W., Catz, S. L., Hare, C. B., Jang, H., Lam, J. O., Bryant, K. J., Weisner, C. M., Sterling, S. A., Horberg, M., Volberding, P., & Silverberg, M. J. (2019). Interventions to Reduce Unhealthy Alcohol Use among Primary Care Patients with HIV: the Health and Motivation Randomized Clinical Trial. Journal of general internal medicine34(10), 2054–2061. https://doi.org/10.1007/s11606-019-05065-9
    3. Miller, W. R., & Rollnick, S. (2012). Motivational interviewing: Helping people change. Guilford press.
    4. Mellinger, J. L., Scott Winder, G., DeJonckheere, M., Fontana, R. J., Volk, M. L., Lok, A., & Blow, F. C. (2018). Misconceptions, preferences and barriers to alcohol use disorder treatment in alcohol-related cirrhosis. Journal of substance abuse treatment91, 20–27. https://doi.org/10.1016/j.jsat.2018.05.003
    5. Winder, G. S., Fernandez, A. C., Klevering, K., & Mellinger, J. L. (2020). Confronting the Crisis of Comorbid Alcohol Use Disorder and Alcohol-Related Liver Disease With a Novel Multidisciplinary Clinic. Psychosomatics61(3), 238–253. https://doi.org/10.1016/j.psym.2019.12.004