Substance use conditions are frequently associated with increased risk of injury and trauma care center admissions. Illicit drug use is also associated with an increased risk of injury, especially among young adults and underserved populations.
A significant number of trauma center providers, however, are not skilled in providing screening and brief intervention (SBI) services to their patients. This lack of preparation is of concern because untreated alcohol-related problems are associated with:
- Extended hospital stays
- Diminished quality of life
- Repeat emergency department use
- Significantly higher mortality and morbidity rates.
Workshop Purpose
This workshop is designed to promote the widespread dissemination of SBI with injured patients. The primary purpose is to familiarize participants with the principles and procedures for implementing SBI with injured patients in the emergency department and trauma care setting.
Target Audience
The target audience includes nurses, social workers, and medical providers working at accredited Level I and Level II trauma care centers.
Training Objectives
Upon completion of this workshop, participants will:
- Understand the background and rationale for conducting SBI in trauma centers
- Understand three key components of effective implementation:
- Screening
- Brief Intervention
- Referral for Treatment
- Understand and implement specific Motivational Interviewing techniques, including:
- Reflective listening, open questions, affirmations and summaries
- Importance/confidence ruler
- Decisional balance
- Giving information and advice
- Methods for eliciting change talk
- Identify organizational issues and solutions
Motivational Interviewing is a client-centered, directive style of counseling, designed to enhance positive change by having clients clarify and resolve ambivalence regarding target behaviors. Developed by William Miller and Stephen Rollnick, Motivational Interviewing is rapidly becoming a treatment of choice in counseling, healthcare, social work and criminal justice settings, because it evokes rapid behavior change as the result of relatively brief encounters.

