Section: Module 3: Lesson 1: Alcohol, Smoking, and Substance Involvement Screening Test (ASSIST) | Screening for Substance Use Disorders in Primary Care | NextGenU.org
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Learning Objectives:
Upon completion of this lesson, you will be able to:- Explore and familiarize yourself with the Alcohol, Smoking, and Substance Involvement Screening Test (ASSIST), its background, and rationale for use in primary care.
- Summarize general and health-related problems related to substance use.
- Demonstrate interviewing skills necessary to screen for substance disorders using the ASSIST Screening Tool.
- Explain how to accurately score the answers to the ASSIST questionnaire.
- Explain the mhGAP model of care for alcohol and substance use disorders.
- Recognize a patient using an ASSIST Scorecard and give appropriate feedback.
- Explore other evidence-based models of screening and brief intervention in primary care.
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Read the content under the headings " Introduction", "Why you should use the ASSIST-Lite tool" and How to use the ASSIST-Lite tool: a step-by-step guide." (18 minutes)
Public health England - 2021
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Read the first part of Chapter 1 (pages 6) and Appendix A (pages 35-39). (16 minutes)
The University of Adelaide - 2020
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Read the content under the heading "Disorders Due to Substance Use" on pages 105-130. (53 minutes)
WHO - 2016
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Read the content under the headings " The ASSIST Introduction", "Good practice in ASSIST questionnaire administration" and " How to administer the questionnaire" on pages 20-31. (31 minutes)
WHO - 2010
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Watch the video entitled "How to administer the assist" (5 minutes)
ASSIST Portal - 2019
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Read the content under the headings "Scoring of the Assist questionnaire" on pages 32-33 (5 minutes)
WHO - 2010
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Read the content under the heading "Summary of Achievement." (4 minutes)
WHO - 2017
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Read figure 1 (page 4), the section "feedback" (page 8), chapter 5 "PUTTING IT ALL TOGETHER" (pages 16 to 20), as well as Appendix B, C, and D (pages 40 to 47). (35 minutes)
The University of Adelaide - 2020
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Watch the video entitled "ASSIST linked Brief Intervention" (6 minutes)
ASSIST Portal - 2019
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Read chapters 2, 3, and 4 (pages 8 to 15). (32 minutes)
The University of Adelaide - 2020
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In this activity, you will role-play a practice interview using the ASSIST screening tool between a physician and a patient suffering from substance use disorders and explore other evidence-based models of screening and brief intervention in primary care.
Step 1. Review
Review how to use the ASSIST screening tool from the learning resources in this lesson.
Step 2. Prepare
Prepare the following prior to the role-play:
- The ASSIST-Lite form for general healthcare services (You can download the tool here: https://www.gov.uk/government/publications/assist-lite-screening-tool-how-to-use)
- The patient actor (Ask a friend or a person to play as the patient suffering from a substance use problem)
- The environment where the role-play interview will be simulated
- This can be a recorded face-to-face interview or a recorded virtual interview via Zoom/Skype/Microsoft Teams, etc.
Note: This should be a fictional interview. To respect privacy and confidentiality principles, please do not record an interview with one of your actual patients.
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Gather information for at least two other evidence-based models of screening and brief intervention in primary care.
Step 3. Record
Record a 3-5-minutes audio that exhibits the role-playing of how to administer the ASSIST screening tool to the patient actor, proposed actions/treatments, and your exploration of other evidence-based models of screening and brief intervention in primary care. Make sure that the following will also be demonstrated in the video recording:
- Skills needed/required to screen for substance disorders using the ASSIST screening tool
- Correct administration of ASSIST screening tool
After the role-play screening, by the end of your video, discuss at least two other evidence-based models of screening and brief intervention in primary care. Ensure that the following details are included in the end-of-video discussion:
- Primary and distinct features of at least two other models
- Pros and cons of using these screening models
- Brief guidelines on how to use these models
Step 4. Share
To share your work, click on the “Add a New Discussion” button under this post and paste your work in the “Message” box. Make sure to reference others’ intellectual property when necessary. All references should follow 7th Edition APA formatting. For further instructions, see the resource on the Himmelfarb Health Sciences Library: APA citation resource (N.B. references are excluded from word counts).
Step 5. Interact
Evaluate and categorize the work from one of your peers based on items A - E of the rubric below. Provide a rationale for the grade you have provided, as well as comments or suggestions for improvement. To post a reply, click “Reply” on a particular discussion, write your feedback and then click on “Post to forum.” You can use the list below as an example:
Item A is.....because.....My suggestions for improvement are.....
Item B is.....because.....My suggestions for improvement are.....
Item C is.....because.....My suggestions for improvement are.....
Item D is.....because.....My suggestions for improvement are.....
Item E is.....because.....My suggestions for improvement are.....OPTIONAL Step 6: Interact (10 minutes)
If you would like to, you can reply to your peers' posts in a respectful and professional manner. Ensure that your post engages your peers' ideas by including a reflection on their comments, sharing ideas of other potential difficulties and parties involved, or asking thought-provoking questions. If a peer comments on your posting, please reply. To post a reply, click “Reply” on a particular discussion, write your feedback and then click on “Post to forum.”
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Quiz: Module 3
To access the quiz, click on the name of the quiz provided above. On the following screen, click the "Preview quiz now" button to respond to the questions.
TO PASS THIS QUIZ YOU MUST OBTAIN A SCORE OF 8/10
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This website provides an overview of the effects of various drugs and substances.
Click on the icons "alcohol", "cannabis", "cocaine", "heroin", and "opioids" and read the related content.
If you are interested in knowing more about the effects of other drugs and substances, you can click on the corresponding icons. (30 minutes)Alcohol and drug foundation - 2021
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Read pages 39 to 45 to learn more about the skills needed for efficient screening of substance use disorders. (10 minutes)
Substance Abuse and Mental Health Services Administration (SAMHSA) - 2019
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Read the content under the headings " Key Messages" until "Screening for Past and Present Mental Disorders." (44 minutes)
Substance Abuse and Mental Health Services Administration (SAMHSA) - 2020
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Watch the video entitled "Assist with Substance."(33 minutes)
ASSIST Portal - 2019
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Read the entire article to learn about SBIRT as a method to identify and deliver services to those at risk for substance use disorders, depression, and other mental health conditions. (26 minutes)
BMC - 2017
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From the menu on the left-hand side, read the 'Key Concepts and Learning Goals', then read the 'Questions' section. Complete the 'Questions' and post them online by entering your name and clicking ‘Done'. Continue through the modules from the 'Introduction' section and complete 'Clinical Evaluation'. While watching the 'Initial Visit Video', take note of the blue icons and comments to the right of the video. At appropriate times during the video, these comments will be highlighted in yellow. At this time, you can click on the blue icon and another smaller video will pop up. This smaller video will share thoughts and comments running through the minds of the doctors and patients during the interview. (60 minutes)
NIDA Centers of Excellence Physician Information - 2018