MODULE 9: Behavioral Health (Under Review 10/9/23)
Module Presentation
Learning Objectives
Demonstrate verbal de-escalation skills and early administration of voluntary medication in order to decrease potentially avoidable physical and chemical restraints in patients with mental health disorder
Recognize disparities in access to care for patients with mental health and substance use disorders
Identify interpersonal, institutional, and system-related factors possibly related to reported racial disparities in physical restraint use
Implement knowledge of the interplay between social determinants of health and mental health disorders into bedside care
Implement best practices for care for psychiatric patients boarding in the emergency department to ameliorate the effects of difficulty with access to care
Implement trauma-informed-care practices in the care of emergency department patient, particularly those violently injured and with mental health disorders
Identify evidence-based screening and referral practices for substance use disorders and implement effective SBIRT programs based in the ED
Develop a harm-reduction framework for assisting patients with substance use disorders in the ED
Implement evidence-based and society-endorsed best practices for patients seeking treatment or at risk of complications for substance use disorders, including ED initiation/provision of medications for opioid use disorder in appropriate patients and effective connection to longitudinal treatment
Identify unique needs among special populations with substance use disorder, including pediatrics, obstetrics, patients involved with the criminal justice system, and patients experiencing homelessness
Literature Review
Textbooks
Social Emergency Medicine: Principles & Practice. Chapter 13. Food Insecurity: Hidden Problems, Real Remedies by Eric W Fleegler, Deborah A. Frank & Marisa B Brett-Fleegler
Chapter 10 on SUD: https://link.springer.com/chapter/10.1007/978-3-030-65672-0_20
Chapter 14 on homelessness: https://link.springer.com/content/pdf/10.1007/978-3-030-65672-0_14?pdf=chapter%20toc
Chapter 20 on incarceration: https://link.springer.com/content/pdf/10.1007/978-3-030-65672-0_20?pdf=chapter%20tocArticles
Treatment of stimulant use disorder: A systematic review of reviews (10.1371/journal.pone.0234809)
Strategies for Alcohol Screening, Brief Intervention, and Referral to Treatment Sustainability in the Emergency Department (10.1097/TME.0000000000000311)
Alcohol screening and brief intervention in emergency departments: Review of the impact on healthcare costs and utilization (10.1016/j.jsat.2020.108096)
National survey of emergency department alcohol screening and intervention practices (10.1016/j.annemergmed.2010.03.004)
Challenges of the pharmacological management of benzodiazepine withdrawal, dependence, and discontinuation (10.1177/2045125317753340)
Systematic Review of Clinician-Reported Barriers to Provision of Brief Advice for Alcohol Intake in Hospital Inpatient and Emergency Settings (10.1111/acer.14491)
Emergency department screening and interventions for substance use disorders (10.1186/s13722-018-0117-1)
Identifying the Assumptions and Bias That Affect Screening and Brief Interventions for Harmful Alcohol Use (10.1177/10783903211036494)
Emergency department screening and interventions for substance use disorders. (10.1186/s13722-018-0117-1)
Naloxone and Buprenorphine Prescribing Following US Emergency Department Visits for Suspected Opioid Overdose: August 2019 to April 2021. (10.1016/j.annemergmed.2021.10.005)
Paired Resources
Assessments