Assuring Training in Prevention & Early Intervention (PEI)

Key Recommendations

Prevention is ingrained in the core competencies of addiction medicine. But because clinical training typically occurs in treatment settings, prevention and early intervention warrant special attention in program design.
Key recommendations include:

  • Develop at least one outpatient rotation that involves a pediatric provider. This will offer exposure to adolescents that may otherwise be limited. It also presents an opportunity for the fellow to provide SBIRT training.
  • Seek other outpatient experiences with primary care providers whose practices include a substantial number of young adults.
  • Assure that fellows encounter adolescent and young adult patients during emergency department and consultation experiences.
  • Develop relationships with local schools and colleges where fellows can interact with youth, consult with staff, and provide SBIRT training.

Education and Training Resources

Prevention and Early Intervention (PEI) Library: 

TAMF now offers a library of no-cost CME activities to meet the educational needs of all physicians, including addiction medicine physicians, primary care providers (IM, FM, Pediatric/Adolescent Med, Obstetrics & Gynecology), Emergency Medicine, Preventive Medicine, and Psychiatry.

The following Self-Assessment Modules (SAMs) provide learners the opportunity to become acquainted with the literature in the field of addiction medicine as it relates to PEI and adolescent care.

Adolescent nonmedical users of prescription opioids: Brief screening and substance use disorders

Effectiveness of early interventions for substance-using adolescents: findings from a systematic review and meta-analysis

Effectiveness of screening and brief alcohol intervention in primary care while reviewing the SIPS trial: a pragmatic cluster controlled trial

Brief intervention for problem drug use in safety-net primary care settings: a randomized clinical trial

Screening and brief intervention for drug use in primary care from The ASPIRE Randomized Clinical Trail

An electronic screen for triaging adolescent substance use by risk levels

Performance of the Tobacco, Alcohol, Prescription Medication, and Other Substance Use (TAPS) Tool for substance use screening in primary care patients

Upcoming Events:

SBIRT in Pediatric Care
Thursday, November 16, 3:00 pm (Eastern)

Hilton Foundation Roundtable Discussion led by Boston Children’s Hospital Adolescent Substance Abuse Program
Registration Required
To register for the online event

You should receive a confirmation email message with instructions on how to join the event.
For assistance contact Diane Fraser at: diane_fraser@abtassoc.com

Description: The Adolescent Substance Abuse Program team from Boston Children’s Hospital will facilitate a presentation and discussion on the latest research on youth SBIRT in pediatric care and how the evidence from pediatric health settings might apply to the other settings, including juvenile justice programs, community organizations, mental health centers, and schools. Please be prepared to ask questions and share ideas!

Other Resources:

Prevention and Early Intervention, Presented by Sheila Specker, MD

Pharmacologic Treatment in Pediatric Primary Care, Presented by Sharon Levy, MD, MPH

Consensus Document on Addressing Prevention and Early Intervention in Primary Care Practice
The American Board of Addiction Medicine Foundation, working with representatives of addiction medicine, pediatrics and adolescent medicine, developed recommendations for medical practice in addressing substance use prevention and early intervention for adolescents and young adults.

AAP Substance Use Screening and Intervention Implementation Guide, developed by the American Academy of Pediatrics (AAP) in collaboration with CDC.

Video: What Should We Be Teaching Fellows About Adolescent Substance Use
Slides: What Should We Be Teaching Fellows About Adolescent Substance Use
Sharon Levy, MD, MPH, Director of the Adolescent Substance Abuse Program in the Division of Developmental Behavioral Pediatrics/Boston Children’s Hospital and Assistant Professor of Pediatrics at Harvard Medical School details the science of addiction, brief interventions, and treatment options.

Video: Best Practices for Fellowship Directors: Prevention and Early Intervention
Slides: Best Practices for Fellowship Directors: Prevention and Early Intervention
Hoover Adger, Jr., M.D., M.P.H., M.B.A., Professor of Pediatrics at the Johns Hopkins University School of Medicine and Director of Adolescent Medicine at the Johns Hopkins Hospital.

Adolescent SBIRT Toolkit for Providers Booklet
This is a step-by-step health care providers’ guide to prevent and address youthful substance use.  It was developed by The State of Massachusetts and Boston Children’s Hospital.

Identifying and Responding to Substance Use among Adolescents and Young Adults: A Compendium of Resources for Medical Practice
This Compendium developed by The Addiction Medicine Foundation’s National Center for Physician Training in Addiction Medicine has been prepared for addiction medicine faculty and primary care providers. It provides links to screening tools, brief intervention guides and education and training materials that have been developed by a wide variety of institutions, organizations and medical practitioners for use with patients of varying ages. An attempt has been made to highlight materials appropriate for use with adolescents and young adults in all areas of medical practice.

Adolescent Medicine 101
This presentation describes the greatest morbidities and mortalities in the adolescent population.

AAP Policy Statement: Medication-Assisted Treatment of Adolescents With Opioid Use Disorders

SBIRT Curricular Resources
The University at Buffalo Addiction Medicine Fellowship Program outlines how to link ADM educational objectives, existing SBIRT resources, and SBIRT Milestones, and the UB ADM Fellowship SBIRT Curriculum.

Baseline

Level 0
Level 0 Video Link

Level 1
Level 1 Video Link

Level 2
Level 2 Video Link

Level 3