Does a brief intervention in the ED reduce illicit drug use?
Health promotion is critical in Emergency Medicine (EM), and Brief interventions (BI) for alcohol use are well established. This prospective cohort study assessed the efficacy of a BI for drug use in a US Emergency Department. As expected there was a large loss to follow-up (40% and 44% in each arm) resulting in an underpowered study and we don't know if some of those were due to mortality from drug use. The BI lasted for 20–30 min with a significant number of questions, which might be hard to achieve in a time-pressured department. However, the study failed to demonstrate any reduction in self reported drug use or an increase in drug treatment service utilisation over a twelve-month period. In the accompanying commentary, Richard Saltz discusses how we still have a responsibility to address this important public health problem.
...https://ift.tt/2qPFPbJ
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