Screening, Brief Intervention, and Referral to Treatment paper 09/01/2018 Purpose Screening, Brief Intervention, and Referral to Treatment (SBIRT) is an evidence-based practice intervention used to identify, reduce, and prevent problematic use, abuse, and dependence on substances such as tobacco, alcohol and illicit drugs. The SBIRT model was incited by an Institute of Medicine (IOM) recommendation that called for community-based screening for health risk behaviors.
integrate SBIRT into nursing practice to help stimulate positive change at the individual and population focused level of care. Course Outcomes This assignment enables the student to meet the following Course Outcomes (COs). • CO3: Plan prevention and population-focused interventions for vulnerable populations using professional clinical judgment and evidence-based practice. (PO 4, 8) • CO4: Evaluate the delivery of care for individuals, families, aggregates, and communities based on theories and principles of nursing and related disciplines. (PO1) Background information SBIRT consists of three major components. 1. Screening—A healthcare professional assesses a patient for concerning behaviors using standardized screening tools. Screening can occur in any healthcare setting. 2. Brief Intervention—A healthcare professional engages a patient in a short conversation, providing feedback and advice regarding concerning behaviors. 3. Referral to Treatment—A healthcare professional provides a referral to resources and/or treatment options and additional services available (Substance Abuse and Mental Health Services Administration [SAMHSA], n.d.) Directions 2. Next, choose one addiction or problem to focus on for this assignment from the options below. o Tobacco use o Opioid abuse 3. You are required to use one of the problems listed above, or you will earn a “0” for the assignment. In addition, assignments that do not follow the current guidelines or use the required forms or templates will be evaluated for evidence of an academic integrity violation. After the due date, there will be no opportunity for revision or resubmission of assignments that have been uploaded to the submission area. It is your responsibility to submit the correct assignment to the correct submission area. 4. After you have chosen the addiction/problem, you are to research SBIRT training specific to that problem/addition. Before starting to work on the paper, it is vital you understand how SBIRT is used with that particular addiction/problem. You must find at least two scholarly resources (other than readings assigned in the course) and one video resource. Search YouTube for one SBIRT training video from a reputable source that shows a provider using SBIRT with a patient. Watch this video so that you understand the steps of SBIRT.
The motivation behind this paper is to comprehend the conduct showed in a particular contextual investigation utilizing Freud’s psychodynamic hypothesis and Allport’s quality hypothesis of identity. Identity is characterized as the musings, emotions and conduct of a person that drives forward after some time and diverse circumstances (Perelberg and Ebooks, 2008). Following a synopsis of the contextual investigation the paper will give a short diagram of every hypothesis and broadly expound on how every hypothesis clarifies the conduct and identity of Judy, a mother who is the focal point of the contextual analysis. Judy adores cleaning her home. She wants getting compliments with respect to her tidiness. Judy spends each end of the week cleaning. At whatever point visitors were welcomed over Judy would invest a ton of energy and exertion ensuring her home was immaculate. She would teach the children on worthy discussion and arrange visit family gatherings. Judy did not comprehend why other relatives wouldn’t consider cleaning important. A neighbor once accidently left grass clippings on her front yard which brought about Judy overlooking that neighbor for a long time. Despite the fact that the family were in no budgetary inconveniences Judy would constrain everybody to take outrageous measures to set aside some cash. Judy would get frantic when her companions didn’t welcome her to supper parties. She habitually scrutinizes her companions and does not comprehend why somebody would not have any desire to be her companion. The principal hypothesis that will be examined is Freud’s psychodynamic hypothesis. Psychodynamic hypothesis clarifies identity by concentrating on the cognizant and oblivious inspiration driving human conduct, feeling and feeling (Shelder, 2010). Freud focused on that the psyche is certainly not a solitary develop, however is in certainty made up of isolated parts. These psychological procedures are fuelled by sexual and forceful desires. These urges come from instinctual and natural drives (Perelberg and Ebooks, 2008). A portion of these desires might be unsatisfactory on a cognizant level and are curbed into the oblivious where they develop after some time until the point that they impact considerations, emotions or conduct. The psyche is partitioned into three segments that house these desires. The id is an oblivious part that looks for delight. The superego is built from disguised guidelines and desires. The sense of self intercedes between the oblivious desires of the id and the firm standards of the superego. The collaborations between these parts decide human identity and conduct. This model on human conduct is called Freud’s Structural Model (Freud, 1961). Freud recommended that grown-up human conduct is affected by youth encounters (Freud and Hall, 2014). Particularly he proposed a model where youth sexual improvement would impact adulthood identity and conduct. Deficient improvement in a psychosexual stage would result in an obsession that would adversely impact conduct and identity later on throughout everyday life. Keeping in mind the end goal to manage these issues the psyche can utilize a scope of resistance components. Barrier components are oblivious procedures that contort reality to lessen unpalatable sentiments and musings, for example, tension (Freud, 1992). These procedures emerge from the sense of self. Nervousness and other obnoxious emotions are a consequence of the id or superego ending up excessively requesting and causing trouble. The second viewpoint that will be utilized is Allport’s Trait Theory. Allport’s hypothesis proposes that human conduct and identity is affected by passionate, subjective and social propensities called attributes (Allport and Allport, 1921). A quality can either be an inclination to carry on in a specific way or it could be an identity trademark. These characteristics can be utilized to acquire a comprehension of a subject’s general identity. Allport composed these attributes into a various leveled structure with three levels. Cardinal characteristics lie at the highest point of the chain of importance and are attributes that administer a person’s entire conduct or identity (Allport, 1966). The vast majority don’t have cardinal attributes yet on the off chance that they do they for the most part just have a solitary characteristic that directs their conduct and identity. The following level of attributes is called focal qualities. These comprise of general attributes of identity present in many people. These attributes influence conduct the most (Allport, 1937b). The last level of attributes is auxiliary qualities which are attributes that are just evident when in contact with particular outer boosts. These optional attributes can struggle with focal characteristics when enacted and represent exceptional showcases of conduct which may repudiate generally speaking identity. A noteworthy subject of Allport’s hypothesis is that of useful self-sufficiency, which expresses that grown-up conduct and identity isn’t identified with before encounters however conduct initially began as a drive for a different rationale which after some time the longing for the drive exceeds the intention bringing about the drive being isolated, or self-governing from the first drive (Allport, 1937a). Since the first intention in the conduct is lost it is hard to discover the source or thinking behind social characteristics. Freud will be the main scholar that will be utilized to examine Judy’s practices and identity. Freud clarifies Judy’s unreasonable neatness because of a deficient improvement of the butt-centric phase of psychosexual advancement in youth (Freud and Hall, 2014). In the butt-centric stage, which keeps going from year and a half to three years old the youngster is figuring out how to wind up can prepared which is the initial phase in independence from guardians. Legitimately building up this aptitude prompts a feeling of achievement and autonomy. The result of this stage is reliant on the strategies utilized by the guardians to instruct bowl control (Freud and Hall, 2014). In the event that guardians are excessively strict then the youngster may build up an exacting identity which results in the tyke being organized, unbending and over the top. For this situation consider Judy is hinting at an overbearing identity by her fixation on having a spotless house and her strict principles on where things go in the kitchen. This conduct is kept up by her superego which commands her contemplations, emotions and conduct (Freud, 1961). Judy’s strict principles on neatness and request might be the motivation behind why she is so controlling in the family’s money related circumstance, because of her strict nature on tidiness extending to different parts of her life, for example, back. Judy keeps up request by as often as possible arranging family gatherings which are an outlet for her oblivious wants of request to show. Her emotions in regards to her associations with other individuals are quelled into her oblivious where they develop and turn out through feedback to Sarah, her girl or to the beneficiaries confront. Judy looks for endorsement from her visitors. This endorsement is a noteworthy piece of her id. Judy seeks after endorsement for her id by utilizing strict tenets from her superego to accumulate compliments in regards to her home. Judy’s journey for endorsement results in nervousness from keeping a perfect house and dissatisfaction from visitors not welcoming her to supper. Nervousness is a danger to the sense of self from driving forces created by the id (Freud, 1992). She utilizes barrier components to diminish tension. Resistance instruments are an oblivious procedure that contorts reality with the goal that the risk motivations to the inner self don’t wind up cognizant (Freud, 1992). At whatever point somebody doesn’t need her fellowship Judy utilizes refusal to overlook any reactions she may have said which brought about her loss of kinship. She may quell any recollections where she acted in a way that isn’t well disposed. To acquire data a psychodynamic analyst would utilize execution based estimates, for example, a projective test or free affiliation (MacCann, Matthews, Zeidner, and Roberts, 2003). Execution based measures uncover hidden states of mind and verifiable inspirations because of their roundabout nature. These tests don’t give data about what the subject is considering or feeling. A particular measure that would be utilized to accumulate more data is free affiliation (Oxburgh and Dando, 2011). Free affiliation is a psychoanalytic system where the individual is permitted to discuss whatever contemplations ring a bell. This is a circuitous measure that can give data on a person’s contemplations and sentiments. The advisor would tune in and take notes to attempt and locate any hidden oblivious inspiration to pick up a superior comprehension of the person’s identity and conduct. This strategy can uncover attitudes about identity and conduct that an individual isn’t intentionally mindful of having. The second scholar that will be utilized is Allport. Judy is over the top to the point that it is classed as a cardinal quality. Her fanatical characteristic influences about each other part of her identity and conduct. Her principle high focal attributes are definitive, efficient, neatly and agreeable, which are altogether influenced by her cardinal quality. These quality names are from Allport’s rundown of attribute names that best characterize identity (Allport and Odbert, 1936). Judy’s definitive characteristic is apparent in the manner in which she illuminates her kids on legitimate discussion points and while sorting out family gatherings to examine the best possible system and area of things. Her efficient quality is appeared through her strict guidelines overseeing her family’s funds. This is a reasonable case of how her cardinal quality has influenced a focal characteristic to the extraordinary. The quality of neatness is plainly appeared to be an essential characteristic of her identity as apparent by her enthusiastic cleaning custom. Her amiability has an optional attribute where she gets furious when somebody upsets her perfect home, appeared by the neighbor who she overlooked for a long time. Judy additionally gets disappointed when other relatives don’t see the incentive in keeping the home sorted out and perfect, additionally supporting her optional characteristic.>