Screening and brief intervention (SBI) is a structured set of questions designed to identify individuals at risk for alcohol use problems, followed by a brief discussion between an individual and a service provider, with referral to specialized treatment as needed. This manual is designed to provide public health professionals, such as health educators and community health workers, with the information, skills, and tools needed to conduct SBI so that they can help at-risk drinkers reduce their alcohol use to a safe amount or stop drinking. The manual offers background information and practical steps for conducting SBI in a variety of public health settings, including trauma centers, emergency departments, other clinical settings, home visits, and public events.
The Alliance for Innovation on Maternal Health (AIM) is a national data-driven maternal safety and quality improvement initiative based on proven implementation approaches to improving maternal safety and outcomes in the U.S. The AIM supported safety bundles are collections of evidence based protocols and best practices for improving safety in maternity care, and handling obstetric complications and emergencies in hospital and outpatient settings. AIM provides implementation and data support for each AIM supported patient safety bundle.
This 244-page publication contains detailed guidelines and recommendations on the identification and management of women who are pregnant or postpartum and use alcohol or drugs or have a substance use disorder. It includes extensive information on screening and brief interventions, psychosocial interventions, detoxification and quitting programs, pharmacological treatment, breastfeeding and maternal substance use, and management of infants exposed to alcohol and other psychoactive substances. The document also features a comprehensive review of the evidence behind the recommendations.
The CRAFFT is a short, validated behavioral health tool developed to screen adolescents under age 21 for high risk alcohol and drug use. Recommended by the American Academy of Pediatrics, it consists of 6 questions involving Car, Relax, Alone, Forget, Friends, and Trouble. The tool is meant to assess whether a longer conversation about the context of use, frequency, and other risks and consequences of alcohol and/or drug use is warranted. It is available in 13 languages.
This toolkit is designed to help health centers to build a comprehensive and sustainable response to domestic violence and sexual assault (DV/SA) in partnership with DV/SA advocacy programs (social service organizations).Through five essential steps, health centers and social service partners can build partnerships, adopt evidence-based interventions, promote patient education around IPV, and enhance practice policies, procedures, and capacities to improve long-term health and safety outcomes for women and their families.
Safe Homes, Safe Babies is a safety card for women that perinatal health care providers can distribute to patients. In addition to providing safety resources for women, this tool also functions as a prompt for perinatal health care providers by providing quick phrases to improve discussions with women about the impact of domestic violence on their parenting and children. The safety card outlines questions women may ask themselves about their relationships, birth control use and parenting, while offering supportive messages and referrals to national support services for help.
This is a comprehensive source of information on the risks of exposure to lead during pregnancy and lactation. It contains detailed information on sources of lead exposure in adults, and known risks of lead on the mother, developing fetus, and infant. Sample screening tools for assessing possible exposure, and information on management of women found to have elevated lead levels are also included.
This CDC website provides concise information on risks for lead poisoning in children and evidence-based recommendations for decreasing those risks. It features both tips for parents and guidelines for providers to prevent childhood lead poisoning, along with info graphics and educational recommendations for children affected by lead.
This brief, self-administered Social Support Survey instrument was developed for patients in the Medical Outcomes Study (MOS), a two-year study of patients with chronic conditions. It is thought to also be appropriate for use with other populations. The instrument was designed to be comprehensive in terms of recent thinking about the various dimensions of social support – emotional/informational, tangible, affectionate, and positive social interaction. It is easy to administer and the items are short, simple, and easy to understand.
There is convincing research evidence that people experiencing greater discrimination in day-to-day life tend to have poorer physical and mental health outcomes than their counterparts. The Everyday Discrimination Scale (EDS) is a validated screen widely used to measure perceived discrimination. An original version of the EDS consists of nine items on a 6-point Likert-type response format, and a short version has been modified to five items.
The Healthy Start EPIC Center is operated by the National Institute for Children's Health Quality. This project is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under grant number 1 UF5MC327500100 titled Supporting Healthy Start Performance Project. This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. Government.
