Madeline A. Naegle, PhD, CNS-PMH, FAAN
Dr. Madeline Naegle, Professor and Coordinator of the Substance Related Disorders Sequence at the New York University College of Nursing, provided the impetus for APNA's most recent position paper endorsing the adoption of SBIRT into all clinical settings. In concert with the APNA Board of Directors, a position on SBIRT was adopted and the position paper, which was released today, drafted.
SBIRT (Screening, Brief Intervention, and Referral to Treatment), an evidence-based early intervention approach, enables clinicians in any setting to quickly determine a person’s level of risk related to alcohol and other drug use, provide brief motivational counseling about the risk, and refer the person to appropriate treatment. This tool offers psychiatric-mental health nurses at generalist and advanced practice levels the opportunity to strengthen a prevention approach through their own practice and by educating colleagues in the techniques and on the effectiveness of SBIRT. Below, she tells us in her own words about her role:
What is the importance of this position paper and the adoption of SBIRT into clinical settings?
The implementation of SBIRT by nurses practicing in all care settings, as well as by addictions and psychiatric-mental health specialists, operationalizes important roles in health promotion and risk reduction for the nation's drinking public. It positions nurses in key positions in the major public health agenda clearly linked to reducing medical costs, mortality and morbidity, and improving the quality of life.
How did you get involved in this project?
My involvement in this project is the natural extension of 20 years of educational and policy initiatives related to nurses' roles in the care of persons with substance use disorders and addiction related impairment as a professional issue. My activities have been collaborative with ANA and specialty organizations, and my contributions have included the development of model curricula in this area at baccalaureate and master's degree levels, founding of a specialty journal, specialty educational programming and co-authorship of a reference text for advanced practice nurses.
Inspired by my recent attendance at the CDC stakeholders meeting on promoting SBIRT (Insights From the Demand Side), and in collaboration with APNA and IntNSA colleagues, I argued the importance of developing and endorsing position statements about the roles of nurses with SBIRT and the potential of this practice to reduce the risks for the medical and social problems associated with excess alcohol use. My work with APNA colleagues in a variety of committees, panels and across specialty organizations continues to be a source of gratification and a meaningful way to contribute to nursing and health.