Impact of a new specialist alcohol and drug brief intervention service model integrated into the emergency department: An interrupted time series analysis
File version
Author(s)
Wyder, Marianne
De Andrade, Dominique
Nguyen, Kim-Huong
Gude, Alan
Hipper, Linda
Griffith University Author(s)
Primary Supervisor
Other Supervisors
Editor(s)
Date
Size
File type(s)
Location
License
Abstract
Objective: To describe and examine the impact of a new specialist drug and alcohol brief intervention team (DABIT) model integrated into the ED on the identification of individuals at risk of future alcohol and other drug (AOD)-related harm. A cost-outcome analysis was conducted to assess the impact on costs per referral. Methods: An interrupted time series analysis examined the changes in number of referrals following the implementation of the DABIT model over 2 years (January 2015–December 2016) within a large 436-bed public hospital. The primary outcome of interest was the number of AOD-related referrals per month identified following ED presentations. The independent variables were: time (measured in months), implementation periods (pre-implementation; a transition period of adjustment during which the new DABIT model of care was developed; post-implementation period with a fully operational DABIT model); and the number of full-time equivalent staff per month to account for the increase in labour productivity. In a second time series analysis, the outcome was cost per referral per month. Results: After controlling for changes in labour productivity, the number of referrals was significantly higher following the implementation of the DABIT model when compared to those during the pre-implementation and transition periods. Costs were significantly lower following DABIT implementation resulting in $1096 net cost savings per referral. Conclusions: Integration of a specialist brief intervention AOD model to support ED care may increase uptake of specialist AOD treatment and could be beneficial from an economic efficiency viewpoint.
Journal Title
Emergency Medicine Australasia
Conference Title
Book Title
Edition
Volume
Issue
Thesis Type
Degree Program
School
Publisher link
Patent number
Funder(s)
Grant identifier(s)
Rights Statement
Rights Statement
Item Access Status
Note
This publication has been entered in Griffith Research Online as an advanced online version.
Access the data
Related item(s)
Subject
Clinical sciences
Health services and systems
Public health
Science & Technology
Life Sciences & Biomedicine
Emergency Medicine
alcohol and other drug use
brief intervention
Persistent link to this record
Citation
Elphinston, RA; Wyder, M; De Andrade, D; Nguyen, K-H; Gude, A; Hipper, L, Impact of a new specialist alcohol and drug brief intervention service model integrated into the emergency department: An interrupted time series analysis,Emergency Medicine Australasia, 2020