How to Coach Yourself and Others Empowering Coaching And Crisis Interventions | Page 186

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Screening must lead to appropriate referrals for further evaluation and treatment in order to be worthwhile.
Missed opportunities can be especially unfortunate during prenatal care. In one study of ethnically diverse
women reporting to a university-based obstetrics clinic, 38 percent screened positive for psychiatric disorders
and/or substance abuse. However, only 43 percent of those who screened positive had symptoms recorded in
their chart, and only 23 percent of those screening positive were given treatment. This low rate of treatment is of
great concern, given the untoward consequences of substance use for maternal and infant health (Kelly et al.
2001).
To address the disconnection that often happens (beginning with the lack of identification of substance-related
problems of the patient and extending to the failure of appropriate referrals and brief interventions), SAMHSA
has invested in the Screening, Brief Intervention, and Referral to Treatment Initiative (SBIRT)— research,
resources development, training, and program implementation across healthcare settings. Although s