Document Detail


The substance abuse subtle screening inventory minimizes the need for toxicology screening of prenatal patients.
MedLine Citation:
PMID:  10531631     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Multiple authors have reported attempts to effectively address the discovery of substance abuse in pregnancy using various mechanisms to encourage positive self-reports and urine toxicology to augment identification. In this study, we evaluated 1,251 patients with (a) self-report, (b) the Substance Abuse Subtle Screening Inventory (SASSI), and (c) urine toxicology screening to determine which modality or combination would yield the most cost-effective discovery. Combining the SASSI with the self-report was the most clinically effective and cost effective mode of discovery. This led to the development of a clinical protocol using the SASSI and self-report with limited use of urine toxicology for specific patient subgroups. Alcohol abuse, which is missed by toxicology and self-report, is detected by the SASSI.
Authors:
T J Horrigan; N Piazza
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of substance abuse treatment     Volume:  17     ISSN:  0740-5472     ISO Abbreviation:  J Subst Abuse Treat     Publication Date:  1999 Oct 
Date Detail:
Created Date:  1999-11-15     Completed Date:  1999-11-15     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8500909     Medline TA:  J Subst Abuse Treat     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  243-7     Citation Subset:  IM    
Affiliation:
Department of Obstetrics and Gynecology, Medical College of Ohio, Toledo 43614-5809, USA. thorrigan@mco.edu
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MeSH Terms
Descriptor/Qualifier:
Adult
Algorithms
Cost-Benefit Analysis
Female
Humans
Mass Screening / methods
Ohio
Pregnancy
Pregnancy Complications / diagnosis*,  economics,  prevention & control,  urine
Prenatal Care / economics,  methods*
Psychiatric Status Rating Scales / standards*
Self Disclosure
Substance Abuse Detection / methods*
Substance-Related Disorders / diagnosis*,  economics,  prevention & control,  urine

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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