The Newton Screen may be a good brief screening tool for assessing alcohol and cannabis use. A sexual health screening electronic tool was acceptable to patients and feasible in terms of workflow in the ED. H&P, history and physical; IUD, intrauterine device. We report on a number of successful domain-specific screening tools validated in ED and hospital settings. Immediate intervention in the ED and receiving information for follow-up care were rated as the most helpful responses to a positive screening result. Four screening questions can capture patients at risk for IPV: Have you felt unsafe in past relationships? Is there a partner from a previous relationship that is making you feel unsafe now? Have you been physically hit, kicked, shoved, slapped, pushed, scratched, bitten, or otherwise hurt by your boyfriend or dating partner when they were angry? Have you ever been hurt by a dating partner to the point where it left a mark or bruise?, Narrative review to explore ARA identification and intervention in the ED. Abstract. Adolescents have suboptimal rates of preventive visits, so emergency department (ED) and hospital visits represent an important avenue for achieving recommended comprehensive risk behavior screening annually. Twelve studies on mood and SI screening and intervention were included in our review; 11 took place in the ED setting, and 1 took place in the urgent care setting (Table 4). ED physicians used SBIRT in limited and nonstandardized ways. The HEADSS Assessment: A Virtual Psychosocial Interview for - AAMC hZkoG+!!E@@ (a02Zga%soUOO{R"'z{[M Ol5 8~pls48_ Most female adolescents with sexual experience reported interest in same-day initiation of hormonal contraception in the ED. Self-disclosure screening tools have been shown to increase privacy and disclosure of sensitive information by adolescent patients when compared with face-to-face screening by a clinician.68 The use of technology and creation of electronic self-disclosure screens may further provide means to maintain comfort and patient privacy while streamlining workflow and maximizing efficiency for clinicians, particularly when a reminder to screen is integrated.21,22 Special consideration should be given to the interplay between documentation of sensitive information in the EHR and the privacy and confidentiality crucial in screening for adolescent risk behaviors.69 One strategy to mitigate possible breaches of confidentiality with EHR documentation is to mark risk behavior screening notes as sensitive or confidential, thus preventing parents or guardians from access to the note (an option that is available on most EHR software).

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