J TRAUMA: Alcohol and Other Drug Problems among Hospitalized Trauma Patients: Controlling Complications, Mortality, and Trauma Recidivism

The Journal of TRAUMA - Injury, Infection and Critical Care

http://www.cdc.gov/ncipc/Spotlight/JrnTraumaSupl.htm Alcohol and Other Drug Problems among Hospitalized Trauma Patients: Controlling Complications, Mortality, and Trauma Recidivism – Conference Proceedings
Section 1 = S1-S42
Forewords Controlling Alcohol Problems among Hospitalized Trauma Patients . . . . . . . Ronald V. Maier, MD, FACS	S1
The Challenge of Change . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Carlo C. DiClemente, PhD, ABPP	S3
Acknowledgments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Daniel W. Hungerford, PhD	S5
Steering Committee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	S6
Participant Directory . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	S7
Introduction Interventions in Trauma Centers for Substance Use Disorders: New Insights on an Old Malady. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Daniel W. Hungerford, PhD	S10
Alcohol Interventions in Trauma Centers: The Opportunity and the Challenge . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Larry M. Gentilello, MD	S18
Brief Motivational Interventions: An Introduction . . . . . . . . . . . . . . . . . . Craig Field, PhD, MPH; Daniel W. Hungerford, PhD; Chris Dunn, PhD	S21
The Stages of Change: When are Trauma Patients Truly Ready to Change?. Chris Dunn, PhD; Daniel W. Hungerford, PhD; Craig Field, PhD; Barbara McCann, PhD	S27
Changing the Battle Plan . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Herbert D. Kleber, MD	S33
Recommendations for Trauma Centers to Improve Screening, Brief Intervention, and Referral to Treatment for Substance Use Disorders . . . . Daniel W. Hungerford, PhD	S37
Section 2 = S43-S75
Conference Proceedings Day-1 Conference Welcome Keynote Speaker: Jeffrey Runge, MD . . . . . . . Jeffrey Runge, MD	S43
Session 1 Session 1: The Impact of Alcohol and Other Drug Problems on Trauma Care - Biosketches. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	S49
The Impact of Alcohol and other Drug Problems on Trauma Care. . . . . . . . Basil A. Pruitt Jr, MD, FACS	S50
Alcohol and Trauma: The Perfect Storm . . . . . . . . . . . . . . . . . . . . . . . . Ernest E. Moore, MD	S53
The Impact of Street Drugs on Trauma Care . . . . . . . . . . . . . . . . . . . . . Charles E. Lucas, MD, FACS	S57
A Rational Approach to Formulating Public Policy on Substance Abuse . . . . Donald D. Trunkey, MD; Carol Bonnono, RN, CEN	S61
Session 1: Impact of Alcohol and other Drug Problems on Trauma Care-Discussion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	S67
Section 3 = S76-S100
Session 2 Session 2: Substance Abuse Interventions for Trauma Patients – Biosketches . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	S76
Session 2: Substance-Abuse Interventions-Setting the Stage for Discussion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Carl A. Soderstrom, MD	S77
Screening and Interventions for Alcohol and Drug Problems in Medical Settings: What Works?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Thomas F. Babor, PhD, MPH; Ronald M. Kadden, PhD	S80
Brief Interventions for Hospitalized Trauma Patients. . . . . . . . . . . . . . . . Chris Dunn, PhD; Brian Ostafin, PhD	S88
Session 2: Discussion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	S94
Section 4 = S101-S133
Session 3 Session 3: The Feasibility of Implementing Interventions in Trauma Care Settings-Biosketches. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	S101
Operational Feasibility of Interventions in Trauma Centers . . . . . . . . . . . . Anthony A. Meyer, MD, PhD	S102
Barriers to Interventions for Alcohol Problems in Trauma Centers . . . . . . . . H. Gill Cryer, MD	S104
Implementing Screening, Brief Intervention, and Referral for Alcohol and Drug Use: The Trauma Service Perspective . . . . . . . . . . . . . . . . . . . . . Michael J. Sise, MD; C Beth Sise, MSN, JD; Dorothy M. Kelley, MSN; Charles W. Simmons, MD; Dennis J. Kelso, PhD	S112
Feasibility of Alcohol Screening and Brief Intervention . . . . . . . . . . . . . . Carol R. Schermer, MD, MPH	S119
Session 3: Discussion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	S124
Section 5 = S134-S166
Session 4 Session 4: Overcoming Obstacles-Choosing Goals and Strategies - Biosketches . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	S134
Are We the Problem? Overcoming Obstacles to Implementing Intervention Programs. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . David B. Hoyt, MD, FACS	S135
Confronting the Obstacles to Screening and Interventions for Alcohol Problems in Trauma Centers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Larry M. Gentilello, MD	S137
Interventions-Developing a Plan for Implementation . . . . . . . . . . . . . . . . . . . J. Wayne Meredith	S144
Session 4: Discussion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	S146
Session 5 Session 5: Discussion of Draft Recommendations . . . . . . . . . . . . . . . . . .	S155