Brief Intervention and Motivational Interview in the Use of Psychoactive Substances

Authors

DOI:

https://doi.org/10.11606/issn.2176-7262.rmrp.2024.221927

Keywords:

Brief intervention, Motivational interviewing, Treatment, Drugs

Abstract

This article aims to present to the non-specialist physician the treatment of Brief Intervention (BI) and motivational interviewing techniques for the management of patients who use psychoactive substances for both inpatient and outpatient settings. BI is a treatment with proven effectiveness in the treatment of psychoactive substances-related problems, with low cost for its implementation and can be performed by several health professionals (provided they are duly qualified). Knowledge of the BI by the non-specialist physician is extremely important, as it allows the patient’s treatment to be started more quickly. Often, he will be the first and only health professional that will assess the patient, which increases the chance of adherence to treatment and therefore its effectiveness. The professional who knows how to apply the BI will be able to perform the triage of cases and thus refer the patient properly if specialized follow-up is necessary.

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Author Biography

  • Danilo Ribeiro, Hospital Estadual de Serrana

    Médico psiquiatra assistente 

References

Glasner-Edwards S, Rawson R. Evidence-based practices in addiction treatment: Review and recommendations for public policy. Health Policy (New York). 2010 Oct;97(2–3):93–104.

Baker A, Boggs TG, Lewin TJ. Randomized controlled trial of brief cognitive-behavioural interventions among regular users of amphetamine. Addiction. 2001 Sep;96(9):1279–87.

Copeland J, Swift W, Roffman R, Stephens R. A randomized controlled trial of brief cognitive–behavioral interventions for cannabis use disorder. J Subst Abuse Treat. 2001 Sep;21(2):55–64.

Wallace P, Cutler S, Haines A. Randomised controlled trial of general practitioner intervention in patients with excessive alcohol consumption. BMJ. 1988 Sep 10;297(6649):663–8.

Fleming MF, Barry KL, Manwell LB, Johnson K, London R. Brief physician advice for problem alcohol drinkers. A randomized controlled trial in community-based primary care practices. JAMA. 1997 Apr 2;277(13):1039–45.

Chick J, Lloyd G, Crombie E. Counselling problem drinkers in medical wards: a controlled study. BMJ. 1985 Mar 30;290(6473):965–7.

Kaner EF, Beyer FR, Muirhead C, Campbell F, Pienaar ED, Bertholet N, et al. Effectiveness of brief alcohol interventions in primary care populations. Cochrane Database of Systematic Reviews. 2018 Feb 24;2018(6).

BIEN TH, MILLER WR, TONIGAN JS. Brief interventions for alcohol problems: a review. Addiction. 1993 Mar;88(3):315–36.

American Psychiatry Association. Manual diagnóstico e estatístico de transtornos mentais: DSM-5 - 5a Edição. 2014.

Iacoponi E. Classificação de Transtornos Mentais e de Comportamento da CID-10 - Diretrizes Diagnósticas e de Tratamento para Transtornos Mentais em Cuidados Primários. Revista Brasileira de Psiquiatria. 1999 Jun;21(2):132–132.

De Micheli D, Formigoni M, Carneiro A. Intervenção Breve: princípios básicos e aplicação passo a passo. Coleção SUPERA, 1a ed São Paulo, Universidade Federal de São Paulo (UNIFESP), Universidade Virtual do Estado de São Paulo (UNIVESP). 2018;

Mendez B. Uma versão brasileira do AUDIT: Alcohol Use Disorders Identification Test [Tese de Doutorado]. Pelotas: Universidade Federal de Pelotas. 1999;

Botti NCL, Castro CG de, Silva AK, Silva MF da, Oliveira LC de, Castro ACHOA de, et al. Padrão de uso de álcool entre homens adultos em situação de rua de Belo Horizonte. SMAD Revista eletrônica saúde mental álcool e drogas. 2010;6:536–55.

Humeniuk R, Ali R, Babor TF, Farrell M, Formigoni ML, Jittiwutikarn J, et al. Validation of the alcohol, smoking and substance involvement screening test (ASSIST). Addiction. 2008 Jun;103(6):1039–47.

Henrique IFS, De Micheli D, Lacerda RB de, Lacerda LA de, Formigoni MLO de S. Validação da versão brasileira do teste de triagem do envolvimento com álcool, cigarro e outras substâncias (ASSIST). Rev Assoc Med Bras. 2004 Apr;50(2):199–206.

Conselho Regional de Medicina de São Paulo. Usuários de substâncias psicoativas: abordagem, diagnóstico e tratamento. Associação Médica Brasileira. 2002;

Center for Substance Abuse Treatment. Brief Interventions and Brief Therapies for Substance Abuse. Rockville (MD): Substance Abuse and Mental Health Services Administration (US); 1999.

Rollnick S, Miller WR, Butler CC. Motivational Interviewing in Health Care: Helping Patients Change Behavior. Guilford Press; 2008.

Fliglie NB, Guimarães LP. A Entrevista Motivacional: conversas sobre mudança. Vol. 34, Boletim da Academia Paulista de Psicologia. São Paulo; 2014. p. 472–89.

Published

2024-10-08

How to Cite

1.
Ribeiro D. Brief Intervention and Motivational Interview in the Use of Psychoactive Substances. Medicina (Ribeirão Preto) [Internet]. 2024 Oct. 8 [cited 2024 Dec. 3];57(1):e-221927. Available from: https://revistas.usp.br/rmrp/article/view/221927