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Review
. 2018 Feb;60(Suppl 4):S466-S472.
doi: 10.4103/0019-5545.224352.

Brief intervention in substance use disorders

Surendra Kumar Mattoo  1 , Sambhu Prasad  1 , Abhishek Ghosh  1
Affiliations
Review

Brief intervention in substance use disorders

Surendra Kumar Mattoo et al. Indian J Psychiatry. 2018 Feb.

Abstract

Unhealthy substance use lies on a wide range that extends from occasional mild risky/harmful/hazardous use to severe substance use disorder. Brief intervention (BI) is a technique, used to initiate change for an unhealthy or risky substance use. It can be delivered by a vast array of trained professionals, in opportunistic settings (i.e. in people seeking help not for their substance use, but either its consequences or for completely unrelated physical or psychiatric disorders), and across substances, age and ethno-cultural groups. The six common elements of BIs are summarized by the acronym FRAMES, consisting of Feedback, Responsibility, Advise, Menu for change, Empathy, and enhancing Self-efficacy. BI has also been strategically combined with referral to appropriate treatment services. BI has shown efficacy for reducing substance use and its harmful consequences. The evidence for post-BI improved functionality and quality of life are also emerging.

Keywords: Brief intervention; Motivation; Screening; Substance use.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
The motivational grid
Figure 2
Figure 2
Stages of change
See this image and copyright information in PMC

References

    1. Roche A, Freeman T. Brief interventions: Good in theory but weak in practice. Drug Alcohol Rev. 2004;23:11–8. - PubMed
    1. Fleming MF, Mundt M P, French MT. Brief physician advice for problem drinkers: long-term efficacy and benefit-cost analysis. Alcohol Clin Exp Res. 2002;26:36–43. - PubMed
    1. Chick J, Lloyd G, Crombie E. Counselling problem drinkers in medical wards: a controlled study. BMJ. 1985;290:965–7. - PMC - PubMed
    1. Riper H, Van Straten A, Keuken M, Smit F, Schippers G, Cuijpers P. Curbing problem drinking with personalized-feedback interventions: a meta-analysis. Am J Prev Med. 2009;36:247–55. - PubMed
    1. Tait RJ, Christensen H. Internet-based interventions for young people with problematic substance use: a systematic review. MJA. 2010;192:15–21. - PubMed