Implementing Substance Abuse Screening in a Free Clinic

Abstract

Substance abuse in the United States is on the rise and evidence has shown that screening patients is ideal in primary care. Early identification of substance use is important in decreasing mortality and morbidity associated with substance use. Protocols need to be in place to identify substance abuse and respond appropriately. The aim of this quality improvement project is to implement a substance abuse screening tool in a free clinic and develop a protocol for patients who screen positive.Over a 14-week period, patients were screened using the Tobacco, Alcohol, Prescription Medication, and Other Substances (TAPS-1) screening tool for substance use. A resource pamphlet, which identified resources within the community, was developed to distribute to patients screening positive. A retrospective chart review (n=159) identified that 5% of patients received screening using the TAPS-1. Implications for this DNP project include implementing the screening tool within the EHR and creating reminders. It is recommended that future project planners consider organizational readiness and assessment of potential barriers when working with free clinics and volunteer-based staff.