Name
H04 - CFHA Debate 6.0: Whither Universal Screening?
Description

This is the 6th iteration of the CFHA debate, a forum for wrangling with our evidence-base and best practices. This year’s question is “Does universal behavioral health screening do more harm than good?” One team of debaters will make the case that universal screening is proven by research to improve clinical, operational, and financial outcomes in integrated primary care. The other team will push back, asserting that we’re mandating too much screening, and as a result, overwhelming our systems, burning out our clinicians, and frequently just going through the motions. We’ll look closely at universal screening for depression, anxiety, substance use, intimate partner violence, and trauma. After the debate, the audience will vote to recognize which team made the better case and then we’ll engage the audience to grapple with the realities and best practices for screening at the frontline of patient care.

Date & Time
Friday, October 25, 2024, 4:00 PM - 5:00 PM
Randall Reitz Daniel Mullin Eboni Winford Hernan Barenboim Jason Herndon Natalie Levkovich Ryan Jackman
Content Level
All Audience
Tags
Medical, Policy, Population and public health, Quality improvement programs
Session Type
Concurrent
SIG or Committee
Medical, African Americans in IC Workgroup
Location Name
Bowie B
Objective 1
Participants will be able to critically review the evidence-base for and ramifications of universal behavioral health screening.
Objective 2
Participants will be able to describe best practices for implementing behavioral health screening.
Objective 3
Participants will be able to evaluate their own healthcare systems’ use of universal behavioral health screening and identify next steps in improving screening
Content Reference 1

O’Connor E, Henninger M, Perdue LA, et al. Screening for Depression, Anxiety, and Suicide Risk in Adults: A Systematic Evidence Review for the U.S. Preventive Services Task Force [Internet]. Rockville (MD): Agency for Healthcare Research and Quality (US); 2023 Jun. (Evidence Synthesis, No. 223.) Available from: https://www.ncbi.nlm.nih.gov/books/NBK592805/

Content Reference 2

Konkle-Parker D, Williams D, McAfee N, Schumacher JA, Parker J. Low-Burden Universal Substance Use Screening in a Primary Care Clinic to Lower Implementation Barriers. J Behav Health Serv Res. 2023 Jan;50(1):108-118. doi: 10.1007/s11414-022-09814-3. Epub 2022 Aug 10. PMID: 35948799; PMCID: PMC9365203.

Content Reference 3

Bryan, C. J., Allen, M. H., & Hoge, C. W. (2022). Weighing the Costs and Benefits of Universal Suicide Risk Screening in Primary Care: An Evidence-Based Approach. Published Online:11 Jul 2022https://doi.org/10.1176/appi.ps.202100611 https://ps.psychiatryonline.org/doi/10.1176/appi.ps.202100611

Content Reference 4

Martin, M. P., McEntee, M. L., Mullin, D., Suri, Y., and Eeghen, C. van. (2022). Patient Screening for Integrated Behavioral Health in Adult Primary Care: A Rapid Review of Effective Procedures. Families, Systems, & Health. https://doi.org/10.1037/fsh0000700

Content Reference 5

Wamsley M, Satterfield JM, Curtis A, Lundgren L, Satre DD. Alcohol and Drug Screening, Brief Intervention, and Referral to Treatment (SBIRT) Training and Implementation: Perspectives from 4 Health Professions. J Addict Med. 2018 Jul/Aug;12(4):262-272. doi: 10.1097/ADM.0000000000000410. PMID: 30063221.