Discussion of Tobacco Addiction in Miami

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Community Description

Regardless of the number of cigarettes, cigarettes, or pipes consumed per day, smoking always gives rise to many diseases and promotes evolution or directly stimulates the development of diseases, weakening the body’s defense reactions. The general availability of this only exacerbates this problem. The community studied for this study is Hialeah, Miami-Dade, Florida. It is home to 255,805 people living in both urban and suburban areas of the region. The region is 48.4% male and 51.6% female. 35.1% of the study sample have an education level equal to a bachelor’s degree or higher, and 13.2% live in poverty. These sociologically significant characteristics are necessary for understanding the emergence of the problem of tobacco abuse and for a more detailed analysis.

Problem Description

The problem analyzed in the presentation is related to the increased risk of tobacco use among adults associated with nicotine dependence. It is increasingly concentrated on the poorer sections of society with weak regulation in this area and relies on young people. Scientists have found that tobacco use among young people has increased due to widespread unemployment (9.5%). In addition, the availability of tobacco products, which everyone can purchase with the achievement of the age of consumption of tobacco and alcohol products, can purchase them. Tobacco use is the most common problem in the county, accounting for about 24%.

SBIRT Description

SBIRT is an evidence-based approach to identifying patients who use alcohol and other drugs at dangerous levels. The goal of SBIRT is to reduce and prevent associated health effects, illness, accidents, and injuries (SBIRT). Screening can quickly assess the severity of substance use and determine the appropriate level of treatment. The brief intervention aims to increase understanding and awareness of substance use. Referral to treatment provides those needing more extensive treatment access to specialist care.

The Use of SBIRT

SBIRT components include universal screening for unhealthy use and willingness to quit smoking. For those with a positive screening result, further evaluation is needed to determine the level of risk (Bhad, 2019). The brief intervention focuses on patient understanding and awareness and increasing motivation for healthy behavior change. Referral to treatment helps facilitate access to addiction assessment and treatment. A referral is usually given to only about 5% of screened people.

Example of SBIRT

The most common example of SBIRT for tobacco dependence is the Fagerstrom test (Bhad, 2019). It defines nicotine dependence and assesses the severity of both smoking and smokeless tobacco use. In addition, the National Behavioral Health Network provides advice on improving the prevention of tobacco use among young people (Leveraging SBIRT, 2020).

Outcomes

The NBHT explains the SBIRT step-by-step process for assessing and addressing substance use as part of the Youth Tobacco Cessation Program (Leveraging SBIRT, 2020). The network allows anyone to learn about SBIRT and how to use it for youth. It helps to explore screening and youth engagement strategies through a sensitive, evidence-based approach. In the future, they can positively impact the intersection of tobacco, youth mental health, and psychological trauma.

Community Resource

The resources of the analyzed community allow access to public health centers. The problem arises only in their number since this can become difficult due to a long trip to the institutions. However, it can be an effective public support in the fight against tobacco addiction.

4 A’s: Affordability, Accessibility, Acceptability, Availability.

Affordability: easily accessible to the poor.
Accessibility: Adults can easily access.
Acceptability: Collaboration with health care providers adds value to both the program and facilities.
Availability for each resource: a wide variety of medical facilities.
No need for self-organization of the process.

Pharmacies, hospitals, and other institutions providing health services combine the basic principles of a community resource. Their large number makes them more accessible and trustworthy, as they are part of everyday life.

Impact of Substance Use on the Audience

Critical components of successful tobacco cessation (remissions) are a combination of health education, behavioral support, and medication (Agerwala & McCance-Katz, 2021). Therefore, the role of resources is vital in specialized help in the fight against addiction.

SBIRT Intervention Impact Patient Health

Screening many people provides an opportunity to attract those who need treatment. People reported improvements in general health, mental health, employment, housing, and decreased criminal activity. The use of motivational enhancement therapy to increase the involvement of resident physicians in substance abuse education is being explored. The developed models of human behavior reduce adults’ excessive consumption of tobacco products.

Conclusion

In Miami-Dade County, Florida, a quarter of the population is addicted to tobacco. In most cases, addiction is caused by people’s standard of living, as studies show that people in developed regions are less prone to addiction. The list of medical services may include the SBIRT model for dealing with addiction.

SBIRT is an effective and flexible way to prevent tobacco dependence. Given social difficulties, the model helps different segments of the population cope with the problem. SBIRT has been adopted by several healthcare institutions and made available for use by many healthcare professionals.

References

Agerwala, S. M., & McCance-Katz, E. F. (2021). Integrating screening, brief intervention, and referral to treatment (SBIRT) into clinical practice settings: A brief review.Journal of Psychoactive Drugs, 44(4), 307–317.

Bhad, R. (2019). Utilization of “Screening brief intervention and referral to treatment” approach for tobacco addiction in day-to-day clinical practice in India: The need of the hour.Journal of Neurosciences in Rural Practice, 10(01), 8–9.

Leveraging SBIRT to enhance youth tobacco use prevention. #BHtheChange. (2020).

Screening, brief intervention and referral to treatment (SBIRT). Office of Addiction Services and Supports. (n.d.).

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