Module 6
Case studies for brief interventions
Presenter: Marilyn Pierce-Bulger, MN, FNP, CNM Length: 26 minutes
This webinar illustrates various examples of brief interventions including a case study and answers to common questions pregnant clients may have about alcohol use.
Access at www.npwh.org/courses/home/details/831. Registration may be necessary.
Learning objectives
Review client responses in sample screening scenarios.
Discuss possible provider responses to scenarios.
Suggested supplemental reading
Kelsey B, & Pierce-Bulger, M. Having the conversation about alcohol as a teratogen: Three women. Women's Healthcare. 2017:36-40.
Suggested skills demonstration videos
2-minute screening
An example of a 2-minute alcohol screening with a nurse practitioner and her client.
Length: 2:16 minutes
5-minute screening
An example of a 5-minute alcohol screening with a nurse practitioner and her client.
Length: 5:40 minutes
10-minute or less screening
An example of a 10-minute or less alcohol screening with a nurse practitioner and her client.
Length: 6:39 minutes
10-minute or less screening with a pregnant patient
An example of a 10-minute or less alcohol screening with a nurse practitioner and her client who is 10 weeks pregnant.
Length: 6:45 minutes
Suggested activities or assignments
Use role play activities (e.g., the AUDIT for alcohol screening, One Key Question, and CHOICES for intervention considerations) to practice opportunities for providing health interventions for women of reproductive age that address prevention of alcohol-exposed pregnancies.
Peer-to-Peer Motivational Interviewing Role Play – 15 minutes to set up and complete
Find a partner. Read both the scenarios and decide who will be the client and who will be the clinician for each one.
Scenario # 1: Client comes to the clinic to have her IUD removed because she wants to become pregnant. When you ask about alcohol use as part of your routine preconception counseling, she answers that she currently drinks a glass of wine with dinner once a week. She says she did this during her first pregnancy, her healthcare provider at that time said it was not a problem, and the baby was fine.
Scenario # 2: Client comes to the clinic for emergency contraception. She discontinued her oral contraceptives 3 months ago because she thought they were causing her to gain weight. She occasionally uses condoms. When asked about alcohol use, she states that she has 2 or 3 beers most Fridays when she and her co-workers go to Happy Hour. She also says she might have up to 5 beers at a party but not more than once a month.
Decide which of you will be the client first and which will be the clinician.
Clinician – Using the components of motivational interviewing (feedback on alcohol screening results, listening for change language, options for changing drinking pattern) role play how you would approach the conversation with the client about the risk for an alcohol-exposed pregnancy.
Client – Respond in a manner so that the clinician does hear change language and the client is able to develop options for changing your drinking pattern.
Take no more than 5 minutes and then switch roles and repeat the role play using the other client scenario again taking no more than 5 minutes.
Take 3 minutes to process with each other how it felt to use motivational interviewing both from the clinician and client perspective.
Downloads
ABCs of Binge Drinking american college of cardiology.pdfThe ABCs of binge drinking
Alcohol-Use-Card-Guide ACOG.pdfRisky alcohol use guide
(courtesy of ACOG)
(courtesy of ACOG)
Brief Intervention Guidance.pdfBrief intervention guidance
What Do I Say - Frequently asked questions about alcohol-exposed pregnancies.pdfWhat do I say?
5. spanish pocketcard.pdfGuía de uso de alcohol de riesgo
NPWH 6. BI Case study.pdfWHNP Module 6 PowerPoint
1. Preventing FASDs Curriculum WHNP M6 FINAL.pdfWHNP Module 6 Overview
WHNP Module 6.pdf