title: The Dynamic Assessment and Referral System for Substance Abuse (DARSSA): development, functionality, and end-user satisfaction.
abstract: The Dynamic Assessment and Referral System for Substance Abuse (DARSSA) conducts a computerized substance abuse assessment; prints personalized summary reports that include tailored substance abuse treatment referral lists; and, for individuals who provide authorization, automatically faxes their contact information to a "best match" substance abuse treatment provider (dynamic referral). After piloting the program and resolving problems that were noted, we enrolled a sample of 85 medical patients. The DARSSA identified 48 (56%) participants who were risky substance users, many of whom had not been identified during their routine medical assessment. Mean satisfaction scores for all domains ranged between "Good" to "Excellent" across patients, nurses, doctors, and substance abuse treatment providers. The median completion time was 13min. Of the 48 risky substance using participants, 20 (42%) chose to receive a dynamic referral. The DARSSA provides a user-friendly, desirable service for patients and providers. It has the potential to improve identification of substance abuse in medical settings and to provide referrals that would not routinely be provided. Future studies are planned to establish its efficacy at promoting treatment initiation and abstinence.
authors.affiliation: Department of Emergency Medicine, UMDNJ-Robert Wood Johnson Medical School and Cooper University Hospital, Camden, NJ 08103, United States. boudreaux-edwin@cooperhealth.edu
authors.forename: Edwin D
authors.initials: ED
authors.lastname: Boudreaux
authors.forename: Kristyna L
authors.initials: KL
authors.lastname: Bedek
authors.forename: Donna
authors.initials: D
authors.lastname: Gilles
authors.forename: Brigitte M
authors.initials: BM
authors.lastname: Baumann
authors.forename: Steven
authors.initials: S
authors.lastname: Hollenberg
authors.forename: Sherrill A
authors.initials: SA
authors.lastname: Lord
authors.forename: Grant
authors.initials: G
authors.lastname: Grissom
mesh_terms: D003627:Data Interpretation, Statistical; D005500:Follow-Up Studies; D006801:Humans; D009515:New Jersey; D017060:Patient Satisfaction; D018579:Patient Selection; D011153:Population; D012017:Referral and Consultation; D012647:Self-Assessment; D012984:Software; D016320:Substance Abuse Treatment Centers; D019966:Substance-Related Disorders / Q000175:diagnosis* / Q000534:rehabilitation*; D013689:Telephone; D016896:Treatment Outcome
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