Date of Award

Spring 5-22-2021

Document Type

Doctor of Nursing Practice Final Manuscript

Degree Name

Doctor of Nursing Practice



First Advisor

My Hanh (Theresa) Nguyen, PhD, RN, PMHNP-BC



TITLE: Substance Use Screening, Brief Intervention, and Referral to Treatment (SBIRT) in Pregnant Women Living with Human Immunodeficiency Virus (HIV)

BACKGROUND: According to the 2018 National Survey on Drug Use and Health, 5.4%, 9.9%, and 11.1% of pregnant women reported use of illicit drugs, alcohol, and tobacco, respectively, in the past month. In the same year, Centers for Disease Control reported 19% of new HIV diagnoses were among women. Substance use in pregnant women living with HIV increases risk of adverse outcomes for both mother and child including neonatal viral transmission and obstetrical complications. Universal screening for substance use during pregnancy identifies opportunities to implement interventions which can improve maternal and infant health.

PURPOSE: The purpose of this project is to implement standardized, universal substance use screening at a Mother Child Adolescent HIV Program’s specialized obstetrics and gynecology clinic.

EVIDENCE BASED INTERVENTIONS: SBIRT is an evidence-based, comprehensive, public health approach to delivery of early intervention which identifies, reduces, and prevents problematic use of alcohol and illicit drugs. Utilizing a multidisciplinary, team-based approach, we plan to implement National Institute on Drug Abuse (NIDA) Quick Screen, a validated substance use screening tool recommended by American College of Obstetricians and Gynecologists. Following screening, moderate and high-risk patients will receive a brief intervention and referral to substance use treatment.

EVALUATION/ RESULTS: During a 12-month period, SBIRT was universally applied to 15 pregnant women of a Mother Child Adolescent HIV clinic. The women were screened using NIDA Quick Screen and based on their responses, were stratified into risk categories for intervention if deemed necessary. Of 15 women screened, two were deemed moderate risk and none required referral. Prior to implementation of universal screening there was no standardized approach, which means there is no prior data for comparison.

Creative Commons License

Creative Commons Attribution 4.0 License
This work is licensed under a Creative Commons Attribution 4.0 License.

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Nursing Commons