Yale University School of Medicine



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Yale University School of Medicine


Project ED Health II

BNI Training



Manual



PROJECT ED HEALTH II

BNI Training Manual

Gail D’Onofrio MD, MS1

Michael V. Pantalon Ph.D.1

Linda C. Degutis DrPH1*

David Fiellin MD2

Patrick G. O’Connor MD2

1Department of Emergency Medicine, 2Department of Medicine, Section of General Internal Medicine

Yale University School of Medicine



New Haven, CT

*now at Centers for Disease Control and Prevention, Atlanta, GA
ã 2005 Project ED Health II Study - Yale University School of Medicine

Funded by National Institute on Alcohol Abuse and Alcoholism grant (1R01AA14963)

TABLE OF CONTENTS

Overview of the Manual

4

Background Information

5-7

Overview of the BNI

8

Components of the BNI

9

Study Protocol

10

Emergency Practitioner Roles and Expectations

11-15

Additional Motivational Strategies

16

Common Problems

17

Figures and Tables

18-30

References

31-32



I. Overview of the Manual
This manual is designed to provide the Emergency Department (ED) practitioner with the necessary skills to easily and effectively perform a brief intervention, the Brief Negotiation Interview (BNI), with ED patients who have been identified as harmful or hazardous alcohol drinkers and enrolled in a Federally-funded randomized clinical trial testing the efficacy of the BNI as compared to Standard Care (SC). All subjects will have consented to participate in the study. The following sections provide background information and the goals of the study, and describe the critical components of the BNI. An easy to follow, step-by-step approach to performing the BNI is also included. The study protocol to be followed by ED practitioners (EPs) administering the BNI to subjects is provided along with additional motivational and troubleshooting strategies. While the manual gives the reader a critical overview of the BNI, participation in a 2-hour training course, followed by successful completing of a test case is required to be ready to begin enrollment. Periodic feedback and booster sessions will be offered during the course of enrollment to ensure effective and consistent performance.
II. Background Information



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