1 / 27

SBIRT

SBIRT. Angela McClellan, OCPS I Director Coalition for a Drug-Free Mahoning County September 5, 2013. A Wise Judge Once Told Me…. http://pointsadhsblog.wordpress.com/2013/05/20/9832/. Continuum of care.

dino
Télécharger la présentation

SBIRT

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. SBIRT Angela McClellan, OCPS I Director Coalition for a Drug-Free Mahoning County September 5, 2013

  2. A Wise Judge Once Told Me… http://pointsadhsblog.wordpress.com/2013/05/20/9832/

  3. Continuum of care • Source: http://www.jmir.org/2010/5/e60/, http://captus.samhsa.gov/prevention-practice/prevention-and-behavioral-health/behavioral-health-lens-prevention/3

  4. Prevention Continuum of Care Taxonomy: Problem ID & Referral • Problem Identification and Referral is an AOD prevention strategy that refers to intervention oriented prevention services that primarily targets indicated populations to address the earliest indications of an AOD problem. Services by this strategy focus on preventing the progression of the problem. • This strategy does not include clinical assessment and/or treatment for substance abuse and dependence. Source: Ohio Department of Mental Health and Addiction Services Prevention Continuum of Care Taxonomy

  5. Problem ID & Referral: Direct Services • Interventions that directly serve the customer and allow for two-way interaction at that instance. • Intervention, Brief Screening and Referral Services • Drug-Free Workplace Programs/EAP • Programs • Student Assistance Program Services • Support Groups • Consumer Advocacy and Linkage • Risk Reduction Activities Source: Ohio Department of Mental Health and Addiction Services Prevention Continuum of Care Taxonomy

  6. The Current Model:A Continuum of Substance Use Abstinence Responsible Use Dependence Source: Jim Aiello, MA, Med, Institute for Research, Education and Training in Addictions (IRETA), (www.ireta.org)

  7. The outdated model defines a substance use problem as… Dependence Source: Jim Aiello, MA, Med, Institute for Research, Education and Training in Addictions (IRETA), (www.ireta.org)

  8. The SBIRT model defines a substance use problem as… Excessive Use Source: Jim Aiello, MA, Med, Institute for Research, Education and Training in Addictions (IRETA), (www.ireta.org)

  9. The SBIRT ModelA Continuum of Substance Use Social Use Abstinence Abuse Dependence Experimental Use Binge Use Source: Jim Aiello, MA, Med, Institute for Research, Education and Training in Addictions (IRETA), (www.ireta.org)

  10. Brief Intervention and Referral for additional Services 4% Dependent 25% Hazardous Harmful Symptomatic Brief Intervention or Brief Treatment No Intervention; screening and feedback only Low Risk or Abstinence 71% Drinking Behavior Intervention Need Source: Jim Aiello, MA, Med, Institute for Research, Education and Training in Addictions (IRETA), (www.ireta.org)

  11. What Is SBIRT? SBIRT is a comprehensive, integrated, public health approach to the delivery of early intervention and treatment services for persons with substance use disorders, as well as those who are at risk of developing these disorders. Primary care centers, hospital emergency rooms, trauma centers, and other community settings provide opportunities for early intervention with at-risk substance users before more severe consequences occur. Source: http://www.samhsa.gov/prevention/sbirt/

  12. What is it REALLY? • SBIRT is a tool to detect risky or hazardous substance use before the onset of abuse or dependence, early intervention, and treatment for people who have problematic or hazardous [alcohol] problems. http://www.samhsa.gov/prevention/sbirt/SBIRTwhitepaper.pdf

  13. Why SBIRT? • Screening quickly assesses the severity of substance use and identifies the appropriate level of treatment. • Brief intervention focuses on increasing insight and awareness regarding substance use and motivation toward behavioral change. • Referral to treatment provides those identified as needing more extensive treatment with access to specialty care. Source: http://www.samhsa.gov/prevention/sbirt/

  14. Six Characteristics of SBIRT • It is brief (e.g., typically about 5-10 minutes for brief interventions; about 5 to 12 sessions for brief treatments). • The screening is universal. • One or more specific behaviors are targeted. • The services occur in a public health or other non-substance abuse treatment setting. • It is comprehensive (comprised of screening, brief intervention/treatment, and referral to treatment). • Strong research or experiential evidence supports the model’s effectiveness. http://www.samhsa.gov/prevention/sbirt/SBIRTwhitepaper.pdf

  15. 1. Use of Brief, Validated, Universal Pre-Screening / Screening Tools AUDIT Alcohol Use Disorders identification Test AUDIT-C Alcohol Use Disorders Identification Test - Consumption DAST Drug Abuse Screening Test ASSIST Alcohol, Smoking, Substance, Involvement, Screening Test CAGE Cut Down, Annoyed, Guilty, Eye Opener * Also Single Question Method has been found to be effective.

  16. 2. Relatively Easy to Use By Diverse Providers • The SBIRT approach is easy to learn relative to other behavioral treatment techniques • It can be implemented by diverse health professionals, e.g. Physicians, Nurses, Social Workers, Health Educators, Prevention Specialists, Paraprofessionals, etc.

  17. 3. Incorporation of strong referral linkages to specialty treatment • The goal is to provide a quick hand off to specialty treatment if the Primary Care site cannot provide more intensive service. • Close tracking to confirm patient compliance with treatment is critical to good health care provision.

  18. SBIRT Flow Chart

  19. It Starts With One Person Doug Wentz, M.A., O.C.P.S. II Community Services Director

  20. One Health Ohio • Federally Qualified Healthcare Center • Began SBIRT with patients at one site in Youngstown, OH. (Five other sites in region serve as control group). • Social Worker/Prevention Specialist (former CDCA) to screen • Preliminary results: • 99% of clients voluntarily participate in the screening • 70% of 1-Question screens are positive for AOD or depression • Diagnostic rates more than doubled (vs. increase of 1.6% at control location)

  21. “So what does this have to do with my coalition?” • We have the Know How! • Coalitions have connections in all twelve sectors • “New” definition of problem has been our definition all along

  22. “So what does this have to do with my coalition?” • Information Dissemination • Training • Networking • Bringing new faces to the table • Grants and other Funding • Training Revenue

  23. The Truth Fairy

  24. FAQs • How do we pay for this? • No, seriously, how do we pay for this? • So what, this isn’t our target substance? • Have you ever tried to get doctors to attend anything? <<sarcasm font>> • How can we/our collaborative partners get paid for this? • How do we get trained to be trainers? • Where can I find resources?

  25. SBIRT Resources • Angela McClellan, OCPS I Director Coalition for a Drug-Free Mahoning County Angela@DrugFreeMahoningCounty.org (ofc) 330.953.3212 (cell) 330.771.7732 • Doug Wentz, MA, OCPS II Community Services Director Neil Kennedy Recovery Clinic Douglas.Wentz@GatewayRehab.org (ofc) 330.792.4724 x 7128 (cell) 330.509.3650 • www.ireta.org • www.attcnetwork.org/sbirt • www.sbirtonline.org • www.niaa.nih.gov • www.HealthTeamWorks.org • www.drugabuse.gov • www.samhsa.gov/prevention/sbirt

More Related