Implementing SBIRT in a School Setting

December 15, 2015

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Technical Details

General Housekeeping

• Submit questions in the questions box at any point during the webinar• Opportunity to ask questions live at the end of webinar.

Must have audio (telephone or mic) enabled• Copy of this powerpoint will be sent out following the

webinar and is available at www.uhcanohio.org now• Webinar is being recorded

PresentersDeb Robison, MA, LSW

Supervisor, Family and Student Services

Norwood City Schools

Kathy M. Strasser, RN, MS, NCSN

School Nurse

Norwood City Schools

Kathleen Gmeiner, JD, MHSA

UHCAN Ohio

Director, Somebody Finally Asked Me! Campaign

What is UHCAN Ohio?

UHCAN Ohio is a statewide healthcare advocacy organization whose mission is to achieve high quality, accessible, affordable health care for all Ohioans.

With offices in Columbus, Cincinnati and Cleveland it works on issues of access to health care, health system transformation and population health, across the age spectrum.

What is the Somebody Finally Asked Me! Campaign?

• Somebody Finally Asked Me! Campaign seeks to spread the use of Screening, Brief Intervention and Referral to Treatment (SBIRT) in youth settings throughout Ohio, particularly schools.

• It is funded by the Conrad N. Hilton Foundation and provided guidance and technical support by Community Catalyst’s True Talk: Power of Prevention project.

Leadership Team of Somebody Finally Asked Me!

• Children's Defense Fund-Ohio

• PreventionFIRST! (Greater Cincinnati)

• Collegiate Recovery Community, Ohio State University

•  Interact for Health (Southwest Ohio)

• Ohio Citizen Advocates for Addiction Recovery

• UHCAN Ohio

•  Urban Minority Alcoholism and Drug Abuse Outreach Program (Cincinnati and Columbus) 

•  Voices for Ohio’s Children

School Settings in U.S. Doing SBIRT (not exhaustive)

• Baltimore, Maryland• Gloucester, Massachusetts• New Hampshire• New Mexico• New York City, Long Island, Rochester area• Lima, Ohio• Norwood, Ohio• Wisconsin

READY-SET-S

BIRT!

NORWOOD C

ITY S

CHOOLS, NORW

OOD

OHIO

PLANNING

Assemble the School and Community TeamNorwood Health DepartmentNorwood City Schools Nurse Norwood City Schools Family and Student Services Talbert House-Local Mental Health Substance Abuse AgencyPrevention First!-Regional Center for Prevention ScienceInteract for Heath-Funding Partner

PLANNING

The planning process• Creating buy-in with the school system• Creating buy-in in the community• Parent permission• Recording and Information Sharing• Scheduling screenings and referring to services• Sustainability

TRAINING

Motivational Interviewing and SBIRT Questions• One day workshop• Trained School Nurse, Health Aides, Social Workers, Health Department Nurse and Talbert

House Therapists• Role playing exercises

Training by Consultant from Ohio Department of Mental Health and Addiction Services (OMHAS)

We created sustainability in the program by training Many individuals

IMPLEMENTATION

Screened all 6th through 9th grade students

Encouraged to continue making good choices and given a copy of 20 Reasons

Referred for Brief Intervention with our Therapist

Referred for Treatment with our Therapist or outside agency

OUTCOMES

Total screened 606

6th grade 141 code 0-141

7th and 8th 265 code 0-263 code 1-2 code2-0

9th grade 200 code 0-174 code 1-26 * code 2- 0

* 9 of these students were then referred for treatment

**2 were opened

REFLECTIONS

• This is a simple program- but simple is not always easy

• Having more than one screener is optimal

• Our medical staff were not as comfortable as our social work staff with motivational interviewing

• We did not do as well as we had hoped with the Brief Intervention portion of the project

• We had set up a space in our Student Information Database to record for last year, but forgot to set it up so we could record each year

• Prevention First! Developed a toolkit to help other schools launch SBIRT

Resources

• Institute for Research, Education and Training in Addictions (IRETA) http://ireta.org/

• Practioner’s Guide (NIAAA) http://www.niaaa.nih.gov/Publications/EducationTrainingMaterials/Pages/YouthGuide.aspx

• Massachusetts Bureau of Substance Abuse Services SBIRT: A Step-By-Step Guide http://www.masbirt.org/sites/www.masbirt.org/files/documents/toolkit.pdf

• New York http://www.oasas.ny.gov/adMed/sbirt/index.cfm

• Ohio http://mha.ohio.gov/Default.aspx?tabid=665

Questions?

Use the “Questions” Box to submit your question on

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For More InformationKathleen Gmeinerkgmeiner@uhcanohio.org614-456-0060 x223

Deb RobisonRobison.D@norwoodschools.org

UHCAN Ohio @UHCANOhio@KathleenOCHC

A copy of this powerpoint will be sent to you in a follow—up email

www.uhcanohio.org

Kathy M. StrasserStrasser.K@norwoodschools.org www.norwoodschools.or

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