Screening, Brief Intervention, and Referral to Treatment Core Skills Training
|
|
- Candace Holland
- 5 years ago
- Views:
Transcription
1
2 Screening, Brief Intervention, and Referral to Treatment Core Skills Training Prepared by JBS International, Inc., for the Department of Health lhand Human Services, Substance Abuse and Mental Health Services Administration, Center for Substance Abuse Treatment Contract No. HHSS HHSS T
3 Forget Everything You Know About what constitutes a substance use problem. About how substance use problems are identified. About how to treat substance use problems. 3
4 A New Initiative Substance use screening, brief intervention, and referral to treatment (SBIRT) is a systems change initiative. As such, we are required to shift our view toward a new paradigm, and; Re conceptualize how we understand substance use problems. Re define how we identify substance use problems. Re design how we treat substance use problems. 4
5 Historically 5 Society has viewed substance use as: A moral problem An individual problem A family problem A social problem A criminal justice problem A combination of one or more The solution to any problem must be driven by its presumedcause cause. If substance use is caused by a moral problem.what is its solution? If substance use is caused by a criminal justice problem what is its solution?
6 Substance Use Is A Public Health hproblem 6
7 Learning from Public Health The public health system of care routinely screens for potential medical problems (cancer, diabetes, hypertension, tuberculosis, vitamin deficiencies, renal function), provides preventative services prior to the onset of acute symptoms, and delays or precludes the development of chronic conditions. 7
8 Historically Substance Use Services have been bifurcated, focusing on twoareas only: Primary Prevention Precluding or delaying the onset of substance use. Tertiary Treatment Providing time, cost, and labor intensive care to patients who are acutely or chronically ill with a substance use disorder. 8
9 Substance Dependent Traditional ltreatment t Abstinence Primary Prevention No Problem No Intervention Drink Responsibly 9
10 The Current Model A Continuum of Substance Use Abstinence Responsible Use Dependence 10
11 An Outdated Model This model (paradigm) of substance use: 11 Fails to recognize a full continuum of substance use behavior. Fails to recognize a full continuum of substance use problems. Fails to provide a full continuum of substance use interventions. ti WHY?
12 The outdated model defines a substance use problem as Dependence 12
13 By failing to recognize a full continuum of substance use behavior, a full continuum of substance use problems, and not providing a full continuum of substance use interventions the outdated model has failed to provide resources in the area of greatest need. 13
14 The SBIRT model defines a substance use problem as Excessive Use 14
15 Excessive Use Results In Trauma and trauma recidivism. Causation or exacerbation of health conditions. Exacerbation of mental health conditions. Alcohol poisoning. DUI. Domestic and other forms of violence. Transmission of sexually transmitted diseases. Unintended pregnancies. Substance Dependence. 15
16 By recognizing a full continuum of substance use behavior, a full continuum of substance use problems, and by providing a full continuum of substance use interventions the SBIRT model can provide resources in the area of greatest need. 16
17 Substance Dependent Traditional Treatment Abstinence Excessive Use Brief Intervention Brief Therapy No Problem Primary Prevention Screening and Feedback Drink Responsibly 17
18 The SBIRT Model A Continuum of Substance Use Abstinence Social Use Abuse Experimental Use Binge Use Dependence 18
19 19 U.S. Population
20 20 Dependent
21 21 Excessive
22 Dependent 4% Brief Intervention and Referral for additional Services 25% Low Risk or Abstinence 71% No Intervention or screening and Feedback Drinking Behavior 22 Intervention Need
23 6 1 23
24 The Costs of Substance Use The bulk of the societal, personal, and health care related costs are not a result of substance dependence but of excessive substance use. Until such time as we acknowledge this fact, and address it appropriately, we are unlikely to make significant progress towards a solution. Consider This 24
25 If We could provide a 100% cure to every substance dependent person in the United States we wouldn t be close to solving most of the substance related problems in our country. 25
26 The SBIRT Model A Continuum of Interventions Primary Prevention Precluding or delaying the onset of substance use. Secondary Prevention and Intervention Providing time, cost, and labor sensitive care to patients who are at risk for psycho social or healthcare problems related to their substance use choices. Tertiary Treatment Providing time, cost, and labor intensive care to patients who are acutely or chronically ill with a substance use disorder. 26
27 Primary Goal The primary goal of SBIRT is not to identify those who are dependent and need higher levels of care. The primary goal of SBIRT is to identify those who areat at moderate or high risk for psycho socialsocial or health care problems related to their substance use choices. 27
28 NIAAA Definitions Low Risk: Healthy Men < 65 4 drinks per day AND 14 drinks per week Healthy Women & Men 65 3 drinks per day AND 7 drinks per week Hazardous: Pattern that increases risk for adverse consequences. Harmful: Negative consequences have already occurred. 28
29 The SBIRT Concept SBIRT uses a public health approach to universal screening for substance use problems. SBIRT provides: Immediate rule out of non problem users; Identification of levels of risk; Identification of patients t who would benefitfrom brief advise; Identification of patients who would benefit from higher levels of care, and; Progressive levels of clinical interventions based on need and motivation for change. 29
30 The Moving Parts Pre screening (universal). Full screening (for those with a positive pre screen). Brief Intervention (for those scoring over the cut off point). Extended Brief Interventions or Brief Treatment or (for those who have moderate risk, ikhigh h risk, ikabuse, or dependence, would benefit from ongoing, targeted interventions, and are willing to engage). Traditional Treatment (for those who are dependent and are willing to engage). 30
31 Let s Review SBIRT is a systems change initiative requiring us to reconceptualize, re define, and re design our entire approach to substance use problems and services. SBIRT uses a public health approach. The current model defines the problem as dependence. The SBIRT model defines the problem as excessive use. SBIRT recognizes a continuum of substance use behavior, a continuum of substance use problems, and a continuum of substance use interventions. 31
32 Prescreening Strategy Use brief yet valid screening questions: The NIAAA Single Question Screener The Single Question Drug Screener Negative Positive Based on previous experiences with SBIRT, screening will yield percent negative responses. If you get a positive screen, you may ask further assessment questions.
33 Prescreening for Alcohol Prescreen: Do you sometimes di drink kbeer, wine, or other alcoholic beverages? NO YES NIAAA Single Screener: How many times in the past year have you had five drinks (for men) or four drinks (for women or clients over age 65) or more in a day? Sensitivity/Specificity: 82%/79% If you get one or more affirmative answers, move on to full screen. Source: Smith, P. C., Schmidt, S. M., Allensworth Davies, D., & Saitz, R. (2009). Primary care validation of a single question alcohol screening test. J Gen Intern Med, 24(7),
34 When Screening, It Is Useful To Clarify What Constitutes One Drink!
35 How Much Is One Drink? 5 oz glass of wine (5 glasses in one bottle) 1.5 oz 1.5 oz spirits 80 proof 1 jigger 12 oz glass of beer (one can)) g ( Equivalent to 14 grams pure alcohol
36 THE ALCOHOL, SMOKING AND SUBSTANCE INVOLVEMENT SCREENING TEST (ASSIST)
37 The ASSIST Developed under the auspices of the World Health Organization (WHO) A group of addiction researchers and clinicians developed the ASSIST to address the overwhelming public health burden associated with psychoactive substance use worldwide.
38 The ASSIST continued The ASSIST (version 3.1) is an 8 item questionnaire designed to be administered by a health worker to a client using paper and pencil Takes about 5 10 minutes to administer ASSIST was designed dto be culturally ll neutral
39 The ASSIST screens for use of the following substances: tobacco products alcohol cannabis cocaine amphetamine type stimulants (ATS) sedatives and sleeping pills (benzodiazepines) hallucinogens inhalants opioids other drugs
40 ASSIST Q 1 4 Question 1 (Q1) asks about which h substances have ever been used in the client s lifetime. Question 2 (Q2) asks about the frequency of substance use in the past three months, which gives an indication of the substances which are most relevant to current health status. Question 3 (Q3) asks about the frequency of experiencing a strong desire or urge to use each substance in the last three months. Question 4 (Q4) asks about the frequency of health, social, legal or financial problems related to substance use in the last three months. See ASSIST screen handout
41 ASSIST Q 5 8 Question 5 (Q5) asks about the frequency with ihwhich h use of each substance has interfered with role responsibilities in the past three months. Question 6 (Q6) asks if anyone else has ever expressed concern about the client s use of each substance and how recently that occurred. Question 7 (Q7) asks whether the client has ever tried to cut down or stop use of a substance, and failed in that attempt, and how recently that occurred. Question 8 (Q8) asks whether the client has ever injected any substance and how recently that occurred. See ASSIST screen handout
42 Scoring of the ASSIST The ASSIST screening questions provide an indication of the level of risk associated with the client s substance use, and whether use is hazardous and likely to be causing harm (now or in the future) if use continues.
43 ASSIST Scoring A) ASSIST risk score for tobacco (range 0 31) B) ASSIST risk score for alcohol (range 0 39) C) ASSIST risk score for cannabis (range 0 39) D) ASSIST risk score for cocaine (range 0 39) E) ASSIST risk score for amphetamine type stimulants (range 0 39) F) ASSIST risk score for inhalants (range 0 39) G) ASSIST risk score for sedatives or sleeping pills (range 0 39) H) ASSIST risk score for hallucinogens (range 0 39 ) I) ASSIST risk score for opioids (range 0 39) J) ASSIST risk score for other drug (range 0 39 )
44 ASSIST Levels of Risk
45 Questions/Discussion About Screening
46 BREAK
47 SBIRT Brief Intervention Based on MI There are several examples for brief intervention, including the Brief Negotiation Interview (BNI), originally developed by GailD Onofrio DOnofrio, MD, Ed Bernstein, MD; and Steven Rollnick, MD. The BNI is a semistructured interview process based on MI that is a proven evidence based practice and can be completed in 5 15 minutes.
48 Goals of Brief Intervention For the at risk user: The goal is to negotiate a reduction in use to lower risk levels. For the person who appears to have a substance use disorder: The goal is to negotiate a treatment referral for full assessment and a level of intervention to be determined.
49 Starting Off. How Not To Intervene video example in health care/sbirthttp:// in health care/sbirt educational materials/sbirt videos/
50 Steps in the Brief Negotiation Interview (BNI) 1. Build rapport raise the subject. Discuss the pros and cons of use. 2. Provide feedback. 3. Build readiness to change. 4. Negotiate a plan for change.
51 1. Build Rapport Raise the Subject 1. Begin with a general conversation. 2. Ask permission to talk about alcohol or drugs: Would you mind taking a few minutes to talk with me about your use of alcohol (or X)? What s a normal day look like for you, and where and how does alcohol fit?
52 Discussing the Pros and Cons of Use 1. Help me understand through your eyes. What are the good things about using alcohol? 2. What are some of the not so good things about using alcohol? 3. Summarize using a decisional balance So on the one hand PROS PROS, and on the other hand CONS.
53 2. Provide Feedback 1. Ask permission to give information: I have some information about guidelines for low risk drinking; would you mind if I shared them with you? We know that 4 or more drinks (for a female), 5 or more drinks (for a male) in one sitting, or more than 7 (for a female), 14 (for a male) in a week, and/or use of illicit drugs can put a person at risk for illness or injury and other problems. 2. Discuss screening findings. 3. Link use behaviors to any known consequences. 4. Elicit a reaction, facilitate a reflective discussion.
54 3. Build Readiness To Change So could we talk for a few minutes about your interest in making a change? On a scale from 1 to 10, with 1 being not ready at all and 10 being completely ready, how ready are you to make any changes in your alcohol use? You marked (or said). That s great. That means you are % ready to make change. Why did you choose that number and not a lower one like a 1 or a 2? Sounds like you have some important reasons for change.
55 4. Plan for Change A plan for reducing use to low risk levels OR An agreement to follow up with specialty treatment services
56 How To Intervene BNI Video Demonstration ti in health care/sbirt educationalmaterials/sbirt videos/
57 BNI Practice Session Roles Patient Interviewer Observer
58 Process: Role Play
59 Closing Discussion Why might you choose to implement SBIRT?
60 Questions?
61 Additional Information on SBIRT Babor, T. F., McRee, B. G., Kassebaum, P. A., Grimaldi, P. L., Ahmed, K., & Bray, J. (2007). Screening, brief intervention, and referral to treatment (SBIRT): Toward a public health approach to the management of substance abuse. Substance Abuse 28, Center for Substance Abuse Treatment. (2007). Alcohol Screening and Brief Intervention (SBI) for trauma patients: Committee on Trauma Quick Guide. Substance Abuse and Mental Health Services Administration, HHS. Publication No. (SMA) Washington, DC: U.S. Government Printing Office. Available at D Onofrio, G., Bernstein, E., & Rollnick, S. (1996). Motivating patients for change: A brief strategy for negotiation. In E. Bernstein and J. Bernstein (Eds), Case studies in emergency medicine and the health of the public (pp ). Boston: Jones and Bartlett,. D Onofrio, G., Pantalon, M. V., Degutis, L. C., Fiellin, D. A., & O Connor, P. G. (2005). Development and implementation of an emergency practitioner performed brief intervention for hazardous and harmful drinkers in the emergency department. Academy of Emergency Medicine 12, National Institute on Alcohol Abuse and Alcoholism. Helping patients who drink too much: A clinician s guide. World Health Organization. Brief intervention for substance use: A manual for use in primary care. (n.d.). abuse/activities/en/draft for pdf
62 Acknowledgement We wish to thank Gail D Onofrio, MD, Ed Bernstein, MD; and Steven Rollnick, MD for granting permission to use materials developed at the Boston University Medical Center and the Yale University School of Medicine.
MODULE 1 SBIRT: AN OVERVIEW
2 Acknowledgements MODULE 1 SBIRT: AN OVERVIEW The material included in this course is based largely on the training materials developed by Robert W. Hazlett, Ph.D., for the LA-SBIRT project of the LSU
More informationScreening Patients for Substance Use in Your Practice Setting
Screening Patients for Substance Use in Your Practice Setting Learning Objectives By the end of this session, participants will Understand the rationale for universal screening. Identify potential health
More informationIdentify the benefits of using a Brief Negotiated Intervention (BNI) to screen for alcohol and drug disorders. Review a four step model of Screening,
Kate Speck, PhD Identify the benefits of using a Brief Negotiated Intervention (BNI) to screen for alcohol and drug disorders. Review a four step model of Screening, Brief Intervention and Referral to
More informationConnecticut Adolescent Screening Brief Intervention and Referral to Treatment
SK! Connecticut Adolescent Screening Brief Intervention and Referral to Treatment SCREENING TO BRIEF INTERVENTION (S2BI) The following questions ask about your use, if any, of alcohol, tobacco, and other
More informationWilliam H. Swiggart, MS
William H. Swiggart, MS Co-Director, Center for Professional Health Vanderbilt University Medical Center 2015 All rights reserved. I have no financial relationships to disclose. The purpose of this session
More informationSBIRT-TIPS Refresher. Welcome back to our program!
Welcome back to our program! 1 As you likely recall, the SBIRT TIPS training program is a federally funded project that aims to both educate practitioner students and impact health systems. 2 Let s start
More informationBrief Intervention (BI) for Adolescents
Brief Intervention (BI) for Adolescents Sharon Levy, MD, MPH Director, Adolescent Substance Abuse Program Boston Children s Hospital Associate Professor of Pediatrics Harvard Medical School What is BI?
More informationScreening Brief Intervention and Referral for Treatment (SBIRT) for Substance Use: A Simple, Effective Method for Intervention
Screening Brief Intervention and Referral for Treatment (SBIRT) for Substance Use: A Simple, Effective Method for Intervention Julie Worley, PhD, FNP, PMHNP Kathy Delaney, PhD, PMHNP, FAAN SBIRT Screening:
More informationUsing Screening, Brief Intervention & Referral to Treatment (SBIRT) in Practice: A Skills Building Workshop
Using Screening, Brief Intervention & Referral to Treatment (SBIRT) in Practice: A Skills Building Workshop Joanne DeSanto Iennaco PhD, PMHNP BC, PMHCNS BC, APRN Acknowledgements Yale SBIRT Medical Health
More informationWelcome to the second module of the Screening, Brief Intervention, and Referral to Treatment Core Curriculum. In this module, we ll address screening
Welcome to the second module of the Screening, Brief Intervention, and Referral to Treatment Core Curriculum. In this module, we ll address screening patients for substance use in a clinical setting. 1
More informationNIDA-Modified ASSIST Prescreen V1.0 1
NIDA-Modified ASSIST Prescreen V1.0 1 F Name:... Sex ( ) F ( ) M Age... Interviewer... Date.../.../... Introduction (Please read to patient) Hi, I m, nice to meet you. If it s okay with you, I d like to
More informationNIDA Quick Screen V1.0F1
NIDA Quick Screen V1.0F1 Name:... Sex ( ) F ( ) M Age... Interviewer... Date.../.../... Introduction (Please read to patient) Hi, I m, nice to meet you. If it s okay with you, I d like to ask you a few
More informationScreening, Brief Intervention, and Referral to Treatment Core Curriculum
Screening, Brief Intervention, and Referral to Treatment Core Curriculum Dr. Maite Mena, PsyD School of Education and Human Development, University of Miami Funded by the Health Foundation of Little Havana
More informationScreening for Substance Use in Clinical Settings
Screening for Substance Use in Clinical Settings Screening, Brief Intervention, and Referral to Treatment (SBIRT) Core Curriculum The University of Iowa Goals for Today Understand universal screening Identify
More informationWelcome back to our program!
Welcome back to our program! 1 As you likely recall, the SBIRT TIPS training program is a federally funded project that aims to both educate practitioner students and impact health systems. 2 Let s start
More informationScreening, Brief Intervention and Referral to Treatment (SBIRT) (Part 2 of 2)
Screening, Brief Intervention and Referral to Treatment (SBIRT) (Part 2 of 2) Pam Pietruszewski National Council for Behavioral Health February 23, 2017 1. Understand the clinical components of SBIRT and
More informationIntegrating Substance Abuse Screening and Referral to Treatment into Nursing Curriculum. Julie Fitzgerald PhD, RN, CNE July 27, 2017
Integrating Substance Abuse Screening and Referral to Treatment into Nursing Curriculum Julie Fitzgerald PhD, RN, CNE July 27, 2017 Acknowledgement The author would like to gratefully acknowledge funding
More informationScreening, Brief Intervention, and Referral to Treatment (SBIRT) Part II: Brief Intervention
Screening, Brief Intervention, and Referral to Treatment (SBIRT) Part II: Brief Intervention Farah Khorassani, PharmD, BCPS, BCPP Shannon Tellier, PharmD Objectives Interpret prescreen and questionnaire
More informationClinical Evaluation: Assessment Goals
Clinical Evaluation: Assessment Goals 1. Define Assessment Process 2. Identify Assessment Instruments 3. Define DSM-5 criteria for Substance Abuse and Dependence, specifiers and multi-axial assessment
More informationNIDA-Modified ASSIST - Prescreen V1.0*
NIDA-Modified ASSIST Assessment Instrument [1] NIDA-Modified ASSIST - Prescreen V1.0* *This screening tool was adapted from the WHO Alcohol, Smoking and Substance Involvement Screening Test (ASSIST) Version
More informationMotivational Interviewing and SBIRT to Address Substance Misuse. KERRY MELLETTE, MSW and CHARLES (RICK) GRESSARD, PHD
1 Motivational Interviewing and SBIRT to Address Substance Misuse KERRY MELLETTE, MSW and CHARLES (RICK) GRESSARD, PHD Credits 2 Slides originally developed by Stephen H. O Neill, M.A. ClearLight Training
More informationSBIRT for Adolescents. Win Turner PhD & Jody Kamon PhD Vermont SBIRT Program
SBIRT for Adolescents Win Turner PhD & Jody Kamon PhD Vermont SBIRT Program Many slides have been adopted from Sharon Levy MD, 2015 Disclosures We have no relevant financial relationships to disclose or
More informationSession 3, Part 3 MI: Enhancing Motivation To Change Strategies
Session 3, Part 3 MI: Enhancing Motivation To Change Strategies MI: Enhancing Motivation To Change Strategies Overview of Session 3, Part 3: Getting Started Goal (of all parts of session 3) Define MI to
More informationSBIRT SCREENING AND MOTIVATIONAL INTERVIEWING
SBIRT SCREENING AND MOTIVATIONAL INTERVIEWING JELLICO, TENNESSEE DAYSPRING FAMILY HEALTH CENTER Cumberland River Clinic Indian Mountain Clinic Clear Fork Clinic SUBSTANCE USE CONTINUUM Ranging from Abstinence
More informationIntNSA 2017 Annual Educational Conference. SBIRT: the role of nurses in universal screening for substance use
IntNSA 2017 Annual Educational Conference SBIRT: the role of nurses in universal screening for substance use SBIRT overview screening practices agenda brief intervention strategies additional resources
More informationSBIRT in Mental Health Settings
SBIRT in Mental Health Settings Teresa Halliday, MA Director, Practice Improvement Pam Pietruszewski, MA Integrated Health Consultant Overview 1. Rationale for support 2. Continuum of use and risk 3. Overview
More informationTeaching Medical Learners about Substance Abuse Screening, Brief Intervention, and Referral to Treatment
Teaching Medical Learners about Substance Abuse Screening, Brief Intervention, and Referral to Treatment J.Aaron Johnson, PhD Associate Professor Institute of Public & Preventive Health Augusta University
More information4/12/2018. Disclosure Statement of Financial Interest
Consultant/Over Prescribing Team 4/12/2018 Tennessee Chronic Pain Guidelines and Controlled Substance Efforts Symposia Linda Johnson, DNP APRN Consultant/Over Prescribing Team Disclosure Statement of Financial
More informationThe Use, Misuse and Abuse of Alcohol, and Psychoactive Drugs among Older Persons
The Use, Misuse and Abuse of Alcohol, and Psychoactive Drugs among Older Persons Alison A. Moore, MD, MPH Division of Geriatric Medicine David Geffen School of Medicine at UCLA Drinking in Older Adults:
More informationThe Impact of Substance Use Disorders on Hospital Use
www.ccsa.ca www.cclt.ca Report in Short The Impact of Substance Use Disorders on Hospital Use What Is this Report About? This report: Describes trends in individuals hospitalized because of a primary diagnosis
More informationThe Health Professional s Guide to Screening, Brief Intervention and Treatment
The Health Professional s Guide to Screening, Brief Intervention and Treatment Learner s Guide developed for the B.I.G. Initiative by Employee Assistance Professionals Association (EAPA) NAADAC - The Association
More informationScreening and Addressing Alcohol Use In Primary Care
Screening and Addressing Alcohol Use In Primary Care Mark R. Loush, LMSW, CAADC August 15, 20167 Objectives Identify the primary reasons why screening for alcohol in primary care is important Understand
More informationScreening, Brief Interventions, Referrals to Treatment: Use of SBIRT in Practice
Screening, Brief Interventions, Referrals to Treatment: Use of SBIRT in Practice Jason M. Satterfield, PhD Professor of Clinical Medicine University of California, San Francisco Disclosures No commercial
More informationSeth Eisenberg, MD. Danielle Kirby, MPH. Illinois Department of Human Services Division of Alcohol and Substance Abuse
Illinois Seth Eisenberg, MD And Danielle Kirby, MPH Illinois Department of Human Services Division of Alcohol and Substance Abuse This publication was made possible by Grant #TI-23455 from the United States
More informationScreening and Intervention Among Undergraduates with Alcohol-Related Emergency Department Visits
Screening and Intervention Among Undergraduates with Alcohol-Related Emergency Department Visits Erik Gunderson, MD Assistant Professor Department of Psychiatry and Neurobehavioral Sciences, Department
More informationScreening and Brief Intervention for Risky Substance Use
Screening and Brief Intervention for Risky Substance Use Trauma and Analgesia: Balancing Patient Comfort and Opioid-Related Risks Joe Glass, PhD MSW Assistant Scientific Investigator Group Health Research
More informationMotivational Interviewing Enhancing Motivation to Change Strategies
Motivational Interviewing Enhancing Motivation to Change Strategies Learning Objectives At the end of the session, you will be able to 1. Describe the stages of change. 2. Demonstrate at least two methods
More informationImplementation of a Community-Wide Screening and Brief Intervention Project
Implementation of a Community-Wide Screening and Brief Intervention Project When you look at what determines morbidity in this country, 80% of that has nothing to do with the quality of health care received
More informationintegration and payment in primary care settings
May 9, 2015 substance abuse treatment integration and payment in primary care settings Michael S. Shafer, Ph.D. Learning Objectives At the conclusion of this session, if I have done my job, you will: Demonstrate
More informationNEVER HAVE I EVER EVIDENCE-BASED STRATEGIES FOR DISCUSSING TEEN SUBSTANCE USE
NEVER HAVE I EVER EVIDENCE-BASED STRATEGIES FOR DISCUSSING TEEN SUBSTANCE USE The mission of the American School Health Association is to transform all schools into places where every student learns and
More informationBEHAVIORAL HEALTH SCREENING TOOLS
BEHAVIORAL HEALTH SCREENING TOOLS FOR THE CO-LOCATION OF BEHAVIORAL HEALTH SERVICES IN A PRIMARY CARESETTING Date: August 29, 2017 Introduction Today s Presenter Jacqueline Delmont, MD, MBA Delmont Healthcare
More informationFunded by SAMHSA in collaboration with AoA
Funded by SAMHSA in collaboration with AoA 2 Evidence-Based Screening and Brief Interventions for Alcohol and Psychoactive Medication Misuse in Older Adults 3 Speakers Frederic C. Blow, Ph.D. Professor
More information4/12/2015. Joy Chudzynski, PsyD
Joy Chudzynski, PsyD UCLA Integrated Substance Abuse Programs UCLA David Geffen School of Medicine, Dept. of Psychiatry Pacific Southwest Addiction Technology Transfer Center www.uclaisap.org www.psattc.org
More informationKey Steps for Brief Intervention Substance Use:
Brief Intervention for Substance Use (STEPS) The Brief Intervention for Use is an integrated approach to mental health and substance abuse treatment. Substance abuse can be co-morbid with depression, anxiety
More informationWHAT IS HARM REDUCTION?
HARM REDUCTION WHAT IS HARM REDUCTION? Harm reduction is defined as, an umbrella term for interventions aiming to reduce the problematic effects of behaviors. Originally and frequently associated with
More informationSBIRT Screening, Brief Intervention and Referral to Treatment
SBIRT Screening, Brief Intervention and Referral to Treatment Behavioral Health is Essential to Health Prevention Works Treatment is Effective People Recover SBIRT in Healthcare Settings Emergency Rooms
More informationWelcome to Motivational Interviewing Enhancing Motivation to Change Strategies. This is the third module that you ll be taking about motivational
Welcome to Motivational Interviewing Enhancing Motivation to Change Strategies. This is the third module that you ll be taking about motivational interviewing. 1 The goals for this session are listed on
More informationNJ SBIRT Project QUARTERLY PROVIDER MEETING MARCH 9, 2017 SUZANNE BORYS, ED.D.
NJ SBIRT Project QUARTERLY PROVIDER MEETING MARCH 9, 2017 SUZANNE BORYS, ED.D. SBIRT stands for S CREENING BRIEF INTERVENTION R EFERRAL TO TREATMENT SBIRT Defined SBIRT is a comprehensive, integrated,
More informationSupplementary Online Content
Supplementary Online Content Saitz R, Palfai TPA, Cheng DM, et al. Screening and brief intervention for drug use in primary care: the ASPIRE randomized clinical trial. JAMA. doi:10.1001/jama.2012.9630.
More informationScreening Patients for Substance Use in Your Practice Setting
Screening Patients for Substance Use in Your Practice Setting Dr. Christine Savage Southeastern Consortium for Substance Abuse Training Advanced Practice Registered Nurses Funded by Grant 1U79T1025372-01
More informationTOBACCO CESSATION SUPPORT PROGRAMME
TOBACCO CESSATION SUPPORT PROGRAMME Day MOVING 7ON 2 Day KEEP 6GOING 5 SUPPORT 2 PLAN 3QUIT 4 COPING TOBACCO CESSATION SUPPORT PROGRAMME The Tobacco Cessation Support Programme is a structured behavioural
More informationHelping People Change
Helping People Change Richard Saitz MD, MPH, FACP, FASAM Chair, Department of Community Health Sciences Professor of Community Health Sciences and Medicine Boston University Schools of Medicine & Public
More informationSubstance Use Screening and Brief Intervention (SBI) with Older Adults
Substance Use Screening and Brief Intervention (SBI) with Older Adults Deborah S. Finnell, DNS, PHMHP-BC, CARN-AP, FAAN Associate Professor, Director of the Master's Program Johns Hopkins School of Nursing
More informationSBIRT Screening and Brief Assessment Questionnaires
SBIRT Screening and Brief Assessment Questionnaires 1. Brief Screens: NIAAA quantity and frequency Single alcohol screening question) Single drug screening question Conjoint screening questions 2. Full
More informationScreening, Brief Intervention and Referral to Treatment (SBIRT)
Screening, Brief Intervention and Referral to Treatment (SBIRT) (Part 1 of 2) Teresa Halliday National Council for Behavioral Health February 14, 2018 Learning Objectives 1. Define SBIRT and present evidentiary
More informationSBIRT SBIRT 75% Review: Rethinking Substance Use as a Public Health Problem. What is risky or harmful use? 20% 9/1/2014
SBIRT Screening, Brief Intervention and Referral to Treatment Adapted from: creening Pre screen/ Annual Screen universal Full Screen targeted rief ntervention Help patients understand their substance use
More informationAssessing Alcohol and Substance Use in Youth. Disclosers. Learning Objectives 12/12/2015. Nothing to disclose.
Assessing Alcohol and Substance Use in Youth Holly Hagle, PhD Director of Training and Education Institute for Research, Education, and Training in Addictions (IRETA) National Screening, Brief intervention
More informationScreening, Identification, Counseling, and Treatment of Opioid Use Disorder
Screening, Identification, Counseling, and Treatment of Opioid Use Disorder Joji Suzuki, MD Assistant Professor of Psychiatry, Harvard Medical School Director, Division of Addiction Psychiatry, Brigham
More informationUnderwriting the Habits Risk of Alcohol Use Gregory Ferrara New York Life Underwriting January, 2013
Underwriting the Habits Risk of Alcohol Use Gregory Ferrara New York Life Underwriting January, 2013 The Company You Keep 1 Antitrust 2 New York Life adheres to the letter and spirit of the antitrust laws.
More informationMotivational Interviewing: Enhancing Motivation To Change Strategies
Motivational Interviewing: Enhancing Motivation To Change Strategies Learning Objectives At the end of this session, you will be able to 1. Describe the stages of change. 2. Demonstrate at least two methods
More informationScreening, Brief Intervention, and Referral to Treatment Core Curriculum
Screening, Brief Intervention, and Referral to Treatment Core Curriculum Acknowledgments The material included in this course is based largely on the works of previously funded SAMHSA grantees. Other information
More informationCannabis Use Problems Identification Test (CUPIT) A measure of current and developing cannabis-related problems
Cannabis Use Problems Identification Test (CUPIT) A measure of current and developing cannabis-related problems Jan Bashford, PhD, Ross Flett, PhD, & Jan Copeland, PhD. CUPIT outline for today Rationale
More informationScreening, Brief Intervention, and Referral to Treatment (SBIRT) Part I: Introduction & Screening
Screening, Brief Intervention, and Referral to Treatment (SBIRT) Part I: Introduction & Screening Farah Khorassani, PharmD, BCPS, BCPP Shannon Tellier, PharmD Objectives Describe SBIRT rationale and screening
More informationPocket Card SBIRT Side 1 and 2
Pocket Card SBIRT Side 1 and 2 Pocket Card SBIRT Health Effects of Substance Abuse Alcohol Use Disorders Identification test (AUDIT) NAME: Date: The following questions concern information about your alcohol
More informationVOLUME B. Elements of Psychological Treatment
VOLUME B Elements of Psychological Treatment Module 2 Motivating clients for treatment and addressing resistance Approaches to change Principles of Motivational Interviewing How to use motivational skills
More informationMotivational Interviewing in Chronic Diseases. Janelle W. Coughlin, Ph.D. Megan Lavery, Psy.D.. April 21, 2017
Motivational Interviewing in Chronic Diseases Janelle W. Coughlin, Ph.D. Megan Lavery, Psy.D.. April 21, 2017 Motivational Interviewing in Chronic Diseases Presenter Names: Janelle W. Coughlin, Ph.D. &
More informationALCOHOL & OTHER DRUGS
ALCOHOL & OTHER DRUGS Essential Information for Social Workers A BASW Pocket Guide Produced with support from: NHS National Treatment Agency for Substance Misuse Bedford and Luton ALCOHOL, DRUGS & SOCIAL
More informationNote: The trainings below represent a foundational list, and may be adapted based on audience and need.
MOTIVATIONAL INTERVIEWING Introduction to Motivational Interviewing (offered in English and Spanish) 2-day Course (12-14 credit hours) This course is designed to introduce clinicians and staff members
More informationBrief Intervention Efficacy
We encourage you to use these slides when teaching. If you do, please cite this source and note any changes made. - The Immersion Training in Addiction Medicine Program Brief Intervention Efficacy Richard
More informationMotivational Interviewing
Motivational Interviewing April Wiechmann, PhD Assistant Professor Associate Director of the Memory Disorders Clinic Department of Geriatrics Adapted with permission from Dr. Susan Franks and Dr. James
More informationBASIC VOLUME. Elements of Drug Dependence Treatment
BASIC VOLUME Elements of Drug Dependence Treatment Module 2 Motivating clients for treatment and addressing resistance Basic counselling skills for drug dependence treatment Special considerations when
More informationAlcohol and Injuries. Emergency Department Studies in an International Perspective
Alcohol and Injuries Emergency Department Studies in an International Perspective CHAPTER 12 : IMPLEMENTING BRIEF INTERVENTIONS: A SERIES OF FIVE PAPERS 175 CHAPTER 12 : IMPLEMENTING BRIEF INTERVENTIONS:
More informationWednesday, April, 18, :00 p.m. Eastern
Wednesday, April, 18, 2018 2:00 p.m. Eastern Dial In: 888.863.0985 Conference ID: 49390420 Slide 1 Speakers Daisy Goodman, DNP, CNM, MPH Department of Obstetrics and Gynecology Moms in Recovery Program
More informationJ Ga Public Health Assoc (2016), Supplement to Vol. 6, No. 2 ISSN
Original Research Sexual risk-taking among at-risk alcohol and drug users presenting to emergency departments Rebecca Howell 1 and J. Aaron Johnson 2 1 Master of Psychology Program, Augusta University,
More informationBrief Intervention: Motivational Interviewing
Brief Intervention: Motivational Interviewing Introduction, Spirit, Principles Tim Guimond, MD, MSc, FRCPC, PhD (cand) Clinician-Researcher, St. Michael s Hospital Consulting Psychiatrist, Casey House
More informationAlcohol Use Among Older Adults
Alcohol Use Among Older Adults Pocket Screening Instruments for Health Care and Social Service Providers U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Substance Abuse and Mental Health Services Administration
More informationNational Data
Page 1 of 8 2009-2011 National Data CORE ALCOHOL AND DRUG SURVEY LONG FORM - FORM 194 EXECUTIVE SUMMARY The Core Alcohol and Drug Survey was developed to measure alcohol and other drug usage, attitudes,
More informationSubstance Abuse. Heather Gotham, PhD, Licensed Clinical Psychologist September 9, TB Nurse Case Management September 7-9, 2016 San Antonio, TX
Substance Abuse Heather Gotham, PhD, Licensed Clinical Psychologist September 9, 2016 TB Nurse Case Management September 7-9, 2016 San Antonio, TX EXCELLENCE EXPERTISE INNOVATION Heather Gotham, PhD, Licensed
More informationOctober 10, Value Options Affiliate Provider Training. Substance Use Disorders: Best Practices in Screening & Case Finding
Value Options Affiliate Provider Training Substance Use Disorders: Best Practices in Screening & Case Finding October 10, 2006 Bernie McCann, M.S., CEAP Brandeis University Trainer Bio Bernie McCann, CEAP
More informationTHE ADDICTED BRAIN: WHAT S GOING ON IN THERE? 3 CE hours. Sandra Morgenthal, PCC-S, CCFC, RN Copyright 2016 Sandra Morgenthal All rights Reserved
THE ADDICTED BRAIN: WHAT S GOING ON IN THERE? 3 CE hours Sandra Morgenthal, PCC-S, CCFC, RN Copyright 2016 Sandra Morgenthal All rights Reserved You can contact this author at sandymorgenthal@yahoo.com
More informationIllinois State University (Online)
Page 1 of 8 Illinois State University (Online) CORE ALCOHOL AND DRUG SURVEY LONG FORM - FORM 194 EXECUTIVE SUMMARY The Core Alcohol and Drug Survey was developed to measure alcohol and other drug usage,
More informationCore Alcohol and Drug Survey - Long Form. Consortium Number = Institution Number = Number of Surveys =
Page 1 of 8 CORE ALCOHOL AND DRUG SURVEY LONG FORM - FORM 194 EXECUTIVE SUMMARY The Core Alcohol and Drug Survey was developed to measure alcohol and other drug usage, attitudes, and perceptions among
More informationMotivational Interviewing Maureen P. Scahill, NP, MS Center for Health & Behavioral Training
Motivational Interviewing Maureen P. Scahill, NP, MS Center for Health & Behavioral Training Infectious Disease Division, Department of Medicine, University of Rochester Medical Center STD/HIV Program,
More informationWhat Stimulates Change? Translating Motivational Interviewing Theory into Practice
Influential Person Exercise What Stimulates Change? Translating Motivational Interviewing Theory into Practice! Bring to mind someone in your life who isn t particularly helpful! What are their qualities?!
More informationCore Alcohol and Drug Survey - Long Form. Consortium Number = Institution Number = Number of Surveys = 56937
Page 1 of 8 CORE ALCOHOL AND DRUG SURVEY LONG FORM - FORM 194 EXECUTIVE SUMMARY The Core Alcohol and Drug Survey was developed to measure alcohol and other drug usage, attitudes, and perceptions among
More informationReferral to Treatment: Utilizing the ASAM Criteria
Referral to Treatment: Utilizing the ASAM Criteria AOAAM Essentials in Addiction Medicine October 22, 2016 East Lansing, MI Stephen A. Wyatt, DO Medical Director, Addiction Medicine Behavioral Health Service
More informationCore Alcohol and Drug Survey - Long Form. Consortium Number = Institution Number = Number of Surveys = 6905
Page 1 of 8 Multiple Selection CORE ALCOHOL AND DRUG SURVEY LONG FORM - FORM 194 EXECUTIVE SUMMARY The Core Alcohol and Drug Survey was developed to measure alcohol and other drug usage, attitudes, and
More informationAlcoholism And Addiction In The Elderly
Alcoholism And Addiction In The Elderly 1) The National Institute on Drug Abuse states that addiction is defined as a chronic, relapsing disease. a) Brain b) Moral c) Physical d) Impulse Control 2) Approximately
More informationSubstance Abuse and TB Treatment Eduardo Vargas, LMSW September 12, 2017
Substance Abuse and TB Treatment Eduardo Vargas, LMSW September 12, 2017 TB Nurse Case Management September 12 14, 2017 EXCELLENCE EXPERTISE INNOVATION Eduardo Vargas, LMSW has the following disclosures
More informationIntroduction to S-BIRT Presented by the Project Fit Team: Melissa Tolstyka MA, LPC Elizabeth Halimi, MSW Debbie Boerma, C-PRC Greg Seedott, MS
Introduction to S-BIRT Presented by the Project Fit Team: Melissa Tolstyka MA, LPC Elizabeth Halimi, MSW Debbie Boerma, C-PRC Greg Seedott, MS Training Objectives To be able to define the need for implementing
More informationSubstance Use Disorders in Primary Care
Substance Use Disorders in Primary Care Jin Hee Yoon-Hudman, MD Assistant Vice President, Medical Director, Behavioral Health Healthfirst Fall Symposium Prevention as a Priority in Value-Based Healthcare,
More informationNational Data
Page 1 of 8 2006-2008 National Data CORE ALCOHOL AND DRUG SURVEY LONG FORM - FORM 194 EXECUTIVE SUMMARY The Core Alcohol and Drug Survey was developed to measure alcohol and other drug usage, attitudes,
More informationScreening, Brief Interventions, and Referral for Treatment (SBIRT)
Screening, Brief Interventions, and Referral for Treatment (SBIRT) Jennifer Bogner, PhD Department of Physical Medicine & Rehabilitation Wexner Medical Center at The Ohio State University Acknowledgements
More informationAs a result of this training, participants will be able to:
Addressing Sexual Risk with Drug Users and their Partners 1 Day Training This one-day training will build participant knowledge and skills in offering sexual harm reduction options to substance users.
More informationUniversity of North Carolina Chapel Hill (online)
Page 1 of 8 University of North Carolina Chapel Hill (online) CORE ALCOHOL AND DRUG SURVEY LONG FORM - FORM 194 EXECUTIVE SUMMARY The Core Alcohol and Drug Survey was developed to measure alcohol and other
More informationInitiating Conversations to Reduce Harm Across Care Settings: Healthcare Opportunities
Harm Reduction in an Opioid Era: Initiating Conversations to Reduce Harm Across Care Settings: Healthcare Opportunities Presented by: Kerry Nolte, PhD, FNP-C January 18, 2018 Harm Reduction: It s Not Just
More informationMotivational Interviewing Engaging clients in a conversation about change
Motivational Interviewing Engaging clients in a conversation about change 16 th Annual Social Work Conference University of Southern Indiana March 2nd, 2018 Chad Connor, MSSW, LCSW So what is Motivational
More informationIllinois State University (Online)
Carbondale, IL 62901 Number of Surveys = 701 Page 1 of 8 Illinois State University (Online) CORE ALCOHOL AND DRUG SURVEY LONG FORM - FORM 194 EXECUTIVE SUMMARY The Core Alcohol and Drug Survey was developed
More information