Difference between revisions of "Expand SBIRT Program"
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| − | <div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output">''Return to [[ZOOM_MAP_-_Increase_Early_Intervention_for_People_Misusing_Drugs|Zoom Map - Increase Early Intervention for People Misusing Drugs]]'' | + | <div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output">''Return to [[ZOOM_MAP_-_Increase_Early_Intervention_for_People_Misusing_Drugs|Zoom Map - Increase Early Intervention for People Misusing Drugs]]'' |
''Go to [[ZOOM_MAP_-_Expand_SBIRT_Program|Zoom Map - Expand SBIRT Program]]'' | ''Go to [[ZOOM_MAP_-_Expand_SBIRT_Program|Zoom Map - Expand SBIRT Program]]'' | ||
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Screening, Brief Intervention and Referral to Treatment (SBIRT) is used to provide care for substance users across the spectrum from early intervention to extensive specialized treatment. This represents a paradigm shift in substance-abuse treatment, which has historically focused on people that meet the criteria for substance abuse or dependence as defined by the ''Diagnostic and Statistical Manual of Mental Disorders,'' Fourth Edition. | Screening, Brief Intervention and Referral to Treatment (SBIRT) is used to provide care for substance users across the spectrum from early intervention to extensive specialized treatment. This represents a paradigm shift in substance-abuse treatment, which has historically focused on people that meet the criteria for substance abuse or dependence as defined by the ''Diagnostic and Statistical Manual of Mental Disorders,'' Fourth Edition. | ||
| − | The SBIRT model screens all patients regardless of an identified disorder, allowing healthcare professionals in a variety of settings to address a patient's behavioral health even when that patient is not actively seeking treatment or care for their behavioral health problems. While SBIRT is well-established as an effective intervention for risky alcohol use researchers and clinicians are just beginning to explore it as an intervention for risky drug use.<sup class="reference">[1]</sup> | + | The SBIRT model screens all patients regardless of an identified disorder, allowing healthcare professionals in a variety of settings to address a patient's behavioral health even when that patient is not actively seeking treatment or care for their behavioral health problems. While SBIRT is well-established as an effective intervention for risky alcohol use researchers and clinicians are just beginning to explore it as an intervention for risky drug use.<sup class="reference"><ref>[1]Page Not Found </ref></sup> |
By expanding the use of SBIRT and improving SBIRT practices, communities should be able to reduce the number of people who develop a dependency on opioids or Opioid Use Disorder. It should provide pathways for people to get appropriate help sooner--which reduces the potential negative impact of using opioids. SBIRT can be done in many different settings, and there are a variety of ways to do each element of SBIRT. This creates many opportunities to expand and improve SBIRT practices. | By expanding the use of SBIRT and improving SBIRT practices, communities should be able to reduce the number of people who develop a dependency on opioids or Opioid Use Disorder. It should provide pathways for people to get appropriate help sooner--which reduces the potential negative impact of using opioids. SBIRT can be done in many different settings, and there are a variety of ways to do each element of SBIRT. This creates many opportunities to expand and improve SBIRT practices. | ||
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SBIRT in Schools | SBIRT in Schools | ||
| − | Some states, like Massachusetts have been moving to significantly expand SBIRT in schools. < | + | Some states, like Massachusetts have been moving to significantly expand SBIRT in schools.<ref> [2]SBIRT in Schools | Massachusetts Screening, Brief Intervention and Referral to Treatment (MASBIRT). (n.d.). Retrieved December 5, 2019, from https://www.masbirt.org/schools |
| + | </ref><br/> A research report shared early findings: <sup><ref>[3]Brenda L, Curtis (2014). Translating SBIRT to public school settings: An initial test of feasibility, Journal of Substance Abuse Treatment, Retrieved from https://www.integration.samhsa.gov/Translating_SBIRT_Curtis_etal.pdf | ||
| + | </ref></sup><br/> Training on using SBIRT in schools to address alcohol use: <sup><ref>[4]School SBIRT: Identifying and Addressing Substance Use, (n.d), Retrieved from: https://neushi.org/student/programs/attachments/SBIRTHandouts.pdf.</ref></sup><br/> This article has encouraging updates and resources on using SBIRT in School-Based Health Clinics:<sup><ref>[5]Substance Use Prevention in SBHC | School-Based Health Alliance Substance Use Prevention in SBHC | Redefining Health for Kids and Teens. (n.d.). Retrieved December 5, 2019, from http://www.sbh4all.org/current_initiatives/sbirt-in-sbhcs/ | ||
| + | </ref></sup><br/> | ||
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| − | #Conrad N. Hilton Foundation<sup class="reference">[6]</sup> | + | #Conrad N. Hilton Foundation<sup class="reference"><ref>[6]Foundation 818.851.3700, C. N. H. (n.d.). Grants. Retrieved December 5, 2019, from Conrad N. Hilton Foundation website: https://www.hiltonfoundation.org/grants |
| − | #Substance Abuse and Mental Health Service Administration<sup class="reference">[7]</sup> | + | </ref></sup> |
| + | #Substance Abuse and Mental Health Service Administration<sup class="reference"><ref>[7]michelle.harrington. (2014, April 3). SBIRT Grantees [Text]. Retrieved December 5, 2019, from https://www.samhsa.gov/sbirt/grantees | ||
| + | </ref></sup> | ||
#A report by Catalyst shares several innovative ways to fund SBIRT in schools <br/> [https://www.communitycatalyst.org/resources/publications/document/Funding-and-Sustaining-SBIRT-in-Schools-December-2015.pdf?1451325931 Funding Screening, Brief Intervention, and Referral to Treatment (SBIRT) in Public Schools] | #A report by Catalyst shares several innovative ways to fund SBIRT in schools <br/> [https://www.communitycatalyst.org/resources/publications/document/Funding-and-Sustaining-SBIRT-in-Schools-December-2015.pdf?1451325931 Funding Screening, Brief Intervention, and Referral to Treatment (SBIRT) in Public Schools] | ||
</div> </div> <div class="mw-parser-output"> | </div> </div> <div class="mw-parser-output"> | ||
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= Brief Intervention = | = Brief Intervention = | ||
| − | Models for brief treatment recommended by SAMHSA<sup class="reference">[8]</sup> include: | + | Models for brief treatment recommended by SAMHSA<sup class="reference"><ref>[8]Page Not Found </ref></sup> include: |
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= Referral to Treatment = | = Referral to Treatment = | ||
| − | According to SAMHSA<sup class="reference">[9]</sup> , commonly used models for brief treatment include: | + | According to SAMHSA<sup class="reference"><ref>[9]Page Not Found </ref></sup> , commonly used models for brief treatment include: |
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#Community Reinforcement Approach | #Community Reinforcement Approach | ||
#Solution-focused Therapy | #Solution-focused Therapy | ||
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= Scorecard Building = | = Scorecard Building = | ||
Potential Objective Details(Under Construction) <br/> Potential Measures and Data Sources(Under Construction) <br/> Potential Actions and Partners(Under Construction) | Potential Objective Details(Under Construction) <br/> Potential Measures and Data Sources(Under Construction) <br/> Potential Actions and Partners(Under Construction) | ||
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= Tools & Resources = | = Tools & Resources = | ||
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[[Category:SAFE-Full Spectrum Prevention]] | [[Category:SAFE-Full Spectrum Prevention]] | ||
Revision as of 17:08, 5 December 2019
Go to Zoom Map - Expand SBIRT Program
Screening, Brief Intervention and Referral to Treatment (SBIRT) is used to provide care for substance users across the spectrum from early intervention to extensive specialized treatment. This represents a paradigm shift in substance-abuse treatment, which has historically focused on people that meet the criteria for substance abuse or dependence as defined by the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition.
The SBIRT model screens all patients regardless of an identified disorder, allowing healthcare professionals in a variety of settings to address a patient's behavioral health even when that patient is not actively seeking treatment or care for their behavioral health problems. While SBIRT is well-established as an effective intervention for risky alcohol use researchers and clinicians are just beginning to explore it as an intervention for risky drug use.[1]
By expanding the use of SBIRT and improving SBIRT practices, communities should be able to reduce the number of people who develop a dependency on opioids or Opioid Use Disorder. It should provide pathways for people to get appropriate help sooner--which reduces the potential negative impact of using opioids. SBIRT can be done in many different settings, and there are a variety of ways to do each element of SBIRT. This creates many opportunities to expand and improve SBIRT practices.
Contents
Research on the Effectiveness of SBIRT
While the strongest evidence for the effectiveness of SBIRT relates to using it to address alcohol misuse, there is growing evidence in its effectiveness in accelerating people getting help with misuse of opioids.
This 2017 report summarizes five years of research on SBIRT
The research covered eleven multi-site programs in two cohorts of SAMHSA grant recipients were each funded for 5 years to promote the use and sustained implementation of SBIRT. They screened more than 1 million people. The programs used substance use specialists instead of medical generalists to deliver services.
- Greater intervention intensity was associated with larger decrease in substance use.
- Brief intervention and treatment had positive outcomes, brief intervention was more cost effective for most substances.
Four factors influenced SBIRT sustainability:
- Presence of a program champion
- Availability of funding
- Systematic change
- Effective management of SBIRT provider challenges
Key Findings:
- SBIRT was adapted successfully to the needs of early identification efforts for harmful use of alcohol and illicit drugs
- SBIRT is an innovative way to integrate management of substance use disorders into primary care and general medicine
- SBIRT improved treatment system equity, efficiency, and economy
Promising Programs
SBIRT in Schools
Some states, like Massachusetts have been moving to significantly expand SBIRT in schools.[2]
A research report shared early findings: [3]
Training on using SBIRT in schools to address alcohol use: [4]
This article has encouraging updates and resources on using SBIRT in School-Based Health Clinics:[5]
SBIRT in Emergency Room Settings
Add information here
https://www.bu.edu/bniart/files/2011/02/SBIRT-emergency-care-setting.pdf
SBIRT in Community Clinics & FQHCs
Add information here.
SBIRT in Mental Health Settings
Add information here
https://ireta.org/resources/what-is-sbirt-and-why-might-it-fit-well-in-mental-health-settings-the-research-is-just-beginning/
SBIRT in Dental Settings
Add information here
The Journal of the American Dental Association, Volume 142, Issue 7, July 2011, Pages 800-810 https://www.sciencedirect.com/science/article/pii/S0002817714622649
The Journal of the American Dental Association, Volume 144, Issue 6, June 2013, Pages 627-638 https://www.sciencedirect.com/science/article/pii/S0002817714607674
Funding
The following organizations are currently funding research and initiatives to expand SBIRT:
- Conrad N. Hilton Foundation[6]
- Substance Abuse and Mental Health Service Administration[7]
- A report by Catalyst shares several innovative ways to fund SBIRT in schools
Funding Screening, Brief Intervention, and Referral to Treatment (SBIRT) in Public Schools
Screening
More information about screening and testing for misuse.
Brief Intervention
Models for brief treatment recommended by SAMHSA[8] include:
- Brief Negotiated Interview
- Brief counseling
- Feedback, Responsibility, Menu of options, Empathy, Self-efficacy (FRAMES)
- Motivational Interviewing (MI) techniques
Referral to Treatment
According to SAMHSA[9] , commonly used models for brief treatment include:
- Cognitive-Behavioral Therapy (CBT)
- Motivational Enhancement Therapy
- Community Reinforcement Approach
- Solution-focused Therapy
Scorecard Building
Potential Objective Details(Under Construction)
Potential Measures and Data Sources(Under Construction)
Potential Actions and Partners(Under Construction)
Tools & Resources
Resources to Investigate
More RTI on SBIRT
PAGE MANAGER: [insert name here]
SUBJECT MATTER EXPERT: [fill out table below]
| Reviewer | Date | Comments |
Sources
- ^ [1]Page Not Found
- ^ [2]SBIRT in Schools | Massachusetts Screening, Brief Intervention and Referral to Treatment (MASBIRT). (n.d.). Retrieved December 5, 2019, from https://www.masbirt.org/schools
- ^ [3]Brenda L, Curtis (2014). Translating SBIRT to public school settings: An initial test of feasibility, Journal of Substance Abuse Treatment, Retrieved from https://www.integration.samhsa.gov/Translating_SBIRT_Curtis_etal.pdf
- ^ [4]School SBIRT: Identifying and Addressing Substance Use, (n.d), Retrieved from: https://neushi.org/student/programs/attachments/SBIRTHandouts.pdf.
- ^ [5]Substance Use Prevention in SBHC | School-Based Health Alliance Substance Use Prevention in SBHC | Redefining Health for Kids and Teens. (n.d.). Retrieved December 5, 2019, from http://www.sbh4all.org/current_initiatives/sbirt-in-sbhcs/
- ^ [6]Foundation 818.851.3700, C. N. H. (n.d.). Grants. Retrieved December 5, 2019, from Conrad N. Hilton Foundation website: https://www.hiltonfoundation.org/grants
- ^ [7]michelle.harrington. (2014, April 3). SBIRT Grantees [Text]. Retrieved December 5, 2019, from https://www.samhsa.gov/sbirt/grantees
- ^ [8]Page Not Found
- ^ [9]Page Not Found
