Implementing SBIRT in a
School Setting
December 15, 2015
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Technical Details
2
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
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• Copy of this powerpoint will be sent out following the webinar
and is available at www.uhcanohio.org now
• Webinar is being recorded
Presenters
Deb 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
PLANNING
Assemble the School and Community Team
Norwood Health Department
Norwood City Schools Nurse
Norwood City Schools Family and Student Services
Talbert House-Local Mental Health Substance Abuse Agency
Prevention First!-Regional Center for Prevention Science
Interact 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.as
px
• 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 the
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For More Information
Kathleen Gmeiner
kgmeiner@uhcanohio.org
614-456-0060 x223
UHCAN Ohio
Deb Robison
Robison.D@norwoodschools.org
Kathy M. Strasser
Strasser.K@norwoodschools.org
@UHCANOhio
@KathleenOCHC
www.uhcanohio.org
www.norwoodschools.org
A copy of this powerpoint will be sent to you in a follow—up email