pa sbirt newsletter · and expo. alec howard, abby talbert, and alex nowalk presented on evaluation...
TRANSCRIPT
PA SBIRT Newsletter
Issue 8, January 2020
IN THIS ISSUE:
PA SBIRT is funded by the Substance Abuse and Mental Health Services Administration:
SAMHSA, TI026666
For more information:
Tynesha Robinson717.736.7499 [email protected]
Welcome to the latest issue of the Pennsylvania Screening, Brief Intervention andReferral to Treatment (PA SBIRT) Newsletter, a quarterly publication dedicated to thePA SBIRT initiative. In this and future issues, we will feature a progress report,quarterly recap, project spotlight, and more. We hope that you find this informationhelpful and encourage you to share!
PA SBIRT is a five-year initiative that will provide SBIRT services to over 20,000patients throughout the Commonwealth by September 2021. SBIRT is acomprehensive and integrated public health approach to the delivery of screening,early intervention, and treatment services employing empirically-based and clinicallyuseful practices to circumvent harmful consequences related to substance use.
The project is directed by the Pennsylvania Department of Drug and AlcoholPrograms (DDAP) and The University of Pittsburgh School Of Pharmacy ProgramEvaluation and Research Unit (PERU). Funding for the project is granted through theSubstance Abuse and Mental Health Services Administration (SAMHSA) Center forSubstance Abuse Treatment (CSAT). All data is collected and reported in accordancewith the Government and Performance Results (GPRA) Act of 2010.
Welcome!
The PA SBIRT Initiative
Page 1:
– The PA SBIRT Initiative
Page 2:
– Progress Report
– Quarterly Recap
– PA SBIRT Website
Page 3:
– American Public Health Association’s Annual Meeting
Page 4:
– SBIRT in the News
– Message from DDAP
– Contact Information
• • •
The PA SBIRT Team would like to thank the staff of participating project sites and Single County Authorities, who dedicate their time
and effort to ensure that every patient receives the right SBIRT services every time.
The PA SBIRT Vision: To ensure that every patient in our primary care
clinics receives the right screening, brief intervention, and referral to treatment (SBIRT)
services by the right providers every time.
2
Pennsylvania Screening, Brief Intervention, and Referral to Treatment
Progress Report
Quarterly Recap
To date, the PA SBIRT initiative has partnered with 6 healthcare sites in Pennsylvania: EMPOWER3 Center
for Health, Altoona Family Physicians, and UPMC Pregnancy Care Center in Blair County; Sharon Medical
Group and Greenville Community Health Center in Mercer County; and Forbes Family Medicine in
Allegheny County. Together, these sites have provided SBIRT services to a total of 13,449 unduplicated
patients, conducted 3,869 brief interventions, and connected 725 patients to community resources.
Month Site Visits & Trainings
October
2019
• Care Coordinator Working Group: A training on vaping and SBIRT
• SMG Site Visit: Training with clinical staff
November
2019
• Care Coordinator Working Group: A training on medical ethics
• American Public Health Association (APHA) Conference in Philadelphia
• Policy Steering Committee meeting in Harrisburg
• AFP/PCC Site Visit: Sustainability planning
• SMG Site Visit: Training with all staff
• FFM Site Visit: Workflow shadowing
• EMP Site Visit: Training for Medical Director and sustainability planning
December
2019
• Care Coordinator Summit at PERU: Networking and training event
• GCHC Site Visit: Initial training with all site staff
• PCC Care Coordinator training at Blair Drug and Alcohol Partnerships
DID YOU KNOW?The PA SBIRT Website features a project status section that features site data as
well as testimonials and successes from the project. This can be found on the PA SBIRT website:
https://www.pasbirt.pharmacy.pitt.edu
Altoona Family Physicians (AFP)
Greenville Community Health Center (GCHC)
EMPOWER3 Center for Health (EMP)
UPMC Pregnancy Care Center (PCC)
Forbes Family Medicine (FFM)
Sharon Medical Group (SMG)
3
Pennsylvania Screening, Brief Intervention, and Referral to Treatment
Project SpotlightAmerican Public Health Association’s Annual Meeting
About the American Public Health Association (APHA)
“APHA champions the health of allpeople and all communities. Westrengthen the public healthprofession. We speak out for publichealth issues and policies backed byscience. We are the only organizationthat combines a nearly 150-yearperspective, a broad-based membercommunity and the ability toinfluence federal policy to improve thepublic's health.”1
These results demonstrate the meaningful and measurable impact to improve patient lives at PA SBIRT project sites.
Thank you to all who contribute to the initiative.Data Analysis conducted by Alexandra Falk of PERU.
1. American Public Health Association. (2020). About APHA. Retrieved from https://www.apha.org/about-apha
Alec Howard and Abby Talbert pictured with the poster.
PA SBIRT at APHA
Members of the PA SBIRT teamattended the 2019 APHA Meetingand Expo. Alec Howard, AbbyTalbert, and Alex Nowalk presentedon evaluation findings of PA SBIRTfollow-up patients including datafrom EMPOWER3 Center for Health,Sharon Medical Group Primary Care,Altoona Family Physicians, and
UPMC Pregnancy Care Center. Follow-up interviews (n=118) revealed reductions in frequency and incidenceof patient alcohol and drug use (all measures regarding days of use concern the last 30 days before theinterview). Patients reporting more than one day of drinking at intake (n=58) reported a mean 14.4 days ofdrinking at intake and 6.3 at follow-up. The mean 8.1 day difference (SD=10.62, t=5.82)** represents a 57%reduction of frequency of use. Alcohol use decreased by 17%, from 61% of patients reporting any use atintake to 44% at follow-up (SD=0.50, t=3.59)**, representing a 28% reduction in incidence. Patientsreporting drug use at intake (n=70) reported a mean 18.8 use days at intake and 5.8 at follow-up. The mean13 day difference (SD=15.64, t=6.96)** represents a 72% reduction of frequency of use. Drug use decreasedby 30%, from 59% of patients reporting any use at intake to 29% at follow-up (SD=.60, t=5.45)**,representing a 51% reduction in incidence. Although multiple types of illicit drug use were reported atintake (n=100), marijuana was the only drug reported at follow-up (n=35). **p<0.001
4
Pennsylvania Screening, Brief Intervention, and Referral to Treatment
In the News:
Kristin A. Tansil, MSW, et. al. (2016). Alcohol Electronic Screening andBrief Intervention A Community Guide Systematic Review. Am J Prev Med 2016;51(5):801–811. doi:10/1016/jampepre.2016.01.013
Alcohol Electronic Screening andBrief Intervention
A Community Guide Systematic Review
The purpose of this study was to gather evidence pertaining to theeffectiveness of “electronic screening and brief intervention” (e-SBI)practices. Using Community Guide methods which are based on PreferredReporting Items for Systematic Reviews and Meta-Analyses (PRISMA)standards, the researchers conducted a systematic review of the scientificliterature on the effectiveness of e-SBI for reducing excessive alcoholconsumption. Their search consisted of peer review articles publishedfrom 1967 to October 2011. Only 31 studies met their quality criteria andwere included in the review. They concluded that patients who received e-SBI consistently reported greater reductions in excessive or heavy alcoholconsumption than controls. They also concluded that the largest impact e-SBI had was on those patients with higher scores or those who reportedexcessive drinking or a high binge-drinking frequency and intensity. Theyfound that this was less pronounced for those patients with an “averageconsumption”.
The Pennsylvania Department of Drug and Alcohol Programs (DDAP)
• • •
Dianne SchrodeDrug and Alcohol Program [email protected]
Tynesha RobinsonProgram Analyst, System Transformation Projects Section [email protected]
The University of Pittsburgh, Program
Evaluation and Research Unit (PERU)
• • •
Dr. Janice PringlePERU [email protected]
Alexandra NowalkSBIRT Program [email protected]
Abby TalbertPA SBIRT Project [email protected]
Grace DrnachProgram Implementation [email protected]
Georgie ScottResearch [email protected]
Alec HowardResearch [email protected]
Alexandra FalkResearch [email protected]