youth sbirt in schools: health screening as an alternative to … · 2019-06-21 · youth sbirt in...
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Youth SBIRT In Schools:Health Screening as an Alternative to
Drug Testing
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Meet Your Trainers
2Guiding Communities to a Vibrant Future
Mary Haag
RN, OCPC, ICPS
President & CEO
Christi Valentini-Lackner
OCPS
Director, Prevention Action
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Meet Our Audience
3Guiding Communities to a Vibrant Future
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AGENDA
• Brief Overview of Youth SBIRT
• Overview of steps for Planning and Implementation
• Application and Knowledge Transfer
4Guiding Communities to a Vibrant Future
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Brief Overview of Youth SBIRT
5Guiding Communities to a Vibrant Future
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What is SBIRT?
6Guiding Communities to a Vibrant Future
• Screening, Brief Intervention, and Referral to Treatment
• A simple, quick, empirically derived tool for identifying youth at risk for alcohol-related problems
• The screening questions and risk scale are powerful predictors of current and future negative consequences of alcohol use.
• The brevity, ease of use, and predictive strength of this tool will enable health care practitioners to detect alcohol risks and prevent harm at the earliest possible stage.
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Why is it important?
7Guiding Communities to a Vibrant Future
• Underage drinking is common
• Over the course of adolescence, the proportion of kids who drank in the previous year rises
• Dangerous binge drinking is common and increases with age as well
• Underage drinking is risky
• Drinking in adolescence is associated with increased risk for alcohol dependence later in life
• Heavy drinking in adolescence may result in long-lasting functional and structural changes in the brain
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Research, continued
• Underage drinking is a marker for other unhealthy behaviors
• Underage drinking often goes undetected
• The majority of clinicians do not follow professional guidelines to screen all of their adolescent patients for alcohol use
• Brief alcohol interventions for adolescents in clinical settings indicated that motivational interviewing appeared more successful than other types of interventions and that even a single session can have positive effects
8Guiding Communities to a Vibrant Future
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Rationale for implementation through schools
9Guiding Communities to a Vibrant Future
• Universal SBIRT
• An advantage of delivering SBIRT in schools is the potential to reach a large proportion of the adolescent population in one venue
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Benefits and Challenges
• Informed Consent
• Scheduling SBIRT within Schools
• Screening Protocol
• Referral to Treatment
10Guiding Communities to a Vibrant Future
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Overview of Steps for Planning and Implementation
11Guiding Communities to a Vibrant Future
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Administrative and Parental Support
• Readiness
• School Responsibilities
• Awareness
• Who Provides
• Materials Needed
12Guiding Communities to a Vibrant Future
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Screening Tools
• The World Health Organization's Alcohol Use Disorders Identification Test (AUDIT)
• The World Health Organization’s Alcohol, Smoking, and Substance Involvement Screening Test (ASSIST)
• The CAGE Questionnaire
• The CRAFFT Screening Interview
• NIAAA 3 Question Screen
• NIAAA 2 Screening Questions
13Guiding Communities to a Vibrant Future
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Partner: Mental Health Agencies
• Refer to Treatment (RT)
• Could assist with any part of the SBIRT process
• May already be present in your school
• Could assist with follow-up training on MI
14Guiding Communities to a Vibrant Future
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Implementation
15Guiding Communities to a Vibrant Future
• Work Flow
• Training Information
• Motivational Interviewing
• Keeping Involvement Through out the Year
• Confidentiality
• Evaluation Plan
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Workflow
16Guiding Communities to a Vibrant Future
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Implementation
17Guiding Communities to a Vibrant Future
• Work Flow
• Training Information
• Motivational Interviewing
• Keeping Involvement Through out the Year
• Confidentiality
• Evaluation Plan
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Application and Knowledge Transfer
18Guiding Communities to a Vibrant Future
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Create Your Case Statement
• Program Summary
• Community Need
• Program Objectives and Benefits
• Target Population
• Funding Need
• Sponsorship Benefits
19Guiding Communities to a Vibrant Future
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Engage in Training to Create Your Implementation Plan
20Guiding Communities to a Vibrant Future
• Learn about SBIRT and motivational interviewing• Create your implementation plan• Technical Assistance• Toolkit
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Advocacy – What’s Next?
We believe SBIRT should be practiced universally with every 6-12 grade student:
• Tell your school district administrators about this practice.
• Engage your school nurses and counselors and treatment partner.
• Engage your ESC.
• Have a conversation with regional and statewide School Nurses Association
• Visit your state legislator
21Guiding Communities to a Vibrant Future
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Resources• Alcohol Screening Brief Intervention for Youth|A Practitioners
Guide, The National Institute on Alcohol Abuse and Alcoholism (NIAAA), National Institute of Health (NIH), and the Department of Health and Human Services (HHS) https://www.niaaa.nih.gov/publications/clinical-guides-and-manuals/alcohol-screening-and-brief-intervention-youth
• IRETA – The Institute for Research, Education and Training in Addictions https://ireta.org/
• PTTC – Prevention Technology Transfer Center https://pttcnetwork.org/
• ATTC – Addiction Technology Transfer Center https://attcnetwork.org/
22Guiding Communities to a Vibrant Future
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Questions?
23Guiding Communities to a Vibrant Future