Colorado SBIRT Summit

October 29, 2015Reducing Adolescent Substance Abuse Initiative (RASAI)

• Name • Role in RASAI Project• Organization• What You Hope to Get Out of Today’s Meeting

Welcome!

Agenda9:15 – 9:30am Year 1 Review

9:30 – 10:15am Year 1 Roundtable Discussions

10:15 – 10:45am Keynote Speaker Address

Vatsala Pathy, Colorado State Innovation Model (SIM) Director

 

10:45 – 11:00am Break

11:00 – 11:30am Data, Data, Data

11:30 – 11:45am State Lead Policy Update

Frank Cornelia, Colorado Behavioral Healthcare Council

11:45 – 12:00pm Year 2 Overview: Sustainability and Scalability

Agenda (Cont.)12:00 – 12:30pm Lunch

 

12:30 – 1:45pm “A” Breakout Sessions

Breakout 1a: New Staff SBIRT Training – Pam Pietruszewski

Breakout 2a: SBIRT Supervisors Retreat: Building Sustainable Protocols – Marla Oros and Aaron Williams

1:45 – 2:00pm Break

 

2:00 – 3:15pm “B” Breakout Sessions

Breakout 1b: New Staff SBIRT Training (cont.) – Pam Pietruszewski

Breakout 2b: SBIRT Supervisors Retreat: Clinical Monitoring, Supervision, & Change Management – Nick Szubiak

3:15 – 4:00pm Action Planning

 

4:00 – 4:30pm Closing Remarks, Next Steps, Celebration, and Group Picture

• Mental illness in adolescence increases risk for substance abuse– 1 in 5 with ADHD– 1 in 3 with bipolar disorder

• Prevention and early intervention with SBIRT is an excellent opportunity

The National Council is well positioned for this work with more than 2,500 member organizations in community mental health and addiction treatment

Mission is to advance our members’ ability to deliver integrated health care

Reducing Adolescent Substance Abuse Initiative

• Conrad N. Hilton Foundation, 2 year learning community

• Implementation of SBIRT in community behavioral health organizations (CBHOs) that serve adolescents in mental health care

• Structured and individualized training & TA to facilitate SBIRT implementation, financing, and sustainability

• Supports “state leads” to develop SBIRT sustainability strategies, or state policy-level changes to facilitate durable SBIRT programs

RASAI Learning Community MembersNew York State Council for Community Behavioral Healthcare (State Lead)Astor Services for Children and Families Child & Adolescent Treatment Services Hillside Children’s Center ICL Northeast Parent & Child Society Peninsula Counseling Center

Association of Community Mental Health Centers of Kansas, Inc. (State Lead)Central Kansas Mental Health CenterCompass Behavioral Health Elizabeth Layton Center, Inc.Four County Mental Health Center South Central Mental Health Counseling Center The Center for Counseling & Consultation

California Council of Community Mental Health Agencies (State Lead)Bill Wilson Center Hathaway-Sycamores Child and Family Services Hillsides Pacific Clinics Turning Point of Central California, Inc.

Colorado Behavioral Healthcare Council (State Lead)Community Reach Center Jefferson Center for Mental Health Mental Health Center of Denver San Luis Valley Behavioral Health Group

Rhode Island Council of Community Mental Health Organizations, Inc. (State Lead)Gateway Healthcare, Inc. Newport Community Mental Health CenterThe Providence Center

27 organizations spanning 6 states

Tennessee Association of Mental Health Organizations (State Lead)Alliance Healthcare Services Carey Counseling Center, Inc. Frontier Health Helen Ross McNabb Center

• Incubates innovation

• Interconnects with our policy priorities

• Positions organizations for future opportunities

• Improves operational & administrative backbone for organizational

change and innovation

• Leverages existing strengths and meets members where they are

• Improves patient outcomes

• Builds overall co-occurring & whole health capability

• Provides excellent & responsive customer service

• Exercises nimbleness and flexibility based on member needs

• Starts small and scales up

Guiding Principles of RASAI

Status Snapshot • Incorporating CRAFFT or UNCOPE+ screen into EHR system

• Teams developing SBIRT action plans

• Redesigning programming and workflows

• Agency mission’s incorporating substance use as part of health

• Policies, procedures and clinical protocol revisions

• Robust collection of patient-level data

• Strong state partnershipso OASAS/NYo Kansas state trainings

400 Clinicians

Trained

1,200 Training completions

100% sites implementing

1600+

Adolescents

screened

Key Challenges

• Staff time limitations for completing trainings

• Staffing issues: turnover, under-staffing, etc.

• Tight timeline

• Comfort with brief interventions

• Questions about confidentiality

• EHRs and data collection

RASAI Activities

• 100% of sites are implementing SBIRT• 100% of sites completed all program requirements• 100% of sites regularly tracking and monitoring key

performance indicators related to SBIRT• 7 in-person presentations have occurred, with 230 staff

in attendance • 14 webinar trainings have been presented, with 1,200

training completions

Year 1 Data Highlights (as of June 2015)

• 61% white• 37% have a depressive disorder• 56% never smoked• 54% no intervention needed• 42% need BI or RT• 89% accuracy of identifying at-risk adolescents• 70% at-risk adolescents received BI or RT• 48% who needed BIs received them• 35% who needed RT received referral

Adding New Ingredients

• Brief Intervention Fidelity Calls• No-Show Management• SBIRT Survival Kits• SBIRT Scoop• State-Level partnerships• Communication/Process Improvements• EHR-specific TA