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PA SBIRT NewsletterIssue 1, April 2018
IN THIS ISSUE:
PA SBIRT is funded by the Substance Abuse and Mental Health Services Administration:
SAMHSA, TI026666
For more information:Dianne [email protected]
Welcome to the PA SBIRT Newsletter, a quarterly publication dedicated to the PASBIRT initiative. In this and future issues, we will feature the following topics:progress reports, quarter recaps, PA SBIRT Project Site spotlights, and more. Wehope that you find this information helpful and encourage you to share!
Pennsylvania Screening, Brief Intervention, and Referral to Treatment (PA SBIRT) isa five-year initiative that will provide SBIRT services to over 20,000 patientsthroughout the Commonwealth. SBIRT is a comprehensive and integrated publichealth approach to the delivery of screening, early intervention, and treatmentservices employing empirically-based and clinically useful practices to circumventharmful consequences from 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 throughthe Substance Abuse and Mental Health Services Administration (SAMHSA) Centerfor Substance Abuse Treatment (CSAT). All data is collected and reported inaccordance with the Government and Performance Results (GPRA) Act of 2010.
Welcome!
The PA SBIRT Initiative
The PA SBIRT Team would like to thank the staff of participating project sites and SCAs, 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.
Page 1:
– The PA SBIRT Initiative
Page 2:
– Progress Report
– Quarter Recap
– The PA SBIRT App
Page 3-5:
– Project Site Spotlight:
EMPOWER3 Center for Health
Page 6:
– SBIRT in the News
– Message from the Project Director
– Upcoming Events
– Contact Information
• • •
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Pennsylvania Screening, Brief Intervention, and Referral to Treatment
Progress Report
Quarter Recap
To date, the PA SBIRT initiative has partnered with two healthcare sites in Pennsylvania, EMPOWER3 Center forHealth in Blair County and Sharon Medical Group in Mercer County. Together, these sites have provided SBIRTservices to a total of 2,902 unduplicated patients, conducted 573 brief interventions, and connected 124 patients totreatment services. The PA SBIRT Implementation Team is actively working to partner with additional healthcaresites, and SBIRT services will soon begin at Altoona Family Physicians and UPMC Pregnancy Care Center.
Altoona Family Physicians and UPMCPregnancy Care Center aim to begin SBIRTservices in May 2018.
Sharon Medical Group has provided 196brief interventions and connected 9patients to treatment.
EMPOWER3 Center for Health has provided377 brief interventions and connected 115patients to treatment.
Month Trainings Deliverables
January 2018
• EMPOWER3 Site Visit and SBIRT Champion Training
• Sharon Medical Group Site Visit and Booster Training: SBIRT and Cannabis, Care Coordination
• EMPOWER3 Site Visit Report• EMPOWER3 Strategic Plan Tracker• Sharon Medical Group Site Visit Report• Standard Drink Posters• January Monthly Data Report
February 2018• SBIRT Champion Training for a
healthcare professional in the local community
• Key Informant Interviews with Student Trainees at EMPOWER3
• February Monthly Data Report
March 2018• Sharon Medical Group Booster Training:
The CUDIT-R Screening Tool• Quarterly Newsletter• March Monthly Data Report• 1-Pager on Cost-Effectiveness
THE PA SBIRT APP:PA SBIRT has developed a web-based application for collection of the appropriate SAMHSAGovernment and Performance Results Act (GPRA) data and management of patient follow-up interviews. The PA SBIRT App functions have allowed for timely and accurate GPRA datacollection and an exceedance of patient follow-up requirements.
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Pennsylvania Screening, Brief Intervention, and Referral to Treatment
EMPOWER3 Center for Health in Blair County takes a different approach to health care delivery, offering a direct-pay primary care model. Patients pay one monthly fee and receive unlimited access. In an effort to providepatients with the highest quality care, EMPOWER3 is committed to changing attitudes, enhancing knowledge,modifying behaviors, and increasing awareness about substance misuse in primary care and community healthsettings. EMPOWER3 is dedicated to a partnership with PA SBIRT, enabling the expansion of screening and briefintervention, and supporting cross-systems collaboration and coordination by making treatment resourcesreadily available and increasing access to treatment.
At EMPOWER3, screening is conducted by nurses and medical assistants. Nurses escort the patient from thewaiting room and complete the initial screening questions. A full screen with the Alcohol, Smoking, andSubstance Involvement Screening Test (ASSIST) is completed in the electronic health record for all patients thatscore positive during the initial screen. Brief interventions are conducted by providers using the Brief NegotiatedInterview (BNI). Referrals to specialty care are completed by the SBIRT Care Coordinator, hired through BlairDrug and Alcohol Partnerships and co-located in the EMPOWER3 facility. Additional support of the initiative isprovided by receptionists, lab technicians, dieticians, and pharmacists.
EMPOWER3 began implementation of SBIRT services on March 6, 2017. During the first year of implementation,the Care Coordinator and Site Champion have worked with clinical staff to seamlessly integrate SBIRT into theclinical workflow. EMPOWER3 has screened 5,446 total patients (including duplicate screens), provided 377brief interventions, and connected 115 patients to treatment services.
EMPOWER3 has developed a Strategic Plan, which outlines key steps the site will take to ensure the continuedsuccess of SBIRT implementation. As part of this plan, the SBIRT Care Coordinator and Site Champion haveundergone the SBIRT Champion Trainer Course and are now prepared to conduct trainings with site staff, acrucial step in ensuring sustainability. EMPOWER3 will continue to take steps towards the goals of their SBIRTStrategic Plan and ensure the continued success of SBIRT implementation.
EMPOWER3 SBIRT Vision: Ensure that every patient at EMPOWER3 receives the right screening,brief intervention, and referral to treatment (SBIRT) services by the right providers every time.
EMPOWER3 SBIRT Mission: Ensure seamless integration of SBIRT services into theEMPOWER3 clinical workflow.
Project Site Spotlight: EMPOWER3 Center for Health
Pennsylvania Screening, Brief Intervention, and Referral to Treatment
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Meet the Team: Missy Bennett
Missy Bennett is a case manager with Blair CountyDrug and Alcohol Program, Inc. She is currentlyserving as the SBIRT Care Coordinator at Empower3Center for Health. Missy is a graduate of Lock HavenUniversity with a Bachelor’s degree in Social Work. Ms.Bennett has extensive experience in the field of childwelfare as a social worker in foster care/adoption,kinship care and as an on-going social worker. She alsohas extensive experience in the field of drug andalcohol as both an outpatient drug and alcoholcounselor and a case manager assisting individuals invarious stages of recovery to access communityresources. She has served in many positions includinginvolvement with Blair County Family Drug Court,local housing committees, Operation Our Town: Faithbased group, AIDS Intervention Project andcollaborations with the local VA hospital.
Meet the Team: Vincent Capone
Vincent Capone is a Physician Assistant currentlypracticing in central Pennsylvania in Internal Medicineat the Empower3 Center for Health and in TraumaSurgery at University of Pittsburgh Medical Center. Heis a graduate of Missouri State University School ofSocial Work, and Saint Francis University’sDepartment of Physician Assistant Studies. Mr. Caponeis a veteran of the U.S. Army and served in both anenlisted capacity and later as an Army officer. He iscurrently a Fellow in the American Academy ofPhysician Assistants and Pennsylvania Society ofPhysician Assistants, workgroup member of the BlairCounty Healthy Coalition, and former member of theSociety of Army Physician Assistants. He currentlyactively volunteers with the PA Foundation and as amember of the AAPA Physician Assistant ResearchTeam Initiative.
Partnership with Blair Drug and Alcohol ProgramsEMPOWER3 has partnered with Blair Drug and Alcohol Programs (BDAP) to facilitate referrals to treatment. Judy Rosser, BDAP’s Executive Director, remarked “PA SBIRT has been vital in expanding the capacity to address substance use disorders in our communities. The project has provided the framework to engage the physical health community in a meaningful way. SBIRT provides the tools needed to engage physical health providers in their identification of substance use/dependence, but also the skills to intervene early on a significant health issue. Integrating this work into the physical health system promotes better health outcomes overall.”
The statistics below demonstrate the need for SBIRT and SUD services in the Blair County community:
Blair County Coroner’s Report:
– 2014: 21 substance use related deaths– 2015: 38 (81% increase from 2014)– 2016: 43 (105% increase from 2014)
Primary Drug of Choice at Time of Service:
1. Opioid2. Alcohol3. Cannabis
4. Other Psychoactive Drug5. Sedative6. Cocaine
BLAIRCOUNTY
Pennsylvania Screening, Brief Intervention, and Referral to Treatment
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In November 2017, EMPOWER3 was awarded the Jo Anne Dugan VisionaryAward by Blair Drug and Alcohol Partnerships for the “leadership and vision toinitiate model programming in the community that supports the coalition’sefforts to address substance abuse.”
Congratulations to the staff of EMPOWER3 on this accomplishment!
Dr. Zane Gates, co-founder of EMPOWER3 and provider, remarked, “The PASBIRT program has enabled us to screen patients who otherwise would not havebeen screened, and has allowed patients to access services they otherwise wouldhave not had access to. Providing SBIRT services has been an eye-openingexperience for both practitioners and patients.”
Story of Success:SUD Treatment
Universal screening for SUD at EMPOWER3 has led to thesuccessful connection of 39 patients to SUD treatmentservices. EMPOWER3 screens every patient at every visit,because they recognize that substance use behaviors canchange at any time and that they must normalize theconversation surrounding substance use. By normalizingthe conversation, they have seen patients open up todiscussion over time. One patient did not reveal 15 years ofsubstance use (opiates and heroin) until her 5th screening atEMPOWER3. She remarked that she began to feel morecomfortable over time, and realized that the office was trulyconcerned with providing her the best healthcare possible.Previously, she had been scared by legal consequences andconfidentiality issues. After repeated screenings, she felt theconversation was normalized and that she wasn’t beingjudged or pressured, and she was able to open up about heruse. Her provider noted that nothing in her medical orsocial history would have otherwise prompted thisconversation. She has been enrolled in MAT and has notrelapsed for 7 months.
Story of Success:Mental Health Treatment
Integrating conversations of mental healthneeds and substance use behaviors atEMPOWER3 has led to the successful connectionof 71 patients to mental health treatmentservices. One patient, who had been attendingon-and-off SUD treatment for two decades, hadnever been asked about her mental health needsin the primary care setting. However, when shevisited EMPOWER3 and was screened for co-occurring disorders, she opened up aboutfeelings of depression and is now makingprogress though mental health counseling. Shereports that her mood has improved and thatshe has learned many new coping skills. Thepatient remarks that she would have neversought mental health services without help fromEMPOWER3, that she feels supported by thestaff, and that she is thankful for thecomfortable environment they have createdregarding SUD and mental health conversations.
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Save the Date…
The Pennsylvania Department of Drug and
Alcohol Programs (DDAP)
• • •
Dianne SchrodePA SBIRT Project Officer and Drug and Alcohol Program [email protected]
Amanda RohrbaughPA SBIRT Program [email protected]
Terry Matulevich Director, Bureau of Administration and Program [email protected]
Jodi Skiles Director, Bureau of Treatment, Prevention and Intervention [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]
Angelique Ogunsemowo PA SBIRT Research [email protected]
The PA SBIRT Policy Steering Committee meeting will be held from10:00 AM – 2:00 PM on April 20, 2018 at One Penn Center, 5thFloor, 2601 N 3rd Street. Harrisburg, PA 17110. The agenda willinclude discussions of billing and sustainability. RSVP to AmandaRohrbaugh at [email protected].
SBIRT in the News
Maslowsky, J., Whelan Capell, J., Moberg, D. P., & Brown, R. L.(2017). Universal school-based implementation of screening, briefintervention, and referral to treatment to reduce and preventalcohol, marijuana, tobacco, and other drug use: Process andfeasibility. Substance Abuse: Research and Treatment, 11, 1-10.
Universal School-Based Implementation of SBIRT to Reduce and PreventAlcohol, Marijuana, Tobacco, and Other Drug Use: Process and Feasibility
Previously, SBIRT research in schools had occurred only in schools with healthclinics. This study was conducted in 10 Wisconsin high schools that did not featurein-school health clinics. Researchers employed a health educator/coach who utilizedthe CRAFFT with 9th and 10th grade students (N=2513). Overall, students ratedSBIRT implementation positively. The post-session student evaluation includedconfidentiality, comfort with health coach, intention to reduce use, and intention toremain abstinent.
Pennsylvania Screening, Brief Intervention, and Referral to Treatment
