New York SBIRT Summit

October 9, 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

Sandeep Kapoor, MD, Director of SBIRT, North Shore-Long Island Jewish Health System

10:45 – 11:00am New York State Lead Policy Update

New York State Council for Community Behavioral Healthcare

11:00 – 11:15am Year 2 Overview: Sustainability and Scalability

11:15 – 12:00pm Data Data Data (Aaron Surma)

Agenda (Cont.)

12:00 – 12:30pm Lunch

 

12:30 – 1:45pm “A” Breakout Sessions

Breakout 1a: New Staff SBIRT Training - Pam Pietruszewski

Breakout 2a: Supervising SBIRT Retreat – Nick Szubiak and Aaron Williams

1:45 – 2:00pm Break

 

2:00 – 3:15pm “B” Breakout Sessions

Breakout 1b: New Staff SBIRT Training – Pam Pietruszewski

Breakout 2b: Supervising SBIRT Retreat – Nick Szubiak

Breakout 3b: The Power of SBIRT Protocols – Mosaic Group and Aaron Williams

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 2,200 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

1000+

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

RASAI Activities

• 27 sites have collected and submitted patient-level data• All 27 sites submitted quarterly narrative reports• More than 95 staff participated in Data Jam webinars• SBIRT Scoop eNewsletter disseminated to more than

300 site staff, project team members, and other stakeholders

• 30 HMA coaching calls• 105 Technical Assistance calls

Year 1 Data Highlights (as of June 2015)

• 939 adolescents screened• 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

Roundtable Discussions

• What are you most proud of in year one? • What was your biggest challenge in year one?• What tools, resources, and/or consultation can

the National Council provide to assist you in taking your program to the next level?

• What’s your number one priority in year 2?

SBIRT Summit Keynote

Sandeep Kapoor, MD,

Director of SBIRT

North Shore-Long Island

Jewish Health System