SBIRT and Womens Health LYNN CAMPANARIO NOVEMBER, 2014
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AFFORDABLE CARE ACT MENTAL HEALTH PARITY ADDICTION EQUITY ACT
Setting the stage for opportunity & 2
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The lay of the land in Sonoma County Federally Qualified Health
Centers (11) Tribal Health Clinic (1) Pending FQHC (1) Specialty
satellite clinics (4) 3
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What is SBIRT? S creening B rief I ntervention R eferral to T
reatment 4
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5% 20% 35% 40% } Low Risk Use or Abstain from use Risky Use
Probable Addiction 5
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Best Practice Evaluated with positive outcomes Universal
screening Reduce and prevent high risk substance use or abuse
Prevent disease, accidents and injuries resulting in better patient
outcomes Reduce costly healthcare utilization Good Business SBIRT
is reimbursable (for positive alcohol screen) Many payers reimburse
for SBIRT services New opportunities to engage with patient
Establishes collaborative partnerships 6
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Access Points Medical MediCal primary care providers Other
community health providers ERs/Trauma Centers Dental Offices
Non-Medical Schools Criminal justice Homeless shelters County
social service providers Employee Assistance Programs (EAPs) 7
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Training Plan State requirements Diverse participation
Pre-survey re: past/current experiences Face-to-Face training
Comprehensive Learning Collaborative Site-specific Technical
Assistance Develop local capacity Train-the-Trainer Countywide
trainers circle On-line resources Evaluation Plan 8
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SBIRT map Behavior Change Motivate Increase Awareness Pre-
Screen Screen Brief Intervention Reduce or Stop use Treatment
Referral to Trmt 9
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Pre-Screen Screen Brief Intervention Referral to Treatment
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Pre-Screen Screen Brief Intervention Referral to Treatment
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Pre-Screen Screen Brief Intervention Referral to Treatment
Pre-Scren (SHA) Administer AUDIT- C/AUDIT, DAST or ASSIST Healthy
Use Give positive reinforcement of healthy use Risky/Hazardous Use
Assess Readiness to Change If not ready... Offer information and
support; follow-up If ready... Provide Brief Intervention (BI)
Possible Abuse Assess Readiness to Change If not ready... Do not
refer. Provide BI; follow-up If ready... Assess readiness to accept
referral for treatment If not ready... Do not refer. Provide BI;
follow-up If ready... Link to treatment services Screen + on
Alcohol and/or Drugs Universally Screen (min. annually) 12
So what happened? Standards of Implementation Mechanisms of
data collection, analysis and reporting Process Patients screened
Patients with score >? Patients receiving BI Patients referred
Follow-up results Process improvement Outcomes State-mandated
Local/regional AOD use Health improvements Identification of new
issues 14
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Variation in patient approach Patients Stage of Change Patients
plan on how to address the issue Release of information Linkages to
SUDs Treatment Providers Patients support system 16
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Lynn Campanario AOD Prevention Coordinator Sonoma County
Department of Health Services
[email protected]@Sonoma-county.org
707-565-6649 ? 17