Youth SBIRT In Schools:Health Screening as an Alternative to

Drug Testing

Meet Your Trainers

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Mary Haag

RN, OCPC, ICPS

President & CEO

Christi Valentini-Lackner

OCPS

Director, Prevention Action

Meet Our Audience

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AGENDA

• Brief Overview of Youth SBIRT

• Overview of steps for Planning and Implementation

• Application and Knowledge Transfer

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Brief Overview of Youth SBIRT

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What is SBIRT?

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• 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.

Why is it important?

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• 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

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

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Rationale for implementation through schools

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• Universal SBIRT

• An advantage of delivering SBIRT in schools is the potential to reach a large proportion of the adolescent population in one venue

Benefits and Challenges

• Informed Consent

• Scheduling SBIRT within Schools

• Screening Protocol

• Referral to Treatment

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Overview of Steps for Planning and Implementation

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Administrative and Parental Support

• Readiness

• School Responsibilities

• Awareness

• Who Provides

• Materials Needed

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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

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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

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Implementation

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• Work Flow

• Training Information

• Motivational Interviewing

• Keeping Involvement Through out the Year

• Confidentiality

• Evaluation Plan

Workflow

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Implementation

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• Work Flow

• Training Information

• Motivational Interviewing

• Keeping Involvement Through out the Year

• Confidentiality

• Evaluation Plan

Application and Knowledge Transfer

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Create Your Case Statement

• Program Summary

• Community Need

• Program Objectives and Benefits

• Target Population

• Funding Need

• Sponsorship Benefits

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Engage in Training to Create Your Implementation Plan

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• Learn about SBIRT and motivational interviewing• Create your implementation plan• Technical Assistance• Toolkit

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

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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/

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Questions?

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