Reducing Adolescent Substance Abuse Initiative RASAI Name Role in RASAI Project Organization What You Hope to Get Out of Todays Meeting Welcome Agenda 915 930am Year 1 Review ID: 685320
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Slide1
California SBIRT Summit
October 19, 2015Reducing Adolescent Substance Abuse Initiative (RASAI)Slide2
Name
Role in RASAI ProjectOrganizationWhat You Hope to Get Out of Today’s MeetingWelcome!Slide3
Agenda
9:15 – 9:30am Year 1 Review
9:30 – 10:15am
Year
1 Roundtable
Discussions
10:15 – 10:45am
Keynote Speaker Address
Dr. Thomas E.
Freese
,
Director of Training, UCLA Integrated
Substance
Abuse Programs
10:45 – 11:00am
Break
11:00 – 11:30am
Data, Data, Data
11:30
–
11:45am
State Lead Policy Update
Michelle Peterson, CA Council of Community MH Agencies
11:45 – 12:00pm
Year
2 Overview
:
Sustainability and
ScalabilitySlide4
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 PictureSlide5
Mental
illness in adolescence increases risk for substance abuse1 in 5 with ADHD1 in 3 with bipolar disorderPrevention 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 careSlide6
R
educing
A
dolescent
S
ubstance
A
buse
I
nitiative
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 programsSlide7
RASAI Learning Community Members
New
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 Center
Compass 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 Slide8
Incubates
innovationInterconnects with our policy prioritiesPositions 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 capabilityProvides excellent & responsive customer serviceExercises nimbleness and flexibility based on member needs
Starts
small and scales up
Guiding Principles of RASAISlide9
Status Snapshot
Incorporating CRAFFT or UNCOPE+ screen into EHR systemTeams 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 dataStrong state partnershipsOASAS/NY
Kansas state trainings
400 Clinicians Trained
1,200 Training completions
100% sites implementing
1600+ Adolescents screenedSlide10
Key Challenges
Staff time limitations for completing trainingsStaffing issues: turnover
, under-staffing, etc.
Tight timeline
Comfort with brief interventions
Questions about confidentiality
EHRs and data collectionSlide11
RASAI Activities
100% of sites are implementing SBIRT 100% of sites completed all program requirements100
%
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 Slide12
Year 1 Data Highlights (as of June 2015)
61% white37% have a depressive disorder56% never smoked54% no intervention needed42% 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 referralSlide13
Adding New Ingredients
Brief Intervention Fidelity CallsNo-Show ManagementSBIRT Survival KitsSBIRT ScoopState-Level partnershipsCommunication/Process Improvements
EHR-specific TASlide14
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?