Keeping our youth alcohol drug free
Download
1 / 35

Keeping Our Youth Alcohol & Drug Free - PowerPoint PPT Presentation


  • 63 Views
  • Uploaded on

Keeping Our Youth Alcohol & Drug Free. Southeast Region SBIRT Project. 2012-2013. Body Level One. Outline. The players The problem The solution: SBIRT Next steps. Body Level One. What is AWY?.

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about ' Keeping Our Youth Alcohol & Drug Free' - ouida


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
Keeping our youth alcohol drug free
Keeping Our Youth Alcohol & Drug Free

Southeast Region

SBIRT Project

2012-2013

Body Level One


Outline
Outline

  • The players

  • The problem

  • The solution: SBIRT

  • Next steps

Body Level One


What is awy
What is AWY?

  • Has supported local coalitions in their prevention and youth development work since 1999

  • Is funded by a percentage of income generated by payments for drug offense citations in each county

  • Is divided into five Regional Prevention Centers--Southeastern, Northern, Northeastern, Southern and Western

Body Level One


About awy southeast region
About AWY Southeast Region

  • Includes 13 member coalitions in Jefferson, Kenosha, Milwaukee, Ozaukee, Racine, Walworth, Washington and Waukesha Counties

  • Jewish Family Services acts as fiscal sponsor

  • The Planning Council for Health and Human Services provides facilitation and planning

Body Level One


Sbirt
SBIRT

S

Screening

BI

Brief Intervention

RT

Referral to Treatment

Body Level One


Awy se sbirt grant
AWY-SE SBIRT Grant

  • April 1, 2012 – March 31, 2013

  • Wisconsin Partnership Program (University of Wisconsin School of Medicine & Public Health)

  • $50,000 grant to develop the SBIRT model in southeastern Wisconsin for teens

  • If successful, will apply for a $300,000 implementation grant in spring 2013

Body Level One


Grant staff academic partner
Grant Staff:Academic Partner

Richard L. Brown, MD, MPH

Professor of Family MedicineDirector, WIPHL

School of Medicine and Public Health

University of Wisconsin

Body Level One


Grant staff project evaluator
Grant Staff:Project Evaluator

Candace Peterson, Ph.D.

Evaluator

UW Population Health Sciences

Body Level One


Grant staff project coordinator
Grant Staff:Project Coordinator

Julie Whelan Capell, MS, CPH

Director of Planning and Development

Planning Council for Health and Human Services

Body Level One


Project objectives

Help AWY-SE coalitions to recruit partners

Identify barriers to implementation and strategize solutions

Secure commitment from 6 AWY-SE coalitions to pilot SBIRT in next phase

Project Objectives

Increase AWY-SE coalitions’ understanding of SBIRT

Body Level One


Outline1
Outline

  • The players

  • The problem

  • The solution: SBIRT

  • Next steps

Body Level One


Cigarette smoking wisconsin last month 2011
Cigarette Smoking- Wisconsin - Last Month - 2011 -

Body Level One

CDC:YRBS


Alcohol use wisconsin last month 2011
Alcohol Use- Wisconsin - Last Month - 2011 -

Body Level One

CDC:YRBS


Binge drinking wisconsin last month 2011
Binge Drinking- Wisconsin - Last Month - 2011 -

Body Level One

CDC:YRBS


Marijuana use wisconsin last month 2011
Marijuana Use- Wisconsin - Last Month - 2011 -

Body Level One

CDC:YRBS


Prevalence of Lifetime Alcohol Dependence vs. Age of Onset of Drinking– National Survey of 43,093 Adults –

LifetimePrevalenceof

Alcohol

Dependence

Age of Onset of Drinking

Body Level One

Hingson, Archives of Pediatric and Adolescent Medicine, 2006



Outline2
Outline of Drinking

  • The players

  • The problem

  • The solution: SBIRT

  • Next steps

Body Level One


Screen of Drinking

Brief Assessment

Low risk

Intermediate risk

High risk

Follow-up and support

Reassure

andreinforce

Intervene

Refer

SBIRT Model


Screening questions
Screening Questions of Drinking

  • In the past 12 months, have you ...

  • drunk any alcohol - more than a few sips?

  • smoked any marijuana?

  • used any other substance to get high?

Body Level One


Screening questions1
Screening Questions of Drinking

If positive

If negative

Full CRAFFT

Car question only

Body Level One


Crafft
CRAFFT of Drinking

  • Forget

  • Family/Friends

  • Trouble

  • Car

  • Relax

  • Alone

All questions are Yes/No


Car- of DrinkingHave you ever ridden in a car driven by someone (including yourself) who was high or had been using alcohol or drugs?

Relax-Do you ever use alcohol or drugs to relax, feel better about yourself, or fit in?

Alone-Do you ever use alcohol or drugs by yourself, alone?

Body Level One


Forget do you ever forget things you did while using alcohol or drugs

Family/Friends- of DrinkingDo your family or friends ever tell you that you should cut down on your drinking or drug use?

Forget-Do you ever forget things you did while using alcohol or drugs?

Trouble-Have you ever gotten in trouble while you were using alcohol or drugs?

Body Level One


Usual motivational approach interviewing
“Usual” Motivational of DrinkingApproach Interviewing

Paternalistic

Confrontational

Provider-centered

Information-based

More likely toantagonize teens

Easy to deliver

Requires littletraining & support

Collaborative

Motivational

Patient-centered

Based on teens’ values

More likely to elicitbehavior change

More difficult to deliver

Requires ampletraining & support

Body Level One


Continuum of substance use

Low of Drinkingrisk

Highrisk

Loss of control

Cravings

Preoccupation

Mildproblems

Absti-nence

Heavy use

Severeproblems

Continuum of Substance Use

Body Level One


Continuum of substance use1

many of Drinking

few

Continuum of Substance Use

Universal screening!!!

BriefIntervention

Treatment

Lack of idealreferral resourcesshould notdeter SBIRT

Largestbenefitof SBIRT!

Body Level One

Manwell, Journal of Addictive Disease, 1998


Effectiveness of sbirt for teens

For current abstainers of Drinking:

Teens who initiated drinking alcohol in the next 12 months

For current drinkers:

Teens who drank alcohol

in the next 3 months

44%

38%

Effectiveness of SBIRT for Teens

  • 9 New England pediatric practices - ages 12 to 18

  • Impacts of computer-facilitated screening and intervention:

SK Harris et al, Pediatrics 2012, published online on May 7, 2012.


Outline3
Outline of Drinking

  • The players

  • The problem

  • The solution: SBIRT

  • Next steps

Body Level One


Criteria for selecting interventions
Criteria for of DrinkingSelecting Interventions

Fit with local diagnosis

Capacity to implement

Evidence of effectiveness

Part of a comprehensive plan

Body Level One


Dfc requires environmental strategies
DFC Requires of DrinkingEnvironmental Strategies

Universal screening

creates awareness about the number-one preventable health issue—substance abuse. SBIRT provides the tools, counseling and coaching … to understand the potential negative health consequences

of substance abuse.

Body Level One

http://www.integration.samhsa.gov/clinical-practice/SBIRT_Colorado_WhySBIRT.pdf


National institute on alcohol abuse and alcoholism recommendations
National Institute on Alcohol Abuse and Alcoholism of DrinkingRecommendations

  • Establish a community coalition

  • Enhance enforcement of the drinking age

  • Restrict alcohol outlet density

  • Increase alcohol prices through excise taxes

  • Promote responsible beverage service

  • Provide alcohol expectancy education

  • Systematize screening and intervention

Body Level One


Healthiest wisconsin 2020 focus areas
Healthiest Wisconsin 2020 of DrinkingFocus Areas

  • Alcohol & Drug Use

    • Change underlying attitudes & knowledge

    • Reduce risky and unhealthy alcohol & drug use

  • Crosscutting Objectives

    • Prepare youth & families to protect their health and the health of their communities

    • Evaluate the effectiveness & impact of health programs

Body Level One


Project objectives by march 31 2013

Help AWY-SE coalitions to recruit partners of Drinking

Identify barriers to implementation and strategize solutions

Secure commitment from 6 AWY-SE coalitions to pilot SBIRT in next phase

Project Objectivesby March 31, 2013

Increase AWY-SE coalitions’ understanding of SBIRT

Body Level One


SBIRT Planning Questions of Drinking

  • What behavioral topics does our coalition want to address?

  • Who can we partner with to deliver SBIRT?

  • What age group do we want to target?

  • What barriers would challenge implementation?

  • Does our coalition want to pilot SBIRT in our community?

Body Level One


ad