SBI Product Development Group Slides for January 2007 Meeting
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  • AUDIT MI/ME, FRAMES, others

SBI Product Development Group Slides for January 2007 Meeting Presentation Transcript

  • 1. Workplace SBI Product Development Group Funded through a Cooperative Agreement with the National Highway Traffic Safety Administration (NHTSA).
  • 2. Agenda
    • 9:00 – 9:30 Meet & Greet Breakfast
    • 9:30 – 9:45 Welcome & Introductions
    • 9:45 – 10:00 Brief Overview of the SBI Research Project-Years 1 & 2
    • 10:00 – 10:30 The Impact of Alcohol Misuse in the Workplace
    • 10:30 – 12:00 SBI in the Workplace
    • 12:00– 12:45 Lunch Break -- SBI Demonstration
    • 12:45 – 2:45 Implementing SBI in the Workplace
    • 2:45 – 3:00 Break
    • 3:00 – 4:00 Wrap Up & Next Steps
    • 4:00 Adjourn
  • 3. Project Team
    • Network of Employers for Traffic Safety (NETS)
      • Kathy Lusby-Treber
      • Tom Walsh
    • Ensuring Solutions
      • Eric Goplerud
      • Tracy McPherson
      • David Anderson
      • Delia Olufokunbi
      • Kelli Joubran
    • NHTSA
      • Funded through a Cooperative Agreement with NETS
  • 4. The NETS Mission To improve the safety and health of employees, their families, and members of the communities in which they live and work, by decreasing the number of traffic crashes that occur both on and off the job. Vision: To Keep America’s Workforce Safe on the Road
  • 5. Federal Strategies to Reduce Alcohol Impaired Driving High Visibility Enforcement DWI Courts & Special Prosecutors Screening & Brief Intervention
  • 6. NHTSA-NETS Cooperative Agreement
    • Determine the feasibility of implementing the screening
    • and brief intervention (SBI) model in the workplace setting
    • Year One :
    • Convened expert advisory panel.
    • Conducted literature on SBI in medical and non-medical settings.
    • Designed employer and vendor assessments to determine current workplace practices to recognize and manage alcohol use, abuse and dependence.
    • Developed proposed SBI model based on two approaches that emerged from the assessments.
        • Bioassay Testing & EAP
        • Occupational Health/Wellness & EAP
  • 7. Cooperative Agreement Tasks
    • Year Two
        • Review the SBI Workplace Model in a product development group setting. Identify steps to integrate the SBI model into the workplace. Further develop model(s) and associated materials to pilot test in the workplace.
  • 8. Cooperative Agreement Tasks
    • Year Two
        • Communications Strategy - to educate employers/employees about alcohol misuse in the workplace, specifically, its impact on alcohol impaired driving and the use of screening and brief intervention.
          • Form NETS Alcohol Impaired Driving Advisory Board
          • Develop workshops for employers
          • Distribute quarterly newsletter
          • Develop materials for dissemination at the workplace
          • Publish Year One findings
          • Promote Alcohol Screening Day
  • 9. Product Development Workgroup
    • Process for Today’s Work
    • Workgroup Activities
      • Refine and elaborate on the approaches
      • Develop the materials, training guides, process descriptions, and evaluation/monitoring design necessary to bring these approaches to pilot
    • Meshing goals of NETS, NHTSA, employers, health plans, and clinicians
  • 10. HRA (Health Risk Assessment) Referral (self or supervisor)
    • OHW Process
    • HRA (screening)
    • Brief Intervention
    • Treatment Referral
    • Follow-up
    Workplace SBI Model Outcomes
    • Staff Training
    • OHW Staff
    • EAP Staff
    • Supervisors
    • CEUs/Credentials
    • Outreach
    • Service Promotion
    • Health Education
    • EAP Process
    • Screening
    • Brief Intervention
    • Treatment Referral
    • Follow-up
    Automated Screening (web & telephone) Infrastructure Alcohol/ Drug Testing Critical Variables & Processes Events Activities
    • Increased Prevention/Early Intervention
    • Changed Organizational Culture
    • Improved Employee Clinical/Health Outcomes
    • Improved Business Outcomes
    Long Short Increased Utilization Increased Screening Medium Increased Identification Increased Initiation in Brief Intervention Increased Engagement in Brief Intervention Decreased Treatment Referral for Risky Use Increased Treatment Referral for Dependence Quality Monitoring Organizational Factors
  • 11. SBI Demonstration
    • Karen K. Chan, PhD
    • Associate Behavioral Scientist
    • RAND Corporation
    • Kelli Joubran, MPH
    • Research Associate
    • Ensuring Solutions
  • 12. Role-Play
    • Michelle: 35 Year old unemployed, married female, mother of a 9 year-old daughter, seeking help with career development after losing her job as a manager in a high tech firm 2 years ago as a result of being laid off.
  • 13. Outreach Materials and Employer Resources
    • Vendor Promotional Materials
      • ValueOptions EAP Promotional Posters and CD-ROM (funded by CSAP “Youth in the Workplace Project”)
      • Contact your MBHO and EAP provider
    • Publicly Available Materials and Resources
      • NETS http:// www.trafficsafety.org /
      • NHTSA Impaired Driving Program http://www.nhtsa.dot.gov/people/injury/alcohol/StopImpaired/toolkits.html or http://stopimpaireddriving.org/planners/Holiday2006/index.cfm
      • US Department of Labor “Working Partners” http://www.dol.gov/workingpartners/
      • SAMHSA Division of Workplace Programs http://dwp.samhsa.gov/index.aspx
      • SAMHSA- “GetFit” Website http:// getfit.samhsa.gov /
  • 14. AUDIT Screening Tool
    • AUDIT (see handout)
      • Interview
      • Self-report
      • Web-based
        • www.alcoholscreening.org
        • www.drinkerscheckup.com (direct link - www.drinkerscheckup.com/ENGLISH/intro/audit1.cfm?Answers=NNNNNNNNNNN&CFID=13928785&CFTOKEN=59099416 )
  • 15. Other Screening Tools
    • CAGE
    • TWEAK
    • RAPS
    • BMAST
    • See http://pubs.niaaa.nih.gov/publications/arh21-4/348.pdf
  • 16. SBI Training Materials
    • Web-based Training
      • American College of Emergency Physicians’ (ACEP) Alcohol Screening and Brief Intervention in the Emergency Department. http:// acepeducation.org/sbi /
      • Emergency Department Alcohol Education Project’s Screening, Brief Intervention, Referral and Treatment (SBIRT). http://www.ed.bmc.org/sbirt/index.htm
      • AlcoholCME.org http://www1.alcoholcme.com/
    • Training Guides
      • American College of Emergency Physicians’ (ACEP) Brief Negotiated Intervention (BNI) Manual: Screening and Brief Intervention for Unhealthy Alcohol Use in the ED. http://acepeducation.org/sbi/media/bni_manual.pdf
      • Richard Saitz and Boston Medical Center’s Alcohol Clinical Training (ACT). http:// www.bu.edu/act/mdalcoholtraining/index.html
      • NIAAA Helping Patients Who Drink Too Much: A Clinician’s Guide. http://pubs.niaaa.nih.gov/publications/Practitioner/CliniciansGuide2005/clinicians_guide.htm and http://www.niaaa.nih.gov/Publications/EducationTrainingMaterials/guide.htm
      • World Health Organization’s AUDIT: Guidelines for Use in Primary Care http://whqlibdoc.who.int/hq/2001/WHO_MSD_MSB_01.6a.pdf and Brief Intervention for Hazardous and Harmful Drinking: A Manual for Use in Primary Care . http://whqlibdoc.who.int/hq/2001/WHO_MSD_MSB_01.6b.pdf
      • William Miller’s Treatment Improvement Protocol (TIPS): Enhancing Motivation for Change in Substance Abuse . http://ncadi.samhsa.gov/govpubs/BKD342/
      • American College of Surgeons Committee on Trauma (COT) Alcohol Screening and Brief Intervention (SBI) for Trauma Patients: COT Quick Guide. (coming online soon)
  • 17. Supervisor Training
    • Contact your EAP or MBHO
      • Signs and Symptoms Recognition
    • Contact your HR
      • Job Performance Evaluation
    • Publicly Available Resources
      • US Department of Labor http://www.dol.gov/asp/programs/drugs/workingpartners/dfworkplace/st.asp
  • 18. Wrap Up & Next Steps
    • Over next 3 months (~ January-March)
      • Synthesize and summarize feedback
      • Disseminate feedback to workgroup
      • Conduct follow-up conference call to review comments
      • Modify approach as needed
    • Over months 4-6 (~ April-June)
      • Disseminate prototype implementation and training materials to workgroup for review and comment
      • Conduct follow-up conference call to discuss materials
      • Revise as needed
    • Over months 7-9 (~ July-September)
      • Disseminate prototype evaluation plan (impacts/outcomes, fidelity, quality monitoring)
      • Conduct follow-up conference call to discuss evaluation plan
      • Revise as needed
    • Over months 10-12 (~ October-December)
      • Project team will develop a Workplace SBI Tool Kit ready for pilot testing in Year 3
  • 19. Adjourn
    • THANK YOU!!