Week #3 sbirt attc webinar series

1. PreparingyourHealthCenter forSBIRT Implementation
(SBIRT-IP)
Week #3

2. Implementationof SBIRT

3. Agenda
• Welcome
• Agenda
• Review Learning Activity-Referral Resources
• Presentation
• Workflow and Implementation
• Let’s Share!
• Utilizing SAMHSA-TAP 33 -Strategies/Lessons Learned
• Strategies towards BH Integration
• Summary
• Preview of next week
• Review Next Week’s Learning Activity-View Video-Review and Reflect on
your own workflow
• Questions

4. Let’s Talk about your Learning Activity!
What do the referrals look like
in your community?
How do you share those
referrals with patients?

5. CARE TO SHARE!
•Who is the first point of
contact in the SBIRT
process in your agency’s
workflow?

7. Assess What is Needed
• A careful assessment of current system resources (both physical and
personnel) can save time and money.
• Is it possible to use existing staff members to provide at least some SBIRT
services?
• If so, what training will they need?
• If not, for what SBIRT services must new staff members be hired?
• What qualifications must they have?
• Is existing space adequate, or can space be reconfigured for more privacy?

8. Set Clear Goals
• It is important to know exactly what is to be accomplished and within
what timeframe.
• What is realistic given the resources available or that can be obtained?

9. Assign Clear Roles and Responsibility
• Appointing one staff member as the SBIRT coordinator may be
helpful. This person can ensure that all staff members understand
their roles and responsibilities and that all necessary planning tasks
are completed.
• Who is doing what/when?
• Who is following up with outcomes? Reporting?
• Who is responsible for training new staff?

10. Develop Collaborations and Partnerships
• Collaboration is critical, no matter the size of a system. System (or
program) leaders should identify potential public and private
collaborators and partners early on and begin developing
relationships.

12. Integrating
Behavioral Health
into Medical Settings
Discuss SBIRT services as an introduction towards integration
Identify routes of communication between Medical Providers
and Behavioral Health proviers
Strengthen referral mechanisms between agencies
Develop multidisciplinary teams
Offer to swap training or staff for educational experiences
Offer consultation services to local BH providers to include
psychiatrists or therapists, brown bag lunches

13. Group Discussion
• What are ways that your agency
has found to help in integrating
services/SBIRT into their service
delivery?
• Funding
• Resources
• Training
• Implementation Support

14. Lessons Learned: SAMHSA Tip 33
Lessons learned from SAMHSA SBIRT grantees provide insights into
effective ways to overcome the challenges:
• Implement SBIRT in ways that minimize the time burden for staff.
• Develop strong “champions” of SBIRT.
•Provide time for staff to “buy into” activities.
• Provide adequate training, ongoing direct supervision and monitoring, and
regular feedback.
• Institute SBIRT training as a regular part of employee orientation.
• Collect and share aggregate and patient-level outcomes data so that staff
members can see the help they provide to patients.
• Combine SBIRT with other behavioral interventions (e.g., smoking
cessation).

15. SBIRT
Lessons From the Field
-Rural Considerations-

16. Lesson #1-These practices work best when they
are part of what we do not in ADDITION to what
we do.

17. Lesson #2-Have people providing the service
involved in the process of implementing the
service…
You can take it one step
further and have a
representative from the
population that will be
receiving the services
involved too!

18. Lesson #3- Buy in and Training are key elements to
changing the culture…that means everyone!!

19. Lesson #4-Implementation works best when it
makes sense in your setting.

20. Lesson #5- The skills used to provide SBIRT
work really good with other human beings
for other things.

21. Sneak Peek at next week ….
Integration and Workflow
Continued including
Cultural Considerations
and
Co-Occurring Disorders

22. Learning Activity for Next Week- 7/27/18
Questions to Consider
Reflect on your current workflow or what it might look like in the future if you have
not implemented yet.
What are the barriers that are coming up?
What has worked well in the process?
What area needs some work or attention?
Draft a Diagram of the Workflow
-From the patient’s perspective, diagram what the workflow actually looks like. Where
do they enter? Who do they talk to? Who does the screen? Who evaluates the screen?
Who does the interventions? Then what happens?
-This can be done using a sketch of a diagram on paper, sticky notes on an agency
map, or drafted digitally as examples. Identify points where there are transitions or
points that may be potential for congestion.
-Be prepared to discuss and share your diagram with the group at our next session