Organizational-level training

SBIRT Overview

This session provides:

  • the rationale and evidence for SBIRT 
  • how to screen for unhealthy substance (alcohol and other drug) use using validated screening tools
  • how to assess for severity of unhealthy substance use
  • how to effectively provide brief feedback and advice for patients with unhealthy substance use
  • how to access resources for further assessment and referral to specialty substance abuse treatment

SBIRT Overview can be delivered as part of Grand Rounds or all-staff meetings to help familiarize staff with basic concepts and start to think about practical applications to promote SBIRT implementation.

Length: 1 hour (no skills practice) - 4 hours (skills practice)
Modality: delivered in person or via web conferencing
 

Assisting organizations with building clinical and business case for SBIRT

Work with organizations to execute a needs assessment to address facilitators, barriers and desired outcomes.

Conduct workflow analyses with administrators and leadership to identify organizational goals for integrating SBIRT services into existing processes and creating new processes (e.g., design of referral procedures, incorporation of special confidentiality requirements [i.e.,  42 CRF Part 2 consents]), and develop project expectations, deliverables, and timelines.

Assist leadership to assess data needs and data collection strategies to meet organizational goals through process and outcomes evaluation.
 

Implementation training

Development of customized implementation plans in collaboration with clinical managers and other key staff. The implementation plan includes identifying appropriate screening instruments, screening methods, brief intervention strategies, and referral procedures and resources. It also addresses administrative components such as documentation, communication, and reimbursement strategies. Identify, train, and coach front line staff who will deliver SBIRT services to patients/clients. 

Expert guidance for working with specific populations (e.g., LGBTQ community, people with HIV, pregnant women, adolescents, people without housing, older adults) and individuals with co-occurring disorders (e.g., mental health, trauma). Guidance to facilitate evaluation of SBIRT service implementation.
 

Information Technology integration

Assist with the planning and development of concepts and tools to integrate SBIRT into the electronic health record. Analysis of documentation and electronic workflow including assistance with forms development, EHR optimization, and development of point of care decision support.
 

Technical assistance, coaching, quality assurance, and longitudinal training

Services will promote quality assurance and fidelity to model. This includes off-site consultation, on-site shadowing (i.e., directly observed clinical encounters), booster training sessions, program evaluation, etc.