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![Results
Total Trainees (All
Classes/Programs)
RHAB
(N=13)
NURS
(N=52)
SOWK
(N=25)
Residents
(N=9)
Age 34 34 29 31
% Female 57% 90% 88% 55%
Experience w/patients with alcohol
2.2 2.8 1.6 3.2
problems [None(1) – Expert(5)]
Experience w/patients with drug
problems [None(1) – Expert(5)]
2.2 2.8 1.8 3.1
Total hours formal addictions
training (median)
.5 1 3 15
Total hours informal addictions
training (median)
3.5 1 0 10
Total hours formal MI training
(median)
2.5 0 2 2](https://image.slidesharecdn.com/idiscuspresentation-saces10-2014-141010135309-conversion-gate01/75/IDISCUS-Presentation-Saces-10-2014-20-2048.jpg)
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IDISCUS Presentation Saces 10-2014
- 1. IDISCUS InterDisciplinary Collaborationand Implementation of SBIRT Curricula in University of South Carolina’s Rehabilitation Counseling Program Michael Walsh, Ph.D, LPC, CRC, CPRP & Suzanne Hardeman, NP
- 2. Screening, Brief Interventionand Referral to Treatment The idea behind SAMHSA’s Screening, Brief Intervention, and Referral to Treatment (SBIRT) program is deceptively simple: What if you could stop drinking and substance abuse problems before they became serious enough to destroy people’s lives? SBIRT provides the tools to have a conversation about substance use at a very early point and help people make decisions on substance use based on their own values and life realities. -SAMHSA
- 3. How is SBIRTdifferent? • Intervenes much earlier than traditional approaches. • Educates on “healthy limits” or “low risk” use • Is based in Motivational Interviewing principles • Is client- value-based • Easy to learn
- 4.
- 5. Redefining Low RiskSubstance Use
- 6. A Message from Suzanne Hardeman,MRC, MSN, PMHNP-BC Dear all, Thanks so very much for coming to this session and I am so very sorry that I couldn’t be with you today. We have just buried my 23 year old nephew. He died as the result of a 10 year struggle with addictions. By the time our family knew, my nephew was already deeply entangled in addictions. I can only wonder if my nephew’s story would have been different had someone asked and assessed his substance use. SBIRT provides the tools we need to talk with people about their substance use and intervene at appropriate levels. I hope you will join me in renewed passion to make substance abuse assessment a routine part of practice. Warmest regards.
- 7. Where We Started • Call came late April 2013 • Purpose develop and implement training programs to teach health professionals the SBIRT skills: • <30% medical residents • Curriculum provided • Division of Biological Research took the lead • Queried interest from graduate health professional programs
- 9.
- 10. The Proposal Graduate Programs Nursing Social Work Rehabilitation Counseling Medical Residencies SBIRT Community Sites Internal Medicine Family Medicine Neuropsychiatry Preventive Medicine SCDMH NASW-SC Ryan White Providers
- 11. Implementation Approach USC Columbia, SC • Curriculum Customization • Online delivery • Voice-over videos • Handouts • Demonstration videos • Knowledge & Attitudes Assessment • CSAT Satisfaction Surveys
- 12. Implementation Approach USC Columbia, SC • Curriculum Customization • One curriculum for all disciplines • Each discipline had the ability to customize
- 14. Skills Practice •Nursing: Simulation lab, in pairs, instructor does patient voice • Social Work: audio recordings, peer feedback • Rehabilitation Counseling: In-person, triads • Medical residencies: In-person, triads with instructor/faculty
- 15. Implementation Advanced HealthAssessment Spring Semester: 25-40 students Summer Semester: 25-35 students
- 16. Implementation Dynamics ofSubstance Abuse Fall Semester: 70-125 students Summer Semester: 25-50 students
- 17. Implementation Rehabilitation Counseling Rehabilitation Assessment Fall Semester: 10-15 students Summer Semester: 10-15 students
- 18. Implementation Why RehabilitationAssessment? Screening-based protocol Standardized instruments used for assessment DAST AUDIT Useful as part of a Universal Health Practice, e.g.-Blood Pressure, Temperature, etc. Rehabilitation Counseling
- 19. Implementation Second Yearof 3 or 4 Year Residency Neuropsychiatry: 6 Family Medicine: 10 Preventive Medicine: 2 Internal Medicine: 11
- 20. Results Total Trainees(All Classes/Programs) RHAB (N=13) NURS (N=52) SOWK (N=25) Residents (N=9) Age 34 34 29 31 % Female 57% 90% 88% 55% Experience w/patients with alcohol 2.2 2.8 1.6 3.2 problems [None(1) – Expert(5)] Experience w/patients with drug problems [None(1) – Expert(5)] 2.2 2.8 1.8 3.1 Total hours formal addictions training (median) .5 1 3 15 Total hours informal addictions training (median) 3.5 1 0 10 Total hours formal MI training (median) 2.5 0 2 2
- 21. Output • Materialsconverted to Braille or made accessible to screen reader • Curriculum revised and updated for Spring • Curriculum update in progress • Plan to develop discipline-specific demonstration videos
- 22. Lessons Learned •Context and future utility critical • Addition of “contextual session” • In person, real-time practice valued • Class integration critical • Many students still utilizing SBIRT skills in practicum
- 23. Student Feedback Itreally has provided a means of having a discourse about such issues without seemingly being overly aggressive, and also the tools to get as much information as possible in a brief amount of time. It provides quantitative information to provide those you are working with, so that they have something that is not in the abstract to 'see'. Creating, hopefully, more openness in the exchange. I love the materials. I am already using them in my current position and received positive feedback from it. The ease of presentation and the brief period of time it takes are essential in their effectiveness. I will say that I have enjoyed witnessing the changes people will make by themselves when provided with needed educational information. I feel that the way our instructors used the materials encouraged us to see its application in practice much more than the videos online did. Our professors met with us and broke down the details from the video in how it differs as a style of communication with clients and what to be mindful of when meeting new individuals.
- 24. Next Steps Community Partners SCDMH NASW-SC Ryan White Providers Fall 2014 March 2015 Fall 2015
- 25. Thank You Formore information, Please contact: Michael Walsh, Ph.D, LPC, CRC, CPRP University of South Carolina School of Medicine Department of Neuropsychiatry and Behavioral Science Rehabilitation Counseling Program [email protected] Phone: 843-304-1662 Suzanne Hardeman,MRC, MSN, PMHNP-BC University of South Carolina School of Medicine Director, Division of Biological Research Department of Neuropsychiatry and Behavioral Science University of South Carolina School of Medicine [email protected] Phone: 803-434-3622