SBIRT in NH, a series of brief presentations by conference participants
One of the conference objectives is to provide a forum for sharing alcohol SBI/SBIRT efforts around New Hampshire. Participants had an opportunity to present a brief overview of current programs and/or plans for implementing alcohol SBI/SBIRT during registration. Below is a summary of each program shared during registration. The program representatives will have time allocated to talk about the projects during the conference.
1)St JosephHospital
The facility and department implementing or planning SBI/SBIRT:
St. JosephHospital, Trauma Department, 172 Kinsley Street, NashuaNH, 03060
Lead contact:
Susan Barnard, Trauma Coordinator
Phone: (603) 882-3000 ext 66415, Email:
Description of the training process for SBIRT at the facility:
Number of people [trained] will probably start at 3-4. Process started with a training at Boston Medical Center from the BNI Institute [Brief Negotiated Interview and Active Referral to Treatment Institute- a program of Boston University School of Public Health and the Youth Alcohol Prevention Center in collaboration with Boston Medical Center] Either [Susan Barnard] will train others and/or they will receive similar [BNI Institute] training.
Description of the SBI/SBIRT implementation:
We will begin by screening trauma patients using BAC and either AUDIT tool or another shorter tool. The person auditing will also do the screening. Referral to treatment will be done by our substance abuse MSW.
The evidence-based screening protocol:
AUDIT (most likely)
The evidence-based brief-intervention protocol:
We are following the guidelines set forth by the US Dept of Health and Human Services (SAMSA)
2)ConcordHospital
The facility and department implementing or planning SBI/SBIRT:
Family Practice Residency, 250 Pleasant Street, ConcordNH03301
Lead contact:
Suzanne Boulter, MD, NH Dartmouth Family Medicine Residency
Phone: (603) 496-1511, Email:
The protocol start date:
2006
Grant funding:
National Institute on Drug Abuse (NIDA)
Description of the training process for SBIRT at the facility:
Video training about primary care intervention for substance abuse prevention. 24 residents and about 16 faculty trained.
Description of the SBI/SBIRT implementation:
Research Assistant administers screening for substances before visit with PCP; then PCP responds based on risk and offers advice and follow up visit. Three visits in total.
The evidence-based screening protocol:
CRAFFT
The evidence-based brief-intervention protocol:
Trying to collect evidence
3)NH Department of Health and Human Services
The facility and department implementing or planning SBI/SBIRT:
Facility - Bureau of Community Health Services PC,Department - Health and Human Services
Lead contact:
Alicia M. Soucy, Adolescent Health Coordinator
NH DHHS Division of Public Health Services29 Hazen DriveConcord, NH03301
Phone: (603)-271-5931, Email:
The protocol start date:
September 30, 2008 pending award
Grant funding:
The grant is pending review in early July. Full program implementation is dependant on funding.
Description of the training process for SBIRT at the facility:
The NH DHHS DPHS Bureau of Community Health Services will provide SBIRT training and support to six primary care agencies through collaborative agreements with the following trainers: Seddon Savage, MD, MS, Director of the DartmouthCenter on Addiction, Recovery and Education (DCARE) proposes to provide model practice training and on-going support. Follow up supports to insure the broadest implementation will be available and additional supports via the web. Ardis Olsen, MD, leader of the Clinicians Enhancing Child Health (CECH) at DartmouthMedicalSchool proposes collaborate with DCARE to provide practice training of clinicians and support staff will be provided to implement PDA based-screening at a wide range of clinic visits. Motivational Interviewing (MI) training will be adapted to specifically prepare primary care clinicians to engage teens and refer appropriately. Mary Jo Simmen-Gray, Senior Consultant for the Pennsylvania SBIRT Program and Development, proposes to complete conference style training with assistance from the Institute for Research, Education and Training in Addictions, based in Pittsburgh, Pennsylvania using motivational interviewing (MI) training and implementation support.
Description of the SBI/SBIRT implementation:
The proposed project will include implementing SBIRT for over 20,000 people a year. SBIRT screening will be conducted with either a PDA screener or a paper format for adults and adolescents. Teens aged 12-19 years old will receive the CRAFFT screener and follow the developed decision tree for CRAFFT to provide motivational interviewing (MI) intervention(s) and referral to treatment. Young adults and adults, aged 20-24 and 25+ years old, respectively, will receive the ASSIST screener and follow the developed decision tree for the ASSIST to provide motivational interviewing (MI) intervention(s) and referral to treatment.
The evidence-based screening protocol:
CRAFFT or ASSIST, depending on age
The evidence-based brief-intervention protocol:
Motivational Interviewing
4)Child Health Services
The facility and department implementing or planning SBI/SBIRT:
Child Health Services/Pediatric Clinic, 1245 Elm Street, Manchester, NH03101
Lead contact:
Susan McKeown, ARNP, Child Health Services
Email:
The protocol start date:
2006
Grant funding:
Maternal & Child Health
NH Endowment for Health
Description of the training process for SBIRT at the facility:
Eight primary care providers and some family support workers (about 8)
Description of the SBI/SBIRT implementation:
1,200 clients in basic clinic; 800 adolescent clients.
The evidence-based screening protocol:
Looking at them now
The evidence-based brief-intervention protocol:
PEDS (parents evaluations developmental survey) for young children
5)DartmouthHitchcockMedicalCenter
The facility and department implementing or planning SBI/SBIRT:
Dartmouth Hitchcock Medical Center Department of Infectious Diseases
Lead contact:
Leslie O'Neill:
Bryan Marsh:
Patricia Glocken:
The protocol start date:
SBIRT practice implemented 2006
Grant funding:
Health Resources and Services Administration (HRSA)
Description of the training process for SBIRT at the facility:
Funded by U.S. Health Resources Administration (HRSA) in 2005 through 2006. Implemented tablet-based substance use and mental health screening in all three DHMC HIV clinics in the State (Lebanon, Nashua, Manchester), trained all clinical staff (nurses, doctors, counselors and medical assistants) in motivational interviewing in a series of three trainings with onset follow-up, and implemented a triage and referral system at each site. SBIRT continues at all three HIV clinics with documented increases in identification of substance use disorders, in direct motivational management and inreferrals to treatment.
Description of the SBI/SBIRT implementation:
Research Assistant administers screening for substances before visit with PCP; then PCP responds based on risk and offers advice and follow up visit. Three visits in total.
The evidence-based screening protocol:
Client Diagnostic Questionnaire (CDQ). Validated for substance and mental health screening in HIV clients.
The evidence-based brief-intervention protocol:
MI based
6)DartmouthCollege and DartmouthMedicalSchool
The facility and department implementing or planning SBI/SBIRT:
DartmouthCenter on Addiction Recovery and Education
Lead contact:
Seddon Savage:
The protocol start date:
September 2008 pending award
Grant funding:
Project has applied to SAMHSA for funding
Description of the training process for SBIRT at the facility
Proposal submitted in response to a recent SAMHSA RFP. Would provide SBIRT training for medical residents and faculty clinicians in five departments at DHMC (Internal Medicine, Family Practice, Pediatrics, ObGyn and Psychiatry with additional ER personnel training) and for several statewide networks of practicing clinicians (primary care and ER)across the State (CHCs, hospital-based primary care networks, DHC practices etc). Utilizes learning collaborative methodology for both training and practice implementation of SBIRT.
The evidence-based screening protocol:
Will vary by department: AUDIT, ASSIST, Two question screen, CAGE, others as elected
The evidence-based brief-intervention protocol:
Will be individualized to various department and clinical settings. Screens and intervention approaches to be determined by clinical/administrative personnel in each setting as part of practice implementation following education regarding a breadth of options.
7)Dartmouth Hitchcock Keene
The facility and department implementing or planning SBI/SBIRT:
Family Medicine
Lead contact:
Thomas Stearns, Ph.D., Psychologist, Dartmouth Hitchcock Keene 590 Court Street, KeeneNH03431
Phone: (603)-354-6763, Email:
The protocol start date:
To be Announced
Description of the training process for SBIRT at the facility (including number of people trained or expected to train, length and type of training, etc…).
In the process of program development and coordinating with other primary care based protocols.
8)Foundation for Healthy Communities
Lead contact:
Shawn LaFrance, 125 Airport Road, Concord NH03301
Phone: (603) 225-0900, Email:
- Please see next page for Project/Research summary.
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