Seeing Through the Smoke: Identifying & Engaging Cannabis Users in a Changing Culture of Use.

New "Cannabis Cultural Competencies" - are essential for any public health personnel or provider. This interactive presentation includes four main topics: the methods of SBIRT; a summary of new cannabis science; how to use a newly developed cannabis screening tool and a motivational intervention technique called the Cannabis Brief Intervention. Participants will discuss, view live demonstration and practice the use of all tools and techniques presented. By the end of the training participants can begin to build initial competency in using these tools and motivational based strategies.

Methods: presentation, discussions, live demonstrations, videos & role pays

Learning Objectives include hearing, discussing, viewingand practicing

1) medical and behavioral health integration utilizing SBIRT - including screening, brief interventions, and referral methods, tools and techniques

2) changes in cannabis use perceptions, prevalence data & science

3) the outcomes from published marijuana treatment/recovery studies

4) two newly developed healthcare tools for effectively identifying and engaging cannabis users - the Cannabis integrated screener (CIS) & the Cannabis Brief Intervention (CBI)

5) the findings from Vermont's screening, brief intervention and referral to treatment public health 4 year project utilizing the methods described above.

Background

Vermont healthcare providers and others across the US struggle to identify and help cannabis users for a host of reasons including lack of user motivation, uncertainty of when it's really a problem, and how to conduct a motivational interventions that lead to positive health change when needed. This presentation covers SBIRT and recently developed clinical cannabis cultural competencies. The course is helpful for any public healthcare provider to understand the changing landscape of cannabis use, how to appropriately identify negative impacts of use and then, how to engage users in motivational interactions. Additionally, Vermont's 4 year SBIRT project with 80,000 patients screened in 15 medical settings & 6000 substance interventions will illustrate the use of the new SBIRT cannabis process for screening and intervening.

Program Overview • Evidence-Based Approach • Evaluation Methods and Results • Discussion/Conclusion

The course focuses on learning and practice in five main topics: A) SBIRT - tools and techniques B) A brief summary of important & new cannabis science- including current information on the types of cannabis, methods of use, increasing potency, and brief summary of the significant physical & mental health effects. Information comes from a variety of recent resources web based searches, discussion groups and national surveys as well as journal publications and academy of sciences reports. C) The development, and outcome data of a new cannabis use screening tool (Cannabis Integrated Screener -CIS) piloted and validated with 650 + users in multiple healthcare settings in three states Washington, Vermont and Iowa. The CIS is a 16-item tool which includes a triage frequency measure, a methods of use measure, reasons for use item and 10 items relating to the negative impacts of use leading to stratification. The outcomes demonstrated the CIS successfully and significantly triages users by frequency of use and stratifies by level of impacts endorsed.D) Reviews published marijuana treatment & recovery studies & how to incorporate marijuana use/recovery findings and using the CIS endorsed impacts into a new intervention technique called the Cannabis Brief Interaction (CBI). The CBI is a structured evidence based motivational enhancement intervention based on the brief negotiated interview (BNI) designed to quickly engage risky users in a non-judgmental conversation to develop internal discrepancies and promote change. Data from both the CIS validation study and Vermont state's four year screening, and brief intervention (SBIRT) project will illustrate potential benefits for adopting new Clinical Cannabis Cultural Competencies and future areas of research needed to continue our enriching our knowledge.

References:

WHO: The Health and Social Effects of Non-medical Cannabis Use (2016)

Marijuana: the unbiased truth about the worlds most popular weed - Kevin Hill, 2015

University of Washington: ADAI

D’Onofrio , G., Bernstein, E., & Rollnick, S. (1996). Motivating patients for change: A brief strategy for negotiation. In E. Bernstein and J. Bernstein (Eds), Case studies in emergency medicine and the health of the public (pp. 295‒303).

D’Onofrio , G., Pantalon , M. V., Degutis , L. C., Fiellin, D. A., & O’Connor, P. G. (2005). Development and implementation of an emergency practitioner-performed brief intervention for hazardous and harmful drinkers in the emergency department. Academy of Emergency Medicine 12, 249‒256.

Marijuana Treatment Project Research Group. (2004). Brief treatments of cannabis dependence; Findings from a randomized multisite trial. Journal of Consulting and Clinical Psychology, 72, 455-466.

National Institute of Drug Abuse, (2009). Resource guide: Screening for drug use in general medical settings. http://www.drugabuse.gov/publications/resource-guide.

Seeing Through the Smoke: Identifying & Engaging Cannabis Users in a Changing Culture of Use.

Win C. Turner PhD, LADC

Artie Seelig MSW

Sponsored by VAPA in conjunction with VTSBIRT

VDH Conference Room 2 B

108 Cherry St

Burlington Vermont 05401

Agenda:

Part One

9 am - 10:30 am

Introduction and practice of SBIRT tools and techniques - including screening, brief interventions, and referral methods, tools and techniques& the findings from Vermont's screening, brief intervention and referral to treatment public health 4 year project utilizing the methods described above.

10:30 am to 11:30 am

Changes in cannabis use perceptions, prevalence data & scienceHow research on marijuana treatment/recovery studies informs us to interact with canaabis users

11:30 am to 12:30 am Lunch

Part Two

12:30 am to 1pm

Understanding and using two newly developed healthcare tools for effectively identifying and engaging cannabis users

1pm - 2:30 pm

Using the Cannabis integrated screener (CIS) & the Cannabis Brief Intervention (CBI)

2:15 - 2:30 pm

Questions , Discussion and Summary