1 2/14/2019 Ask Questions Learning Objectives Learn about brief - PDF document

2/14/2019 ADOLESCENT SUBSTANCE USE ADOLESCENT SUBSTANCE USE SCREENING TOOLS: A REVIEW OF SCREENING TOOLS: A REVIEW OF BRIEF VALIDATED TOOLS BRIEF VALIDATED TOOLS HOSTED BY: HOSTED BY: ADOLESCENT SBIRT PROJECT, NORC at THE UNIVERSITY ADOLESCENT SBIRT PROJECT, NORC at THE UNIVERSITY OF CHICAGO, & THE BIG SBIRT INITIATIVE OF CHICAGO, & THE BIG SBIRT INITIATIVE Webinar Presenter Produced in Partnership… Tracy McPherson, PhD Senior Research Scientist Public Health Department NORC at the University of Chicago 4350 East West Highway 8th Floor, Bethesda, MD 20814 esap1234@gmail.com www.sbirt.webs.com sbirtteam@norc.org 2018-2019 SBIRT Webinar Series Access Materials  Adolescent Substance Use Screening Tools: A Review of Brief Validated Tools  PowerPoint Slides  Integrating Suicide Prevention into the SBIRT Model  Materials and Resources  Primary Care Professionals' Readiness to Integrate Behavioral Health: A National Survey  On Demand Access 24/7  Adolescents, Young Adults and Opioid Use: When Is It a Problem? What to Do?  Certificate of Attendance  Adolescent Substance Use: Contemporary Trends in Prevention and Treatment  Evaluation Survey  Integrating Adolescent SBIRT Education into Health Professional Training: Findings from A National Effort to Prepare the Next Workforce Download this flyer from our http://sbirt.webs.com/adolescent-screening website! https://sbirt.webs.com/webinars 1

2/14/2019 Ask Questions Learning Objectives  Learn about brief validated screening tools to identify adolescent alcohol and other substance use.  Identify and gain access to free materials and resources available to support health professional training on adolescent screening, brief intervention, and referral to treatment. Ask questions and modify Audio Settings through the “Questions” pane of your GoToWebinar Control Panel on your computer or mobile device. Learner’s Guide to Adolescent SBIRT Curriculum SBI with Adolescents Simulation  The education presented in this session  The education presented in this session complements the Learner’s Guide to complements the SBI with Adolescents Adolescent SBIRT Module 2 on Screening online simulation training. Tools for Adolescent SBIRT.  Watch Trailer and Take Demo: https://kognito.com/products/sbi-with-  Request a copy here: adolescents https://sbirt.webs.com/curriculum Learner’s Guide to Adolescent SBIRT Online Resources and Materials  Comprehensive introduction to SBIRT for adolescents and young adults.  Examines each component of SBIRT and motivational interviewing skills.  Each module includes:  Comprehensive Education and Training Content  Learning Objectives  Suggested Readings Module 1 What is SBIRT for Youth and Why Use  Sample Conversations and Dialogue it?  Role Play Activities Module 2 Screening  Used as part of education and training, and Module 3 Brief Intervention self-paced learning. Module 4 Referral to Treatment and Follow-up https://sbirt.webs.com/resources Module 5 Motivational Interviewing Strategies https://sbirt.webs.com/curriculum 2

2/14/2019 Learn More About The Toolkit AAP and AMA Clinical Guidelines The American Academy of Pediatrics and the American Medical  SBIRT for Youth Learning Association recommend that pediatricians and other health care Community: Adolescent SBIRT providers who work with children and adolescents conduct routine Toolkit (on-demand): substance use screening and brief interventions using motivational http://my.ireta.org/node/1173 interviewing techniques and that they be familiar with a network of treatment providers should an outside referral be necessary. Screening Tools CRAFFT Original Version  CRAFFT  CRAFFT 2.0  CRAFFT 2.1  CRAFFT-N 2.1  S2BI  APA Emerging Measures  BSTAD CRAFFT CRAFFT Original Version  Developed by John Knight and colleagues at The Center for Adolescent Substance Abuse Research (C e ASAR) at Harvard Medical School and Boston Children’s Hospital.  CRAFFT website: http://crafft.org/  Target Population: age 14-21 years old  All versions of the CRAFFT should be administered using the specific wording as written. Asks age-appropriate questions about risky alcohol and drug use . 3

2/14/2019 Scoring and Interpreting the CRAFFT CRAFFT Original – Interview and Self-Administered Each “Yes” response in Part B is added to produce the screening score:  CRAFFT Scores of 0 or 1: “Low Risk”  Provide positive feedback, brief advice and encouragement  CRAFFT Scores 2- 6: “High Risk” Screens  Assess for acute danger/signs of a substance use disorder  Provide brief intervention; consider referral to treatment  CRAFFT Scores 5- 6: “Very High Risk”  Assess for acute danger/signs of a substance use disorder  Provide brief intervention with goal of acceptance of referral to treatment CRAFFT Interpretation and Intervention Guidance CRAFFT Algorithm  Guides delivery of brief intervention based on CRAFFT score.  Guides delivery of brief intervention and referral.  Adolescent Screening, Brief Intervention, and Referral to Treatment for Alcohol and Other Drug Use Using the CRAFFT Screening Tool: Provider Guide CRAFFT 2.0 – Interview and Self-Administered CRAFFT, CRAFFT 2.0, vs. CRAFFT 2.1 CRAFFT vs. CRAFFT 2.0 and 2.1 have only a few but important differences.  Similarities:  Target Population: CRAFFT 2.0 validated with adolescents aged 12-18  All ask about past 12 month substance use  All are two-tiered tools with Part A and B  Part B items remain the same  Scoring remains the same 4

2/14/2019 CRAFFT, CRAFFT 2.0, vs. CRAFFT 2.1 CRAFFT+N 2.1  CRAFFT+N 2.1 similar to other  Revisions now in CRAFFT 2.0 and 2.1: versions  Part A asks about frequency of use  N stands for “nicotine” rather than “Yes/No” questions about  It expands CRAFFT 2.1 beyond use of alcohol or drugs “vaping”  Part A adds examples of substances  Part A includes a 4 th item to assess  Offers revised “Talking Points – 5 R’s use of any tobacco or nicotine in of Brief Counseling” as a tool to guide the past 12 months the BI  Part B remains the same  Revision now in CRAFFT 2.1:  Part A item 3 now includes “vaping” S2BI – “Screening to Brief Intervention” S2BI  Developed by Boston’s Children’s Hospital  Ask the first 3 questions.  STOP if “Never” to all.  Target Population: age 12-17 years old  Otherwise CONTINUE to  Validated as a electronic and paper screening tool remaining 4 questions.  Self-administered or conducted as an interview  7 items assesses the frequency of substance use in the past year Electronic Administration Available:  Categorizes substances into 7 categories https://www.drugabuse.gov/ast/s2bi/#/  Based off of the DSM-5 diagnoses for Substance Use Disorder  Easy to use  Paired with CRAFFT as brief assessment following S2BI Interpreting the S2BI S2BI Algorithm  Frequency of use  Guides next steps in Frequency of using tobacco, alcohol, or Risk Level Brief intervention identified in the first screening and delivery of marijuana 3 questions are used brief intervention and Never No use Positive Reinforcement to assess level of risk referral. for a Substance Use Once or Twice No Substance Use Disorder Brief Advice Disorder and level of Mild/Moderate Substance Use Further assessment, brief Monthly brief intervention. Disorder motivational intervention Further assessment, brief Weekly or more Severe Substance Use Disorder motivational intervention, referral 5