12/6/18 Webinar Presenter ADOLESCENT SUBSTANCE USE SCREENING TOOLS: A REVIEW OF Tracy McPherson, PhD BRIEF VALIDATED TOOLS Senior Research Scientist Public Health Department NORC at the University of Chicago HOSTED BY: ADOLESCENT SBIRT PROJECT, NORC at THE UNIVERSITY 4350 East West Highway 8th Floor, OF CHICAGO, & THE BIG SBIRT INITIATIVE Bethesda, MD 20814 esap1234@gmail.com Produced in Partnership… 2018-2019 SBIRT Webinar Series ¨ Adolescent Substance Use Screening Tools: A Review of Brief Validated SBIRT Screening, Brief Intervention, and Referral to Treatment (SBIRT) WEBINAR Tools is a comprehensive, integrated, public SERIES health approach to the delivery of early intervention for individuals with risky LIVE EVENTS and alcohol and drug use, and the timely referral to more intensive substance ON DEMAND RECORDINGS abuse treatment for those who have www.sbirt.webs.com/webinars substance abuse disorders. ¨ Integrating Suicide Prevention into the SBIRT Model 2018-2019 Schedule ON DEMAND WEBINAR TOPICS 6 Adolescent Substance Use WATCH ANY ON DEMAND RECORDING FOR FREE AT YOUR CONVENIENCE! Screening: A Review of Brief • Intro • Adolescents • Clinical Training • College Students • Implementation DECEMBER • Motivational Interviewing • Nurses • Opioids • Primary Care • Screening Tools 2018 Validated Tools • Social Workers • Suicide • Teens • Trends • Vulnerable Populations • Young Adults ¨ Primary Care Professionals' Readiness to Integrate Behavioral Health: A 24 Integrating Suicide All webinars held throughout the month on Prevention JANUARY into the SBIRT Model Thursdays @ 1pm ET (12CT/11MT/10PT) 2019 National Survey • Free live events held several times per month and 24/7 on demand viewing 28 Primary Care Professionals' • Watch from work, home, or on the go! Readiness to Integrate • Only need a computer/internet connection or a smartphone (compatible with PC, FEBRUARY Behavioral Health: Mac, iPad, iPhone, Android) 2019 A National Survey • Expert presenters from across the country 14 Adolescents, Young Adults • Free Certificates of Attendance for everyone • Ideal for nurses, social workers, mental health counselors, substance use and Opioid Use: When Is It a professionals, medical professionals, professional counselors, psychologists, 2019 MARCH Problem? What to Do? employee assistance professionals, and other helping professionals that are ¨ Adolescents, Young Adults and Opioid Use: When Is It a Problem? What to interested in learning about SBIRT Adolescent Substance Use: • Use with clinical supervision or watch together with your colleagues 18 Contemporary Trends in APRIL 2019 Prevention and Treatment Do? 23 Integrating Adolescent SBIRT Education into Health MAY Professional Training: 2019 Findings from A National Effort to Prepare the Next Workforce. Produced in partnership with the Adolescent ¨ Adolescent Substance Use: Contemporary Trends in Prevention and SBIRT Project, NORC at the University of Chicago, and the BIG Initiative, and sponsored by the Conrad N. Hilton Foundation. Treatment More info, descriptions, learning objectives, PowerPoint slides, presenter biographies, and webinar recordings: www.sbirt.webs.com/webinars ¨ Integrating Adolescent SBIRT Education into Health Professional Training: www.sbirt.webs.com sbirtteam@norc.org Findings from A National Effort to Prepare the Next Workforce Download this flyer from our website! https://sbirt.webs.com/webinars Access Materials Ask Questions ¨ PowerPoint Slides ¨ Materials and Resources ¨ On Demand Access 24/7 ¨ Certificate of Attendance ¨ Evaluation Survey http://sbirt.webs.com/adolescent-screening Ask questions and modify Audio Settings through the “Questions” pane of your GoToWebinar Control Panel on your computer or mobile device. 1
12/6/18 Learning Objectives Learner’s Guide to Adolescent SBIRT Curriculum ¨ Learn about brief validated screening tools to identify adolescent ¨ The education presented in this session alcohol and other substance use. complements the Learner’s Guide to ¨ Identify and gain access to free materials and resources available to Adolescent SBIRT Module 2 on Screening support health professional training on adolescent screening, brief Tools for Adolescent SBIRT. intervention, and referral to treatment. ¨ Request a copy here: https://sbirt.webs.com/curriculum SBI with Adolescents Simulation Learner’s Guide to Adolescent SBIRT ¨ Comprehensive introduction to SBIRT for adolescents and young adults. ¨ Examines each component of SBIRT and ¨ The education presented in this session motivational interviewing skills. complements the SBI with Adolescents ¨ Each module includes: online simulation training. ¤ Comprehensive Education and Training Content ¤ Learning Objectives ¤ Suggested Readings ¤ Sample Conversations and Dialogue Module 1 What is SBIRT for Youth and Why Use ¨ Watch Trailer and Take Demo: ¤ Role Play Activities it? https://kognito.com/products/sbi-with- Module 2 Screening ¨ Used as part of education and training, and paced learning. Module 3 Brief Intervention adolescents Module 4 Referral to Treatment and Follow-up Module 5 Motivational Interviewing Strategies https://sbirt.webs.com/curriculum Online Resources and Materials Learn More About The Toolkit § SBIRT for Youth Learning Community: Adolescent SBIRT Toolkit (on-demand): http://my.ireta.org/node/1173 https://sbirt.webs.com/resources 2
12/6/18 AAP and AMA Clinical Guidelines Screening Tools ¨ CRAFFT ¨ CRAFFT 2.0 The American Academy of Pediatrics and the American Medical Association recommend that pediatricians and other health care ¨ CRAFFT 2.1 providers who work with children and adolescents conduct routine ¨ CRAFFT-N 2.1 substance use screening and brief interventions using motivational ¨ S2BI interviewing techniques and that they be familiar with a network of ¨ APA Emerging Measures treatment providers should an outside referral be necessary. ¨ BSTAD CRAFFT Original Version CRAFFT ¨ 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: https://ceasar.childrenshospital.org/crafft/ ¨ 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 . CRAFFT Original Version CRAFFT Original – Interview and Self-Administered Asks age-appropriate questions about risky alcohol and drug use . 3
12/6/18 Scoring and Interpreting the CRAFFT CRAFFT Interpretation and Intervention Guidance ¨ Guides delivery of brief intervention based on CRAFFT score. 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 Algorithm CRAFFT 2.0 – Interview and Self-Administered ¨ 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, CRAFFT 2.0, vs. CRAFFT 2.1 CRAFFT, CRAFFT 2.0, vs. CRAFFT 2.1 CRAFFT vs. CRAFFT 2.0 and 2.1 have only a few but important differences. 4 ¨ Revisions now in CRAFFT 2.0 and 2.1: ¨ Similarities: ¤ Part A asks about frequency of use ¤ Target Population: CRAFFT 2.0 validated rather than “Yes/No” questions about with adolescents aged 12-18 use of alcohol or drugs ¤ All ask about past 12 month substance use ¤ Part A adds examples of substances ¤ All are two-tiered tools with Part A and B ¤ Offers revised “Talking Points – 5 R’s ¤ Part B items remain the same of Brief Counseling” as a tool to guide ¤ Scoring remains the same the BI ¨ Revision now in CRAFFT 2.1: ¤ Part A item 3 now includes “vaping” 4
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