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3/16/17 Webinar Moderator WHEN ONE SIZE DOES NOT FIT ALL: ADDRESSING ISSUES THROUGHOUT AN Tracy McPherson, PhD SBIRT PROJECT LIFE CYCLE Senior Research Scientist Public Health Department NORC at the University of Chicago PRESENTED BY: 4350

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WHEN ONE SIZE DOES NOT FIT ALL: ADDRESSING ISSUES THROUGHOUT AN SBIRT PROJECT LIFE CYCLE

PRESENTED BY: ADRIENNE LINDSEY, MA, DBH CR MACCHI, PH.D., LMFT

March 16, 2017

Webinar Moderator

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

Produced in Partnership…

www.sbirteducation.com

2017 SBIRT Webinar Series

¨ 1/19/17 - Strategies for Incorporating Universal Education

about Healthy Relationships into Clinical Practice to Reduce Substance Use and Intimate Partner Violence

¨ 2/16/17 - Using SBIRT when Intimate Partner Violence has

been Disclosed

¨ 3/2/17 - WINGS: An Evidence-based SBIRT Intervention for

Addressing Partner Violence Among Young Women Who Use Drugs or Alcohol

¨ 3/16/17 - When One Size Does Not Fit All: Addressing Issues

Throughout an SBIRT Project Life Cycle

¨ 4/6/17 - Promoting SBIRT in an Interprofessional Setting with

Vulnerable Populations

¨ 5/4/17 - SBIRT in Various Settings: Differences & Common

Threads

¨ 6/15/17 - Using SBIRT for Problem Gambling in the Military

hospitalsbirt.webs.com/webinars.htm

Download this flyer from our website!

Access Materials

http://hospitalsbirt.webs.com/sbirt-lifecycle

¨ PowerPoint Slides ¨ Materials and

Resources

¨ Recording ¨ Certificate of

Completion

Ask Questions

Ask questions through the “Questions” Pane Will be answered live at the end

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Technical Facilitator

Misti Storie, MS, NCC

Technical Consultant misti.storie@gmail.com www.mististorie.com

Webinar Presenter #1

Adrienne C. Lindsey, MA, DBH

Senior Research Specialist Arizona State University Center for Applied Behavioral Health Policy Adrienne.Lindsey@asu.edu

Webinar Presenter #2

C.R. Macchi, PhD

Clinical Associate Professor and Associate Chair of Internship Programs with the Doctor of Behavioral Health Program Arizona State University crmacchi@asu.edu

A Roadmap for Program Development, Implementation, and Sustainability

Milestones in a Project Life Cycle Model of Project Lifecycle

ASU SBIRT Collaborative Model Theories of Change

Project Lifecycle Dimensions Diffusion of Innovations (Rogers, 2002) Implementation Outcomes (Proctor, 2011) Technology Transfer (ATTC, 2011) Needs Assessment Trialability Appropriateness Feasibility n/a Information Dissemination Knowledge Persuasion Penetration Dissemination Implementation Implementation Institutionalization Implementation Sustainability Confirmation Sustainability n/a

Roadmap of Project Lifecycle

ASU SBIRT Collaborative Model

Project Lifecycle Phases Questions Asked Activities Phase 1: Needs Assessment Does this fit for us? How? Council of Directors (COD) model Site visits Crosswalk of program vernacular Phase 2: Information Dissemination How will we get the information to the people who need it? Program website BRIDGE meetings Web-based simulations Phase 3: Implementation How will we determine that the innovation is available @ ASU? Course infusion On-campus clinics Phase 4: Sustainability What is needed for the innovation to continue @ ASU? SBIRT-infused syllabi Program website Campus clinics

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PHASE 1 NEEDS ASSESSMENT

Key Questions & Considerations

¨ What does SBIRT implementation in pre-service

education look like, compared to community-based workforce development?

¨ How do we develop a comprehensive

implementation and evaluation plan that works for five unique academic disciplines?

¨ Where do we see similarities in departmental

needs? Where do we see variation?

¨ How can we learn from different department’s

approaches to SBIRT implementation in academic programming?

Council of Directors

¨ panel made up of project co-investigators and

respective department heads from participating academic units

¨ serve as a steering committee guiding program

and evaluation activities

¨ forum for discussing individual

department needs and collective needs

Program Site Visits

¨ conducted academic department site visits, between

COD meetings, to identify adaptations needed for each academic unit

¨ participants

  • department heads
  • key department faculty
  • program/implementation team

¨ purpose

  • learn about the intricacies of each academic unit (i.e.,

plans of study, licensing requirements, student body makeup)

Establishing a Common Language

Social Work Behavioral Health Nursing Psychology Counseling Instructors

  • Asst/Assoc/Full

Professor

  • Faculty Associate
  • Clinical Asst/Assoc

Professor

  • Lecturers
  • Clinical Asst/Assoc

Professor

  • Faculty Associate
  • Asst/Assoc/Full

Professor

  • Specialty

Coordinators (e.g., Pediatrics)

  • Instructor
  • Asst/Assoc/Full

Professor

  • Faculty Associate
  • Clinical Asst/Assoc

Professor

  • Asst/Assoc/Full

Professor

  • Faculty Associate
  • Clinical Asst/Assoc

Professor Field Liaisons (internal to ASU)

  • Field Liaison
  • Clinical Consultant • Specialty

Coordinator

  • Director of Center • Internship

Coordinator Clinical Supervisors (external to ASU)

  • Field Instructor
  • Medical Preceptor
  • Site Liaison
  • Preceptor
  • Placement

Supervisor

  • Site Supervisor
  • Clinical Supervisor

Practice Sites

  • Field Placement
  • Internship Site
  • Clinical Site
  • Clinical Placement
  • Clinical

Psychology Center

  • Internship Site
  • Field Placement
  • Counseling

Training Center Related Courses

  • Field Practicum
  • Clinical Internship • Clinical Practicum
  • Clinical Residency
  • Clinical Practicum
  • Advanced

Treatment Methods courses

  • Practicum Seminar
  • Practicum Clinic
  • Internship

PHASE 2 INFORMATION DISSEMINATION

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Key Questions & Considerations

¨ What are the most effective and efficient means of

providing training and resources?

¨ What is the frequency with which information

should be provided?

¨ How can we maximize reach and accessibility to

training for both on-ground and online students?

¨ How do we achieve SBIRT learning in fully online

programs?

Program Website BRIDGE Meetings

Building Resources & Interconnections to Disseminate & Gain Expertise

¨ BRIDGE meetings are interdisciplinary faculty networking events that…

¤ provide resources on the theory and implementation of SBIRT ¤ foster collaboration among health-related academic units ¤ solicit feedback on how to better integrate SBIRT into each

department

¨ BRIDGE meetings goals

¤ support infusion of SBIRT into five ASU clinical degree programs and

related field experiences

¤ ensure students receive adequate SBIRT dosage and practice activities

¨ BRIDGE meeting objectives

¤ train faculty on SBIRT principles ¤ share SBIRT resources ¤ build interdisciplinary collaboration

Email Newsletters Online Training Tools

¨ ATTC Foundations of SBIRT course ¤ increase user knowledge base and application of

information

¨ Kognito avatar patient simulation ¤ multi-path role plays with feedback ¨ Motivational Interviewing ¤ patient simulation with

real-time feedback

PHASE 3 IMPLEMENTATION

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Key Questions & Considerations

¨ How do we achieve the greatest student exposure

to the SBIRT model?

¨ How can we maximize classroom learning? ¨ How can we maximize practice-based/clinic-based

applications?

¨ What resources will support skill development?

Facilitated Dissemination via SBIRT Champions

Level 2 Champions: ASU Faculty

BH clinical psych counsel psych nursing social work clinical sup.

Level 3 Champions: Practicum/Internship Supervisors

social work students

Level 4 Champions: ASU Graduates and Community-Based Providers

behavioral health students clinical psych. students counseling students nursing students

social workers nurses counselors clinical psych. BH

social work students nursing students counseling students behavioral health students clinical psych students

Level 1 Champions: Council of Directors clinical sup. clinical sup. clinical sup. clinical sup.

SBIRT Course Infusion

utilized multi-level approach to course and curricula infusion:

¨ existing required courses ¨ existing course electives (e.g. Substance Abuse

Treatment courses)

¨ Objective Structured Clinical Examination

(OSCE) for Nursing and Behavioral Health programs

¨ informal cross-listing of courses ¨ incorporation into master syllabi ¨ internship consultation groups

Campus-Based Training Clinics

¨ SBIRT infusion into five ASU on-campus student

training clinics

¨ three-fold purpose 1.

serve as an SBIRT training site for university students

2.

expose clinic clients to SBIRT services

3.

enhance sustainability of SBIRT efforts given university control of clinics (versus community-based clinics)

Clinic Tools and Resources

¨ patient/client reference rulers ¨ validated screening tools ¨ student field placement ¤ case consultations ¤ reporting processes

PHASE 4 SUSTAINABILITY

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Key Questions & Considerations

¨ What are the critical components of the initiative? ¨ What will support continued collaborations after

the grant period ends?

¨ How will SBIRT become institutionalized? ¨ What policies and practices need to be in place

for sustainability?

“Is that sustainable?”

Curriculum & Clinic Sustainability

¨ master syllabi with stated learning objectives ¨ course assignment rubrics and case studies ¨ on-campus clinic policies

and procedures

¨ web-based internship

tracking systems

¨ program website

Thank You!

Adrienne Lindsey, MA, DBH Research Specialist Senior

adrienne.lindsey@asu.edu

C.R. Macchi, PhD, LMFT Clinical Associate Professor

crmacchi@asu.edu

Ask Questions

Ask questions through the “Questions” Pane Will be answered live at the end

In Our Last Few Moments…

¨ PowerPoint Slides ¨ Certificate of

Completion

¨ On Demand

Recording

¨ Evaluation Survey ¨ Follow-up Email

http://hospitalsbirt.webs.com/sbirt-lifecycle

SBIRT Technical Assistance

Do you have questions about SBIRT implementation, evaluation, or training? Schedule a free telephonic Technical Assistance session with Tracy McPherson, co- lead of The BIG SBIRT Initiative.

Email Dr. McPherson at esap1234@gmail.com

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Thank You for Attending!

www.sbirteducation.com