1. Implementing SBIRT in a School Setting December 15, 2015 Welcome! We’ll start the webinar at 3:47pm. In the meantime, use the chat to tell us your name, what organization you’re with, and where you’re from!

2. Technical Details 2

3. General Housekeeping Submit questions in the questions box at any point during the webinar Opportunity to ask questions live at the end of webinar. Must have audio (telephone or mic) enabled Copy of this powerpoint will be sent out following the webinar and is available at www.uhcanohio.org now Webinar is being recorded

4. Presenters Deb Robison, MA, LSW Supervisor, Family and Student Services Norwood City Schools Kathy M. Strasser, RN, MS, NCSN School Nurse Norwood City Schools Kathleen Gmeiner, JD, MHSA UHCAN Ohio Director, Somebody Finally Asked Me! Campaign

5. What is UHCAN Ohio? UHCAN Ohio is a statewide healthcare advocacy organization whose mission is to achieve high quality, accessible, affordable health care for all Ohioans. With offices in Columbus, Cincinnati and Cleveland it works on issues of access to health care, health system transformation and population health, across the age spectrum.

6. What is the Somebody Finally Asked Me! Campaign? Somebody Finally Asked Me! Campaign seeks to spread the use of Screening, Brief Intervention and Referral to Treatment (SBIRT) in youth settings throughout Ohio, particularly schools. It is funded by the Conrad N. Hilton Foundation and provided guidance and technical support by Community Catalyst’s True Talk: Power of Prevention project.

7. Leadership Team of Somebody Finally Asked Me! Children's Defense Fund-Ohio PreventionFIRST! (Greater Cincinnati) Collegiate Recovery Community, Ohio State University Interact for Health (Southwest Ohio) Ohio Citizen Advocates for Addiction Recovery UHCAN Ohio Urban Minority Alcoholism and Drug Abuse Outreach Program (Cincinnati and Columbus) Voices for Ohio’s Children

8. School Settings in U.S. Doing SBIRT (not exhaustive) Baltimore, Maryland Gloucester, Massachusetts New Hampshire New Mexico New York City, Long Island, Rochester area Lima, Ohio Norwood, Ohio Wisconsin

9. READY-SET-SBIRT! NORWOOD CITY SCHOOLS, NORWOOD OHIO

10. PLANNING Assemble the School and Community Team Norwood Health Department Norwood City Schools Nurse Norwood City Schools Family and Student Services Talbert House-Local Mental Health Substance Abuse Agency Prevention First!-Regional Center for Prevention Science Interact for Heath-Funding Partner

11. PLANNING The planning process Creating buy-in with the school system Creating buy-in in the community Parent permission Recording and Information Sharing Scheduling screenings and referring to services Sustainability

12. TRAINING Motivational Interviewing and SBIRT Questions One day workshop Trained School Nurse, Health Aides, Social Workers, Health Department Nurse and Talbert House Therapists Role playing exercises Training by Consultant from Ohio Department of Mental Health and Addiction Services (OMHAS) We created sustainability in the program by training Many individuals

13. IMPLEMENTATION Screened all 6 th through 9 th grade students Encouraged to continue making good choices and given a copy of 20 Reasons Referred for Brief Intervention with our Therapist Referred for Treatment with our Therapist or outside agency

14. OUTCOMES Total screened606 6 th grade141code 0-141 7 th and 8 th 265code 0-263code 1-2code2-0 9 th grade200code 0-174code 1-26*code 2- 0 * 9 of these students were then referred for treatment **2 were opened

15. REFLECTIONS This is a simple program- but simple is not always easy Having more than one screener is optimal Our medical staff were not as comfortable as our social work staff with motivational interviewing We did not do as well as we had hoped with the Brief Intervention portion of the project We had set up a space in our Student Information Database to record for last year, but forgot to set it up so we could record each year Prevention First! Developed a toolkit to help other schools launch SBIRT

16. Resources Institute for Research, Education and Training in Addictions (IRETA) http://ireta.org/http://ireta.org/ Practioner’s Guide (NIAAA) http://www.niaaa.nih.gov/Publications/EducationTrainingMaterials/Pages/YouthGuide.as px http://www.niaaa.nih.gov/Publications/EducationTrainingMaterials/Pages/YouthGuide.as px Massachusetts Bureau of Substance Abuse Services SBIRT: A Step-By-Step Guide http://www.masbirt.org/sites/www.masbirt.org/files/documents/toolkit.pdf http://www.masbirt.org/sites/www.masbirt.org/files/documents/toolkit.pdf New York http://www.oasas.ny.gov/adMed/sbirt/index.cfmhttp://www.oasas.ny.gov/adMed/sbirt/index.cfm Ohio http://mha.ohio.gov/Default.aspx?tabid=665http://mha.ohio.gov/Default.aspx?tabid=665

17. Questions? Use the “Questions” Box to submit your question on the Go-To-Webinar toolbar

18. For More Information Kathleen Gmeiner kgmeiner@uhcanohio.org 614-456-0060 x223 Deb Robison Robison.D@norwoodschools.org UHCAN Ohio @UHCANOhio @KathleenOCHC A copy of this powerpoint will be sent to you in a follow—up email www.uhcanohio.org Kathy M. Strasser Strasser.K@norwoodschools.org www.norwoodschools.org