1. IMPLEMENTING SBIRT IN A SCHOOL POPULATION
The Northampton Public Schools Experience

2. IMPLEMENTING SBIRT IN A SCHOOL POPULATION
Karen Jarvis-Vance, BSN, RN, NCSN
Director of Health Services, Health Education and Safety
Northampton Public Schools
Program Director, Northampton Prevention Coalition

3. SBIRT: Screening Brief Intervention and Referral to Treatment
evidence-based
gives health care providers skills to discuss health behavior changes with their patients 
proven to be particularly effective at motivating individuals to change harmful substance use
Based in research
using SBIRT as an early intervention can reduce risky alcohol and drug use before it leads to more severe consequences or dependence
Proactive, not just reactive

4. SBIRT: Screening Brief Intervention and Referral to Treatment
Determines the severity of substance use
Brief Intervention
Builds motivation through collaborative conversation using Motivational Interviewing techniques
Can reduce resistance to change
Helps patients realize their own reasons and motivations to make healthy choices.
Referral to Treatment
Directly links patient with appropriate, requested services
Minimizes outward barriers to seeking services Creates an environment for success

5. NPS PROTOCOL Universal screen-all 9th grade students
Parental education, notification and opt-out
Paper screen, student opt-out
Non-use: positive reinforcement
Score lower than 2: motivational interview
Score greater than or equal to 2: referral for follow-up
Outside referral resources at the ready
Issues of confidentiality and
documentation

6. Screening Tool: CRAFFT
Part A (Pre-Screen)
During the PAST 12 MONTHS, did you:
1. Drink any alcohol (more than a few sips)?
2. Smoke any marijuana or hashish?
3. Use anything else to get high? (“anything else” includes illegal drugs, over the counter and prescription drugs, and things that you sniff or “huff”)
Part B (CRAFFT)
1. Have you ever ridden in a CAR driven by someone (including yourself) who was “high” or had been using alcohol or drugs?
2. Do you ever use alcohol or drugs to RELAX, feel better about yourself, or fit in?
3. Do you ever use alcohol or drugs while you are by yourself, or ALONE?
4. Do you ever FORGET things you did while using alcohol or drugs?
5. Do your FAMILY or FRIENDS ever tell you that you should cut down on your drinking or drug use?
6. Have you ever gotten into TROUBLE while you were using alcohol or drugs?

7. THE SCREENING TOOL

8. NPS SCREENING RESULTS MAY 2013
229 total freshman
7 opted out by parents; 1 opted self out
24 with positive pre-screen:(when noted) 11 for alcohol, 5 alcohol + MJ, 1 for marijuana, 0 other
Of those screened in, 5 with positive CRAFFT
25 brief interventions (mostly around the “C”)
4 referrals to in-school counseling; 1 already under care
196 students received information and/or positive reinforcement

9. NPS SCREENING RESULTS MAY 2014
226 total freshman
6 opted out by parents
18 with positive pre-screen; (when noted) 4 for alcohol, 8 for marijuana, 6 both alcohol and MJ, 0 other
36 brief interventions (mostly around the “C”)
Of those screened in, 1 with positive CRAFFT
1 referrals to in-school counseling; already under care
191 students received information and/or positive reinforcement

10. POST-TEST RESULTS 162 STUDENTS SURVEYED ANONYMOUSLY
About the same: 83%
More likely: 11%
Less likely: 6%

11. POST-TEST RESULTS
About the same: 68%
More likely: 5%
Less likely 27%

12. POST-TEST RESULTS Not at all honest: 9% Honest some of the time: 5%
Mostly honest: 13%
Completely honest: 73%

13. Questions?
Comments?
Thank You! 13