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Indiana Prevention Resource Center (IPRC)

Indiana Prevention Resource Center efforts help screen 78,000 Hoosiers for risks associated with alcohol and substance use

In 2011 the Indiana Prevention Resource Center (IPRC) and the Indiana State Division of Mental Health and Addiction wrote a grant proposal to implement Screening, Brief Intervention, and Referral to Treatment (SBIRT), an evidence-based practice used to identify, reduce, and prevent problematic alcohol and drug use. This proposal resulted in the State of Indiana being awarded $8.3 million grant through the Substance Abuse and Mental Health Services Administration (SAMHSA) to integrate SBIRT into primary healthcare centers across the state. The IPRC led this state-wide initiative for the past five years, and has worked with 22 Federally Qualified Health Centers (FQHCs), Rural Health Centers (RHCs), and Community Health Centers (CHCs) to implement SBIRT. As a result of this grant, 118,886 pre-screenings were conducted representing 78,364 unique patients that were screened for alcohol and substance use at their annual primary care appointment.

Mallori DeSalle, Indiana SBIRT Outreach Coordinator and Lead Trainer, explained “Because patients are often not routinely asked about their alcohol and substance use, they may be missing out on services that could improve their overall health.” During the summer of 2016, Indiana SBIRT wrapped up the five-year grant with a state-wide awareness building campaign called “Summer of SBIRT.” The campaign was highlighted through public events for behavioral health and medical professional and communications with healthcare organizations. A significant part of the campaign was the distribution of SBIRT resources to raise awareness of SBIRT as well as a state-wide training series to build workforce development.

The SBIRT resource distribution project resulted in over 1,000 “SBIRT kits” (containing resources and information on SBIRT) being provided to healthcare and mental health care facilities in all 92 counties within Indiana. Nearly 100 SBIRT kits were delivered to the Indiana National Guard for use with their service members. The training series consisted of a total 19 SBIRT trainings, available to participants at no cost. These trainings were strategically placed in all regions of the state, reaching over 300 participants. To meet the needs of the SBIRT workforce, three levels of training were offered. DeSalle said “Because we’ve been promoting and implementing SBIRT throughout the state over the past five years, we determined that offering a variety of trainings would best serve the varying levels of SBIRT experience and knowledge of the healthcare workforce.” The Indiana SBIRT team offered a total of nine hour-long SBIRT overviews. The purpose of these trainings was to raise awareness of SBIRT for healthcare and mental healthcare professions who have little to no experience or knowledge on SBIRT. The brief one hour presentations raised awareness about preventing risky or harmful alcohol or drug use. DeSalle explained “Alcohol misuse doesn’t have to exacerbate health problems. SBIRT can be done within any health or mental healthcare visit. ”

Also offered were six eight-hour SBIRT Provider Trainings, aimed at training professionals who may have a direct role in the delivery of SBIRT services how to “do” SBIRT. This training allowed participants to practice administering the SBIRT screening tools and delivering brief interventions, while receiving coaching and feedback from Indiana SBIRT’s expert trainers.

The Indiana SBIRT team also delivered four Training of Trainers events. The goal of this training was to teach participants how to deliver the eight hour SBIRT provider training curriculum to staff within their organization. The Indiana SBIRT team discussed the importance of sustainability of SBIRT and allowed organizations to have staff in-house who are responsible for training employees in SBIRT. This reduces the barrier of having to hire an outside organization to train staff and/or provide refresher courses to existing staff.

The Indiana SBIRT concludes on August 31, 2016, however, resources will continue to be available to healthcare organizations, professionals and patients that are curious about better understanding how alcohol or substance risks influence health and wellness. To find out more about SBIRT visit: www.indianasbirt.org.

About Indiana SBIRT

Indiana SBIRT is a statewide prevention initiative led by the Indiana Prevention Resource Center under a contract with the Indiana Family and Social Services Administration Division of Mental Health and Addiction. It is funded through a federal grant from the Substance Abuse and Mental Health Services Administration. Since 2012, the Indiana SBIRT team has been working toward the expansion of SBIRT services to reach all regions of the state, having an impact on a variety of diverse communities. SBIRT services are now available in all four corners of the state, as well as throughout Central Indiana.

About the Indiana Prevention Resource Center

The Indiana Prevention Resource Center is funded, in part, by a contract with the Indiana Family and Social Services Administration Division of Mental Health and Addiction, financially supported through U.S. Health and Human Services Substance Abuse Mental Health Services Administration, the Center for Substance Abuse Prevention and the Substance Abuse Prevention and Treatment Block Grant program. The center is operated by the Department of Applied Health Science at Indiana University School of Public Health-Bloomington. It is affiliated with the school’s Institute for Research on Addictive Behavior.

About the Indiana University School of Public Health-Bloomington

The IU School of Public Health-Bloomington is reimagining public health through a comprehensive approach that enhances and expands disease prevention and reshapes how parks, tourism, sports, leisure activities, physical activity and nutrition impact and enhance wellness. Unique in the nation, the school’s multidisciplinary approach, history of community engagement and emerging strengths in epidemiology, biostatistics and environmental health bring new vigor and energy to the traditional concept of a school of public health. With nearly 3,000 students in an array of undergraduate and advanced degree programs and more than 130 faculty in five academic departments, faculty and students conduct research, learn, teach and engage with communities across a broad spectrum of health, wellness and disease-prevention topics.

For more information on SBIRT, contact Mallori DeSalle, Outreach Coordinator and Lead SBIRT Trainer at 812-855-1237, or mdesalle@indiana.edu.

By Mallori DeSalle. 9/1/2016