186456 Massachusett's experience with federal, state, and insurance funded SBIRT projects

Tuesday, October 28, 2008

Karen Pressman, MS, LCSW, CADAC , Bureau of Substance Abuse Services, Massachusetts Department of Public Health, Boston, MA
Michael Botticelli, MEd , Bureau of Substance Abuse Services, Boston, MA
Daniel Alford, MD , Boston Medical Center, Boston, MA
Carol Girard , Bureau of Substance Abuse Services, Massachusetts Department of Public Health, Boston, MA
Mary Brolin, PhD , Schneider Institute for Health Policy, Brandeis University, Waltham, MA
Theresa Kim, MD , Boston Medical Center, Boston, MA
One major area of focus in MA Bureau of Substance Abuse Services' (BSAS) 2005 Strategic Plan is to: “Expand screening, assessment and referral activities.” To this end, Massachusetts has implemented three separate Screening, Brief Intervention, Referral and Treatment (SBIRT) initiatives: 1) the state applied for and became a SAMHSA SBIRT grantee in 2006. The MASBIRT project, a collaborative effort with Boston Medical Center (BMC), is in its 2nd year and is screening on inpatient floors, in hospital EDs, in primary care settings, affiliated Community Health Centers and an affiliated hospital; 2) MA funded the Boston University School of Public Health BNI-ART Institute to implement a SBIRT model in 6 hospital emergency departments across the state; and 3) In collaboration with the DPH Bureau of Family and Community Health, the BSAS funded 32 community health centers across the state to implement SBIRT in clinics for women of childbearing age and adolescents. Each of these projects requires different implementation, capacity development, and change management strategies. This presentation will focus on the strategies for implementation and sustainability for various SBIRT models; leveraging of funding, knowledge and technology development in each project; and lessons learned.

Learning Objectives:
have a basic understanding of implementation and sustainability of different SBIRT models in various settings, with state or federal funds learn some implementation obstacles and lessons, and the pros and cons for sustaining the various models understand the importance of planning and policymaker support

Keywords: Substance Abuse, Screening

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: As the Director of Program Planning and Development for the MDPH Bureau of Substance Abuse Services, I oversee the training and conference activities for the Bureau and present on various topics as a representative of the state.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.