205189 Substance Abuse and Mental Health Services Administration (SAMHSA)'s Center for Substance Abuse Treatment (CSAT) Screening, Brief Intervention and Referral to Treatment (SBIRT) cross-site evaluation preliminary findings: Implementation and sustainability

Monday, November 9, 2009: 1:06 PM

Suzanne Gelber, PhD , The Avisa Group, Berkeley, CA
Thomas Babor, PhD , Dept of Community Medicine and Health Care, University of Connecticut, Farmington, CT
Amanda Gmyrek, PhD , JBS International, Inc., North Bethesda, MD
SAMHSA/CSAT funded an initiative to help expand States' continuum of care to include SBIRT in general medical and other community settings (e.g., community health centers, hospitals, and emergency departments). In FY2005, six States and a tribal organization received SAMHSA co-operative grant funding to implement the SBIRT program in selected sites. As part of this effort, a cross-site evaluation of the SBIRT initiative is being conducted to study its impact on the existing treatment system, as well as on the outcomes of patients who receive SBIRT services. This presentation will focus on preliminary findings regarding the implementation and sustainability of SBIRT in the States/tribal organization included in the evaluation. SBIRT key stakeholder, administrators, and practitioners were interviewed and asked address what the prospects for the widespread adoption and long-run sustainability of SBIRT within the specialty treatment system and within the general medical system. In addition, they were asked what the major barriers to widespread adoption are. Results will present preliminary findings of SBIRT implementation and sustainability from the perspective of health professionals and administrators (e.g., desire to continue SBIRT but need to determine most appropriate SBIRT delivery approaches and associated financial costs), challenges that are unique to types of health care setting (e.g., community clinics versus emergency departments), as well as the importance of recognizing the diverse range of stakeholders, leadership styles and resources that impact SBIRT implementation and sustainability. In addition, recent information on the impact of SBIRT billing codes on the implementation and sustainability will be presented.

Learning Objectives:
1. Describe the implementation of SBIRT in diverse healthcare settings. 2. Discuss barriers to implementing and sustaining SBIRT in health care settings, and list strategies for how best to address challenges to implementing and sustaining SBIRT. 3. Discuss the results of this SBIRT study and its impact on implementation and sustainability of SBIRT, 4. Identify how the results of this study can be applied to State, county and local health policies and programs.

Keywords: Substance Abuse Treatment, Evaluation

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have read the APHA policy on full disclosure and I declare that: I wish to disclose that I have NO financial interests or other relationship with the manufacturers of commercial products, suppliers of commercial services or commercial supporters WITH THE EXCEPTION THAT JBS International, Inc., RTI, Inc., the University of Connecticut, and The Avisa Group and were funded by the Center for Susbstance Abuse Treatment, Substance Abuse and Mental Health Services Administration to be part of a cross-site evaluation team to conduct a cross-site evaluation of CSAT’s SBIRT grantees.
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.