240981 Behavioral and Primary Care integration through SBIRT implementation in urban FQHC/CBO settings

Wednesday, November 2, 2011: 8:30 AM

Kathye Gorosh, MBA , New Age Services, Chicago, IL
Charles Sellers, MBA, MSEd , New Age Services, Chicago, IL
Robert Lloyd, CADC , New Age Services, Chicago, IL
Issues: Behavioral and primary health care providers have long faced the challenges of treating patients with co-occurring disorders. Integration of behavioral and primary care is a key component of health reform which pushes for an integration of services that is essentially non-existent. These issues, coupled with the knowledge that intervention at early stages for behavioral health conditions has proven to be cost effective, has lead providers to consider SBIRT as an effective model for service integration. Description: New Age Services is collaborating with FQHC's and a CBO to implement an SBIRT program in multiple urban clinic settings. The collaboration was designed to provide identified patients the SBIRT screening and receive a brief intervention and/or a direct referral in a single trip to the FQHC/CBO. The project will provide service to 940 patients annually. Lessons Learned: Integration of substance use and primary care through SBIRT resulted in reduced substance use and utilization of associated health services. Barriers to implementation were due to unforeseen issues raised through the blending of multiple service systems. Issues of confidentiality, liability and documentation of services were common obstacles, due primarily to the individual policies and regulatory requirements for which each provider is responsible. Recommendations: Early identification of barriers is key to ensuring efficient project implementation. Identified issues will be addressed as the project expands to new sites and new collaborative partners. This will enable the agency to comprehensively provide services along a continuum of care, addressing health disparity issues common in an urban environment.

Learning Areas:
Chronic disease management and prevention
Program planning
Social and behavioral sciences

Learning Objectives:
Identify implementation challenges for providing SBIRT services in a community clinic setting. Evaluate the effectiveness of SBIRT implementation through analysis of key outcomes: reduction substance use and related health services. Define collaboration guidelines that allow disparate service systems to provide integrated care.

Keywords: Substance Abuse, Health Reform

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I work directly in the field of Behavioral Health and in Public Health for over 20 years. Extensive Program Planning and Implementation experience.
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.