Voices from the Field

5/16/2016
SBIRT
Screening, Brief Intervention,
Referral to Treatment
Karen Rufo
Natick Public Schools
March 1, 2016
Stakeholders
• Administration
• School Committee
• Parents
• School Staff
•
•
•
•
SBIRT TEAM
PE Teachers
Guidance
Front Office Staff
• Students
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SBIRT Timeline in Natick
Discussed SBIRT with the Superintendent (March 2014)
Identify and Assemble the Natick SBIRT Team
Training from the Mass SBIRT Team (June 2014)
Construct SBIRT Action Plan (Summer 2014)
Draft SBIRT Policy and Procedure (Summer 2014)
Presentation to School Committee (October 2014)
Review Training with Mass SBIRT Team (October 2014)
Letters mailed home to parents, followed up by email blast
for “opt out” by December 9, 2014
o SBIRT Screening Grade 9 (December 14th and 17th, 2014)
o
o
o
o
o
o
o
o
Logistical Planning
1. Unite SBIRT Team- coordinate screening dates
2. Secure private places to do screenings
3. Set meeting date with Guidance at conclusion
of the screenings
4. Screenings are done in PE Class-Coordinate date
with PE Staff
5. Secure Sub Nurse for clinic
6. Nurse Leader develops Screening Schedule
7. Nurse Leader explains screening to students at
start of class, introduces SBIRT Team
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Scheduling
o Done by SBIRT Coordinator
o Completed week prior to screening
o Shared with SBIRT Team for any changes –
change student lists in certain situations
o Schedule includes staff screening room location
RED DAY would be December 14th
RED DAY
TIME
# of
students
STAFF
in class Teacher Unavailable
BLOCK 1
8:15-9:35 AM
BLOCK 2
9:40- 11:00 AM
30
Perkins
BLOCK 3
11:05-12:52
PM Lunch is
12:30 to 12:52
25
Hoye
BLOCK 4
12:57-2:17 PM
24
Hoye Andrea
Students Whose Parents
Opted them out of
screening
Annette
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5/16/2016
Katie's Office
Practice Room 149C
Nurse's Office
Katie
Annette
Barbara
12/14/2015 Perkins
Jim Jones
Block 2
9:45 to 11:00
Suzy Creamcheese
Mike Magicson
Sara Seaweed
Ali Brown
Katie Crew
Christian Cookie
Sam Blue
Brian Bank
Mary Market
Adam Angry
Cat Cooke
Diane Deen
Nancy Nun
Harry Hoagie
Lee Mark
Debbie Downer
Jerry Jury
Paul Peterson
Ron Rione
Francis Fake
Mickey Jordon
Donald Duck
Annabelle Disney
Ellie Mae Smith
Walter Gumbel
Tom Gronk
Gerald Flute
Tommy Trombone
Samantha Saxe
Jethro Clampett
Brady Sokie
Fred Flute
12/14/15 Hoye
Block 3
11:05 to 12:52 PM
12/14/15 Hoye
Block 4
12:57 PM to 2:17
Kennedy Middle School Screening Schedule
Day
Date
Thursday
2/25/2016
Monday
2/29/2016
Wednesday 3/2/2016
Thursday
Monday
3/3/2016
# Screeners
Requested Screeners
Karen
Kelly
Betsy
Katie
8:00-11:15AM
5
Barbara
Karen
Kelly
Betsy
Katie
8:45 AM -9:30 AM
5
Barbara
Karen
Kelly
Betsy
Katie
8:00-11:15AM
5
Barbara
Karen
3
2
Kelly
Betsy
Barbara
8:00 -11:00 AM
Barbara
8:45 AM -9:30 AM
Time
3/7/2016 8:45 AM -9:30 AM
4
Karen
Kelly
Betsy
Barbara S
Who has been called to
sub
Still Need:
Selena
LisaSue -
clinic coverage: Sue
Lisa
clinic coverage:Lisa
Lisa
clinic coverage:
Lisa
Lisa
Selana
clinic coverage for
KMS: Lisa
clinic coverage
WMS: Selena
Lisa
clinic coverage:
Lisa
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5/16/2016
Lessons Learned
o Make Friends with Stakeholders
o Good plan and organization is important
o Avoid Screenings on Fridays
o PE Class works well
o Schedule Guidance Meeting at conclusion of screening
o Copy of screening tool for students to “look on”
o Students liked the “brain” picture
o Piktocharts are really useful
o Scripts were key-esp. script to call parent(s)
Day of Screening
• Screening explained to students
• SBIRT Team introduced
Name/Role –future resources
• SBIRT Screener takes student for screening
• Students provided a copy of CRAFFT tool to
read along with screener
• Students are given a copy of the “brain” photo
with resources listed on back of card
• Piktocharts are useful
• Positive reinforcement = SMILE
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5/16/2016
Which Brain Do You Choose?
Resources for Students
Guidance Counselors
Nurses
Social Workers
NTY Director
Your Pediatrician
Youth Central Intake and Care Coordination 1-617-661-3991
Advocates 508-628-6300
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Dates of screening_______________________ Screener___________________________
School _______________________ Grade screened__________________ # opted-out_____________
gender
age
substance
C
R
A
F
F
T
Positive
+ Brief
INSIDE
reinforcement Intervention school
referral
OUTSIDE
school
referral
comments
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5/16/2016
SBIRT Results NHS 2014-15
329 students were screened
13 students “opted out”
Over 300 students had positive
reinforcement provided to them !! ☺
Post Screening
• If parent(s)/guardian needs to be calledstudent is given option to be in room when
the call is made
• Pre-Scheduled meeting with Guidance for
review
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5/16/2016
Phone Calls to Parent/Guardians
Before phone call:
•Ask student if he/she wants to be present for call
•Ask student if he/she wants to participate in the call, and if so, in what way?
(i.e., do they want to say anything, and if so, what?)
Key talking points for phone call:
•Introduce self and role at NHS
•Remind parent that screening of 7th/ 9th graders took place
•Inform parent that child’s screen results warranted a phone call home
•Ask if parent is available to talk—and if not, when would be a good time (and at what number)
•Mention whether or not student is present in room for this call
•Inform parent that child’s score on screening tool suggested that he/she is engaging in risky behaviors regarding substance use
(state which substance(s) and phone call is being made in order to ensure child’s safety and to make parent aware of resources
available to them to address child’s concerning behaviors
•Offer resources (list will be provided- attached), including pediatrician, local providers, and/or more comprehensive list of
Boston Metro area providers if parents would like to go outside of MetroWest area (can be emailed to parents)
Draft Script for Phone Call to Parents:
Hi Mr./Mrs. ______________________,
Hi, I’m (Name and Title/Role at NHS) . As you may recall, we did a
screening today about drug and alcohol use with members of the seventh
grade/freshman class, and I’m calling to discuss (Student’s Name) ‘s
results with you. Are you available to talk right now?
(If it is NOT a good time, offer to call them back at another time, but get the
phone number and a good time to call them)
Optional if student is present for phone call: (Student’s Name) is here
with me now, and if it’s alright with you, I’d like to put you on speaker phone
to discuss the screening results.
Based on the CRAFFT screening tool, your child scored what is considered
to be a ‘positive’ screen, meaning that he/she is engaging in some risky
behaviors related to substance use. I’m calling because we just want to
make sure that your child is safe and that you are aware of what resources
exist if you would like to seek out some supports for (Student’s Name) .
Your child’s pediatrician is certainly one place you can start--he/she should
be able to assess (Student’s Name) and connect him/her to further
treatment if he/she thinks it’s appropriate. We’ve also contacted a few local
agencies that are aware that NHS is doing these screenings, and I can give
you their contact information if you would like to reach out to them directly. I
can also email you a comprehensive list of local substance use and mental
health treatment providers if you would like. (See attached)
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5/16/2016
SBIRT Evaluation for NPS Students
We would like to evaluate our SBIRT Screening Program, could you please answer the following questions.
1= Strongly Agree
2=Somewhat Agree
3= Neither Agree or Disagree
4. Somewhat Disagree
5= Strongly Disagree
1.
I felt my privacy was respected during the screening.
1
2 3 4 5
2. I answered the screening questions honestly.
1
2 3 4 5
3. The discussion about alcohol/drug use was helpful.
1
2
3 4
5
4.The photos and graph helped me understand the risks of drugs and alcohol.
1 2 3 4 5
5.The screener listened to my concerns and acted non-judgmentally.
1 2 3 4 5
6. I can name 2 adults at NHS that I can go to with my questions
1 2 3 4 5
about drugs and alcohol.
7. I think the Screening should continue in following years.
1 2 3 4 5
NPS Staff Comments:
“I was so nervous, but now I realize it was fun!”
“liked the 1:1 education time with kids”
“it was nice to get to know more kids”
“I think we are making a difference”
“I think the visuals were great, and really added to the
kids understanding!”
“it takes longer to educate than to screen”
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