SBIRT in Family Planning Settings Moderator: Heather Gotham PhD Panelists: Clare Wheeler Laura Burkin, BSN, RN Jennifer H. Kirschner, MSPH, CHES Leah Coplon, MPH, RN
Disclosure • Nothing to disclose
Objective • Explain the components of SBIRT (Screening, Brief Intervention, and Referral to Treatment)
Substance Use Along the Continuum A Public Health Historic Response Approach Leaves a Gap in Includes Risky Services and Harmful Use Substance Use Non-Use/ Risky/Harmful Use Risky/Harmful Use Disorder/Addiction Low-Risk Use ADDICTION TREATMENT & PREVENTION SBIRT RECOVERY SUPPORTS
SBIRT Recommended by ACOG
Research Base for SBIRT • SBIRT is effective – Reductions in mortality, alcohol use, health care costs, criminal justice involvement, and societal costs – Medicaid savings $8 million/year Washington State • Recommended or mandated by – ACOG, American Psychiatric Nurses Association, American College of Surgeons, Joint Commission, Veterans Health Administration, U.S. Preventive Services Task Force
SBIRT is Reimbursable • Commercial insurance Current Procedural Terminology (CPT) codes • Medicare G codes • Medicaid Healthcare Common Procedure Code System (HCPCS) codes (in some states, KS) • MO HealthNet Primary Care Health Homes* Interactive digital tool from the National SBIRT ATTC for individual state billing information. http://my.ireta.org/sbirt-reimbursement-map
SBIRT rief eferral to creening ntervention reatment • Standardized • Help patients • Help patients tools to quickly understand showing signs assess risk level their substance of a substance use and health use disorder to • Pre-screen - impact; access specialty universal motivate care. • Full Screen - behavior targeted change.
SBIRT rief eferral to creening ntervention reatment • Standardized • Help patients • Help patients tools to quickly understand showing signs assess risk level their substance of a substance / use and health use disorder to • Pre-screen - impact; access specialty universal motivate care. • Full Screen - behavior targeted change.
SBIRT rief eferral to creening ntervention reatment • Standardized • Help patients • Help patients tools to quickly understand showing signs assess risk level their substance of a substance use and health use disorder to • Pre-screen - impact; access specialty universal motivate care. • Full Screen - behavior targeted change.
Our Panelists • Clare Wheeler , Kachemak Bay Family Planning Clinic, Homer AK - implementation process & workflow • Laura Burkin , Sandusky County Health Department, OH - implementation opportunities and barriers • Jen Kirschner , Baltimore City Health Department, MD - referral to treatment • Leah Coplon , Maine Family Planning - implementing family planning into SUD clinics via telehealth
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