3/16/17 Webinar Moderator WHEN ONE SIZE DOES NOT FIT ALL: ADDRESSING ISSUES THROUGHOUT AN Tracy McPherson, PhD SBIRT PROJECT LIFE CYCLE Senior Research Scientist Public Health Department NORC at the University of Chicago PRESENTED BY: 4350 East West Highway 8th Floor, ADRIENNE LINDSEY, MA, DBH Bethesda, MD 20814 CR MACCHI, PH.D., LMFT esap1234@gmail.com March 16, 2017 Produced in Partnership… 2017 SBIRT Webinar Series ¨ 1/19/17 - Strategies for Incorporating Universal Education about Healthy Relationships into Clinical Practice to Reduce Substance Use and Intimate Partner Violence ¨ 2/16/17 - Using SBIRT when Intimate Partner Violence has been Disclosed ¨ 3/2/17 - WINGS: An Evidence-based SBIRT Intervention for Addressing Partner Violence Among Young Women Who Use Drugs or Alcohol ¨ 3/16/17 - When One Size Does Not Fit All: Addressing Issues Throughout an SBIRT Project Life Cycle ¨ 4/6/17 - Promoting SBIRT in an Interprofessional Setting with Vulnerable Populations ¨ 5/4/17 - SBIRT in Various Settings: Differences & Common Threads www.sbirteducation.com ¨ 6/15/17 - Using SBIRT for Problem Gambling in the Military Download this flyer from our hospitalsbirt.webs.com/webinars.htm website! Access Materials Ask Questions ¨ PowerPoint Slides Ask questions ¨ Materials and through the Resources “Questions” Pane ¨ Recording ¨ Certificate of Will be Completion answered live at the end http://hospitalsbirt.webs.com/sbirt-lifecycle 1
3/16/17 Technical Facilitator Webinar Presenter #1 Adrienne C. Lindsey, Misti Storie, MS, NCC MA, DBH Technical Consultant Senior Research Specialist misti.storie@gmail.com Arizona State University www.mististorie.com Center for Applied Behavioral Health Policy Adrienne.Lindsey@asu.edu Webinar Presenter #2 Milestones in a Project Life Cycle C.R. Macchi, PhD A Roadmap for Program Development, Clinical Associate Professor Implementation, and Sustainability and Associate Chair of Internship Programs with the Doctor of Behavioral Health Program Arizona State University crmacchi@asu.edu Model of Project Lifecycle Roadmap of Project Lifecycle ASU SBIRT ASU SBIRT Collaborative Model Theories of Change Collaborative Model Diffusion of Implementation Project Lifecycle Project Lifecycle Technology Transfer Questions Asked Activities Innovations Outcomes Phases Dimensions (ATTC, 2011) (Rogers, 2002) (Proctor, 2011) Council of Directors (COD) model Appropriateness Phase 1: Does this fit for us? Needs Assessment Trialability n/a Site visits Feasibility Needs Assessment How? Crosswalk of program vernacular Phase 2: Program website Information Knowledge How will we get the information to the Penetration Dissemination Information BRIDGE meetings Dissemination Persuasion people who need it? Dissemination Web-based simulations Phase 3: How will we determine that the Course infusion Implementation Implementation Institutionalization Implementation Implementation innovation is available @ ASU? On-campus clinics SBIRT-infused syllabi Phase 4: What is needed for the innovation to Sustainability Confirmation Sustainability n/a Program website Sustainability continue @ ASU? Campus clinics 2
3/16/17 Key Questions & Considerations ¨ What does SBIRT implementation in pre-service education look like, compared to community-based workforce development? PHASE 1 ¨ How do we develop a comprehensive implementation and evaluation plan that works NEEDS ASSESSMENT for five unique academic disciplines? ¨ Where do we see similarities in departmental needs? Where do we see variation ? ¨ How can we learn from different department’s approaches to SBIRT implementation in academic programming? Council of Directors Program Site Visits ¨ panel made up of project co-investigators and ¨ conducted academic department site visits, between respective department heads from participating COD meetings, to identify adaptations needed for each academic unit academic units ¨ participants ¨ serve as a steering committee guiding program • department heads and evaluation activities • key department faculty ¨ forum for discussing individual • program/implementation team department needs and ¨ purpose collective needs • learn about the intricacies of each academic unit (i.e., plans of study, licensing requirements, student body makeup) Establishing a Common Language Social Work Behavioral Health Nursing Psychology Counseling • Asst/Assoc/Full • Clinical Asst/Assoc • Asst/Assoc/Full • Asst/Assoc/Full • Asst/Assoc/Full Professor Professor Professor Professor Professor • Faculty Associate • Faculty Associate • Specialty • Faculty Associate • Faculty Associate Instructors • Clinical Asst/Assoc Coordinators (e.g., • Clinical Asst/Assoc • Clinical Asst/Assoc Professor Pediatrics) Professor Professor PHASE 2 • Lecturers • Instructor Field Liaisons • Field Liaison • Clinical Consultant • Specialty • Director of Center • Internship INFORMATION DISSEMINATION (internal to ASU) Coordinator Coordinator • Field Instructor • Medical Preceptor • Preceptor • Placement • Clinical Supervisor Clinical Supervisors • Site Liaison Supervisor (external to ASU) • Site Supervisor • Field Placement • Internship Site • Clinical Site • Clinical Placement • Internship Site • Clinical • Field Placement Practice Sites Psychology Center • Counseling Training Center • Field Practicum • Clinical Internship • Clinical Practicum • Clinical Practicum • Practicum Seminar • Clinical Residency • Advanced • Practicum Clinic Treatment • Internship Related Courses Methods courses 3
3/16/17 Key Questions & Considerations Program Website ¨ What are the most effective and efficient means of providing training and resources ? ¨ What is the frequency with which information should be provided? ¨ How can we maximize reach and accessibility to training for both on-ground and online students? ¨ How do we achieve SBIRT learning in fully online programs? BRIDGE Meetings Email Newsletters B uilding R esources & I nterconnections to D isseminate & G ain E xpertise ¨ BRIDGE meetings are interdisciplinary faculty networking events that… ¤ provide resources on the theory and implementation of SBIRT ¤ foster collaboration among health-related academic units ¤ solicit feedback on how to better integrate SBIRT into each department ¨ BRIDGE meetings goals ¤ support infusion of SBIRT into five ASU clinical degree programs and related field experiences ¤ ensure students receive adequate SBIRT dosage and practice activities ¨ BRIDGE meeting objectives ¤ train faculty on SBIRT principles ¤ share SBIRT resources ¤ build interdisciplinary collaboration Online Training Tools ¨ ATTC Foundations of SBIRT course ¤ increase user knowledge base and application of information PHASE 3 ¨ Kognito avatar patient simulation IMPLEMENTATION ¤ multi-path role plays with feedback ¨ Motivational Interviewing ¤ patient simulation with real-time feedback 4
3/16/17 Facilitated Dissemination Key Questions & Considerations via SBIRT Champions behavioral clinical ¨ How do we achieve the greatest student exposure health sup. BH students behavioral to the SBIRT model? health BH students ¨ How can we maximize classroom learning ? Level 1 clinical social social clinical clinical work work Champions: psych clinical clinical psych. sup. students social work Council of psych students sup. clinical social ¨ How can we maximize practice-based/clinic-based students students Directors psych. workers counsel nursing applications ? psych nursing counseling students students ¨ What resources will support skill development ? clinical clinical Level 2 Champions: sup. sup. nursing ASU Faculty counseling students students nurses Level 3 Champions: Practicum/Internship counselors Supervisors Level 4 Champions: ASU Graduates and Community-Based Providers SBIRT Course Infusion Campus-Based Training Clinics ¨ SBIRT infusion into five ASU on-campus student utilized multi-level approach to course and curricula training clinics infusion: ¨ three-fold purpose ¨ existing required courses ¨ existing course electives (e.g. Substance Abuse serve as an SBIRT training site for university students 1. Treatment courses) expose clinic clients to SBIRT 2. services ¨ Objective Structured Clinical Examination (OSCE) for Nursing and Behavioral Health programs enhance sustainability of 3. SBIRT efforts given university ¨ informal cross-listing of courses control of clinics (versus ¨ incorporation into master syllabi community-based clinics) ¨ internship consultation groups Clinic Tools and Resources ¨ patient/client reference rulers ¨ validated screening tools ¨ student field placement PHASE 4 ¤ case consultations SUSTAINABILITY ¤ reporting processes 5
Recommend
More recommend
