SBIRT at International SchoolScreening, Brief Intervention, Referral to Treatment
Date: Tuesday April 16, 2019
SBIRT: Overarching Goal
District Vision and Mission
To affirm and inspire each and every
student to learn and thrive as creators
of their future world.
To serve each and every student
academically, socially, and
emotionally, through a rigorous and
relevant education that is innovative
and individualized. As a learning
community that values one another’s
humanity, we provide courageous
support for an equitable and
exceptional education for all students.
Happy
Healthy
Safe
Thriving
To serve each and every student academically, socially, and emotionally
Bellevue School District, in alignment with our mission and vision, is piloting two screening programs this year: SBIRT at International School and SOS (Signs of Suicide) at other schools.
SOS focuses mostly on suicide whereas SBIRT is a strength-based screening covering more areas of wellbeing.
How did SBIRT come about?
Best Starts for Kids is considered the most comprehensive approach to child
development in the nation. Best Starts invests an average of $65 million per year
to support King County families and children so that babies are born healthy,
children thrive, and young people grow into happy, healthy adults.
Four Focus Areas: Prenatal to 5 Years, 5-24 Years, Youth and Family Homelessness
Prevention, Communities of Opportunity
11 school districts collaborated with a community organization to apply for the
SBIRT grant. Bellevue School District and Lake Washington School District
partnered with Youth Eastside Services. School districts involved: Auburn,
Bellevue, Highline, Kent, Lake Washington, Northshore, Seattle, Skykomish,
Snoqualmie Valley, Tukwila, and Vashon.
https://www.youtube.com/watch?v=zLGxESHrXcw&t=14s
SBIRT: Importance and Relevance
Broadens our reach
Identifies early mental health and substance abuse symptoms and provide access to intervention
Supports students in becoming their BEST SELF
Relevant Data:
Contemplation
of Suicide
Relevant Data:
Vaping at IS
SBIRT: Partner Organizations
Counseling – Youth Eastside Services
Medical – ICHS or your own provider
Basic Needs Resources – Bellevue School District
Family Connections Center
Academic/Extra-Curricular – NHS Tutoring, Jubilee
Reach, Rainier Athletes, Boys and Girls Club
Crisis – Crisis Connections
SBIRT: Team Leaders
Deborah Kraft/Jared Taylor
• Bellevue School District SBIRT Leaders
Robin Moore
• Assistant Principal, International School
Arty Christianto
• Middle School Counselor, International School
Brianna Chamberlain
• Mental Health Counselor, Youth Eastside Services
SBIRT: What is SBIRT?
Screening
• Check Yourself Tool – a short series of questions to assess possible needs
Brief Intervention
• A series of short meetings with students designed to elevate their awareness of problematic substance abuse or mental health needs
Referral to Treatment
• Collaboration with students and parents to connect students to appropriate services based on each student report
SBIRT: Screening – Check Yourself Tool
Developed by Seattle Children’s and UW
Medicine
Computer adaptive, personalized test with
different topics
Provides individual summary of each student and
aggregated data for the school
GOAL:
Motivate teens to engage in healthy behaviors
Encourage discussion regarding behaviors
Reduce risk behaviors in teens
SBIRT: Screening Topics
Strengths
Support
School
Health
Stress
Coping
Sleep
Home
PTSD Symptoms Screening
Depression Screening
Anxiety Screening
SBIRT: Where does the data go?
SBIRT numbers are generated for each 7th grade student at IS to
maintain confidentiality.
We will not provide any way to identify the students. It will be
anonymous to King County, University of Washington, and Seattle
Children’s Hospital.
All information will be kept in-house and shared only as a response
to provide intervention/treatment (for example, Youth Eastside
Services counselor).
SBIRT: Possible OutcomesO
utc
om
es
Low Risk
Moderate Risk
High Risk
Tier I – Personalized Feedback/No Flag
Tier II – Brief Intervention – Motivational Interviewing
Tier III – Immediate Brief Intervention
and Referral to Services
SBIRT: Brief Intervention –
Using Motivational Interviewing
“Motivational Interviewing is a collaborative, goal-oriented style of
communication with particular attention to the language of
change. It is designed to strengthen personal motivation for and
commitment to a specific goal by eliciting and exploring the
person’s own reasons for change within an atmosphere of
acceptance and compassion” [emphasis added] (Miller & Rollnick,
2013, p 29).
Motivational Interviewing is the conduit in which Brief Intervention is
delivered
Referral To… is an active process that consists of working with a youth and
their family to help them identify resources, and to assist with accessing
assessment, services, or supports, selecting a provider, and helping them
navigate any potential barriers (e.g., lack of transportation or insurance).
At all times possible, we will be collaborating with you directly in
connecting students to resources. Please note that “treatment” does not
mean hospital treatment or medication, etc. It simply means resources
based on you student’s need.
SBIRT: Referral to Treatment
SBIRT: Response Timeline for Tier III Red Flags
• Student will be met with by the end of school day or within a 24-hour window.
• YES will provide a risk assessment and if risk is determined, initiate BSD student safety protocol (including notifying parent/guardian).
Suicidal Ideation and Self-Harm
• Student will be met with by the end of the screening week or earlier.
• If HIB is determined, initiate BSD HIB policy.
Feeling Harassed/Threatened
and PTSD
• Student will be met with within two weeks of the screening process or earlier.Frequent Aches/Pains,
Substance Abuse, Depression, Anxiety
SBIRT: Other Responses – SEL Lessons
September:
What is HIB? Defining, process, and reporting
October:
Social Awareness – How does our actions in person and online affect others?
January:
Communication –Intent vs Impact
April:
Self-Management –Identifying Your Own
Emotions and Caring for Self
BSD SEL Lessons
SBIRT: From the family perspective
1
• Initial e-mail notification to families
•Date: Wednesday April 3, 2019
2
•Parent/Guardian Information Night – Introduction
•Date: Tuesday April 16th at 6:00pm
3
•PTSA General Information Night – Introduction
•Date: Wednesday April 17th at 6:30pm
SBIRT: From the student perspective
1
•E-mail notification to students
•Turn in Opt In Letter/Permission Slip
2
•Take screener in 7th Grade Science classes – Week of April 29th
•3rd Period – Monday, 6th Period – Tuesday, 5th Period – Thursday
3
•Depending on the outcome, connect with school counselor or YES counselor
•Participate in SEL Lessons based on student data/need
Screener – Week of April 29th
• 7th Grade Science Class Period 3
• Follow Up in Periods 5 and 7Monday April 29th
• 7th Grade Science Class Period 6
• Follow Up/Triage after school and Wednesday 4/17Tuesday April 30th
• 7th Grade Science Class Period 5
• Follow Up/Triage in Period 7 Thursday May 2nd
Wrap Up on Friday May 3rd
SBIRT: Benefits –
Lessons from Lake Washington School District
No active crisis as a result of SBIRT Screening
Most, although not all, students determined higher risk were already
known to staff
Students determined lower risk but still screened in (Tier II
– Yellow) were unknown and benefited from: connecting
with a kind and caring adult, awareness of school, and
community resources
Check
Yourself Tool
– please see
attachment
for questions
on the
screening
tool.
Questions
and
Answers