sbirt training, technical assistance, and...
TRANSCRIPT
SBIRT Training, Technical Assistance, and Evaluation: The California Experience
Beth Rutkowski, MPHUCLA Integrated Substance Abuse Programs
Pacific Southwest Addiction Technology Transfer Center
June 9, 2015Pittsburgh, Pennsylvania
Changing a Major System
• Training
– DHCS Statewide Training Contract
– Individual Training Requests
– CATES and SARC (existing training series)
• Technical Assistance and Program Consultation
– Kern, Orange, Sonoma, Napa Counties
– SBIRT Learning Collaborative (est. March 2015)
• Evaluation
– Kern County Project Care
– DHCS SBIRT (key informant interviews, site visits, implementation survey)
RTS BI
SBIRT Training Coverage (since July 2013)
27 Counties!
We’ve trained a lot of people…but have a long way to go!
Since July 1, 2013:72 trainings (4-6 hours)27 counties
3,063individuals
trained
PCP 24,444
RN Nurses 247,577
51,490Nurse Practitioner
Physicians AsstHealth SW
Psychologists
Potential Poolof Medical Trainees
Only 1% of potential trainees have been trained
Individuals trained
We’ve branched into many new settings
• Treatment seeking and school-based adolescents and young adults
• Mental health clinics
• Juvenile justice/corrections
• HIV care organizations
• School health centers (high school/college)
We’ve identified many factors as
• State and Foundation Partnerships (CCF, Hilton)
• Translated training materials
– Spanish, Arabic, Vietnamese
• Sharing materials with key partners
– National SBIRT ATTC
• Lack of resources
• Confusion about billing
• Need for ongoing TA re: implementation
• Re-training/staff turnover
• Lack of onsite support
Facilitators Barriers
Online Course Development
• Foundations of SBIRT (1.5 hours)
• 4-hour SBIRT Course(DHCS-approved)
A look at evaluation data…what factors can help to facilitate SBIRT implementation in California?• Additional training for other staff members
• Additional assistance with setting organizational timelines and goals
• Increased funding or financial incentives
• Additional referral sources
• Educating other staff members and management on why SBIRT is needed
• Other
– Better workload, mandated implementation, and quick guides on how to implement in a non-county setting
For More Information
• Beth A. Rutkowski, MPH, [email protected]
• Web Resources:
– http://www.psattc.org/sbirt
– http://www.dhcs.ca.gov/services/medi-cal/Pages/SBIRT.aspx