Saturday, December 14, 2024
12/14/2024
Centerstone Screening, Brief Intervention, and Referral to Treatment (C-SBIRT) will enhance and expand the continuum of care for substance use disorder services by integrating SBIRT in 6 Tennessee counties (Cheatham, Dickson, Houston, Montgomery, Robertson, Stewart). C-SBIRT will pre-screen an unduplicated total of 35,000 individuals (ages 12+) presenting in primary care/community health settings (Y1: 3,000; Y2: 7,000; Y3: 10,000; Y4: 11,000; Y5: 4,000). C-SBIRT’s focus population demographics are expected to mirror the catchment area’s 320,500 children, adolescents, and adults (ages 12+): 48% male, 52% female, 76% white, 12% African American, and 6% Hispanic/Latino individuals. Subpopulations include the 45% of catchment area individuals who live in rural areas, the 14% who are Veterans, and the 18% who are racial/ethnic minorities. Consistent with the area’s clinical characteristics, over 21,000 catchment area individuals are expected to have a substance use disorder (SUD), including 126 with opioid use disorder, and 11,000 catchment area adults, co-occurring disorder (COD). More than 14,800 catchment individuals are expected to have an alcohol use disorder (AUD). C-SBIRT’s strategies/interventions include expanding screenings to identify risky substance use and alcohol/other drug consumption and initiate appropriate evidence-based response. C-SBIRT will use validated screening instruments, including the National Institute of Drug Abuse’s and National Institute of Alcoholism and Alcohol Abuse’s Single Question Screen universal pre-screenings, as well as the AUDIT, DAST-10, and PHQ-9, as indicated, among adults. Youth will receive the Brief Screener for Tobacco, Alcohol, and Other Drugs (BSTAD) pre-screening, as well as the PHQ-A and Car, Relax, Alone, Friends/Family, Forget, Trouble (CRAFFT) full screening, as indicated. SAMHSA’s Treatment Improvement Protocol (TIP) 34: Brief Interventions and Brief Therapies for Substance Abuse will provide a framework for delivering the evidence-based brief intervention, Brief Negotiated Interview, and evidence-based brief treatments, Cognitive Behavioral Therapy, Motivational Interviewing, and Multidimensional Family Therapy (MDFT). Project goals include: 1) Implement a project to provide comprehensive, cost-effective SBIRT services; 2) Develop a sound infrastructure and capacity to enhance, expand, and sustain SBIRT services; 3) Improve outcomes among participants receiving brief intervention, brief treatment, and treatment via referrals; and 4) Develop/disseminate a documented service model for statewide and national replication/adoption. Measurable objectives include: reduce reported days of alcohol/ substance use by 60%; reduce reported days experiencing mental health symptoms by 40% among those with COD; reduce reported days of opioid use by 60% among those who screen positive for opioid use; increase reported abstinence from use by 60%; reduce reported inpatient an ER utilization by 40%; and achieve 80% client retention rate. C-SBIRT has secured commitments from partners dedicated to the project’s success, and will collaborate with primary care providers, including pediatric providers, specialty treatment providers, and key community stakeholders.
HHS’ Tracking Accountability in Government Grants System (TAGGS) website provides access to detailed descriptions of grants, loans, aggregated direct payments and other types of financial assistance awarded by the HHS Operating Divisions (OPDIVs) and the Office of the Secretary Staff Divisions (STAFFDIVs).
