Friday, April 4, 2025
4/4/2025
Centerstone's Screening, Brief Intervention, and Referral to Treatment (C-SBIRT) - Centerstone’s Screening, Brief Intervention, and Referral to Treatment (C-SBIRT) will expand the uptake of the SBIRT model in primary care/pediatric, community health, and school settings in 14 Florida counties, with a focus on screening for underage drinking, opioid use, and other substance use. C-SBIRT will screen an unduplicated 16,000 (i.e., Y1: 1,500; Y2: 3,000; Y3: 5,000; Y4: 4,500; Y5: 2,000) via screening; of those, more than 50% will be youth ages 12-21. C-SBIRT’s focus population is expected to mirror area residents’ (12+) demographics (e.g., 49% male; 51% female, 66% White) and socioeconomics (e.g., 12% experience poverty, 12% lack health insurance). C-SBIRT will serve under-served/resourced subpopulations from among the area’s racial/ethnic and sexual/gender minority communities; Veteran/military populations, including Veteran households with children; and/or systems-involved youth populations. Low perception of risk in using substances (e.g., 50% of 12-17 year olds do not see using cocaine 1 time a month as risky) increases early initiation, risk of misuse, and likelihood of SUD for the focus population; an estimated 95.5% with SUD do not recognize the problem, impacting 570,000+ in the focus population. An estimated 46,810 youth and 550,520 adults will have SUD; of those, 3% of youth and nearly 10% of adults will have AUD and 1% of youth and 2% of adults will have OUD. Nearly 3% of youth and 8% of adults are anticipated to have COD. C-SBIRT will establish Youth and Adult Tracks for integrating SBIRT implementation protocols, including population-specific implementation sites, SBIRT teams, tools, interventions, etc. C-SBIRT’s strategies/interventions include capacity-building efforts (e.g., technology integration, annual assessment of gaps/needs); targeted outreach/education to youth- and adult-focused entities (e.g., pediatricians, schools/universities, primary care providers); expanding screenings to identify risky substance use, alcohol/other drug consumption, suicide risk, and co-occurring disorders; and initiating appropriate evidence-based response. C-SBIRT will utilize age-appropriate, validated pre-screens, such as the National Institute of Drug Abuse’s and National Institute of Alcoholism and Alcohol Abuse’s Single Question Screen, BSTAD, and PHQ-2; validated full screens such as the AUDIT, DAST-10, CRAFFT, PHQ-9/-A, C-SSRS; evidence-based brief intervention via Brief Negotiated Interview and TIP 34: Brief Interventions and Brief Therapies for Substance Abuse; and brief treatment via Cognitive Behavioral Therapy, Motivational Interviewing, and Multi-Dimensional Family Therapy. Case management for those referred to specialty treatment will be guided by TIP 27: Comprehensive Case Management for Substance Abuse Treatment and will include assessment for homelessness risk, peer supports. Project goals include: 1) Implement a project to provide comprehensive, trauma-informed SBIRT services; 2) Implement capacity building to 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 replication/adoption. Measurable participant-related objectives include: reduce reported days experiencing mental health symptoms by 40% among those with COD; reduce reported days of opioid use by 50-60% among those with risk at intake; increase abstinence from substance use among 40-60%; reduce inpatient/ER usage among 40%; reduce tobacco use among 60% with risk at intake; increase social connectedness among 70%; assess 100% referred to treatment for wraparound needs and provide 100% with case management; achieve 80% follow up among those referred to treatment. C-SBIRT has secured commitments from collaborators dedicated to the project’s success, and will collaborate with primary care providers, including pediatric providers, schools, and other 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).