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FASD - SBI in Women's Health

Award Number: NU84DD000005
ORGANIZATION: NATIONAL CENTER ON BIRTH DEFECTS AND DEVELOPMENTAL DISABILITIES (NCBDDD)
OPDIV: CDC
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: HEALTH SERVICES
PERIOD OF PERFORMANCE START DATE: 09/30/2018
PERIOD OF PERFORMANCE END DATE: 10/27/2023

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FASD - SBI in Women's Health - With almost one-third of U.S. adults meeting criteria for an alcohol use disorder in their lifetime, primary care and women’s health professionals are ideally positioned to assess risk and help to change the behaviors of women and men to prevent alcohol-exposed pregnancies, FASDs, and the adverse health and social outcomes of excessive alcohol consumption, and to provide consistent advice to abstain from any alcohol use during pregnancy. Alcohol screening and brief intervention (SBI) is an effective but underutilized preventive service that providers can use to identify patients who exceed alcohol-use recommendations and help them reduce their drinking. To accomplish the goals of reaching women of childbearing age and pregnant women to prevent alcohol-exposed pregnancies and FASDs, the University of Alaska Anchorage’s Center for Behavioral Health Research and Services (CBHRS) will partner with Planned Parenthood of the Great Northwest and the Hawaiian Islands (PPGNHI). PPGNHI is a regionally managed, multi-state, multi-clinic affiliate of the national Planned Parenthood organization. Together, CBHRS and PPGNHI will use an evidence-based partnered practice facilitation approach to fully implement universal alcohol SBI into PPGNHI’s 27 health centers, which are located throughout Washington, Alaska, Idaho, and Hawai‘i. Our proposed approach is informed by two evidence-based and complementary implementation frameworks: RE-AIM (Reach, Effectiveness, Adoption, Implementation, and Maintenance); and the Consolidated Framework for Implementation Research (CFIR). Project objectives are to (1) develop and implement a training and technical assistance (TA) plan; (2) plan, design and implement alcohol SBI protocols, using the Planning and Implementing Screening and Brief Intervention for Risky Alcohol Use: A Step-by-Step Guide for Primary Care Practices (CDC Guide), and a partnered practice facilitation approach; (3) adopt system-level strategies, including full integration of alcohol SBI into the electronic health record (EHR) and patient flow, to increase uptake of alcohol SBI; (4) comprehensively evaluate alcohol SBI’s reach, adoption, implementation fidelity, and maintenance, and use the data iteratively to maximize alcohol SBI’s fit, feasibility, and sustainability within PPGNHI; (5) develop and implement a plan for disseminating promising implementation strategies and lessons; and (6) develop and implement a sustainability plan for maintaining high quality and universal delivery of alcohol SBI across PPGNHI. We will develop alcohol SBI policy and procedures, conduct introductory, implementation, and practitioner training of alcohol SBI, and stagger implementation roll-out across PPGNHI health centers. This staggered approach will allow ongoing reflection and refinement of PPGNHI’s SBI policy and procedures. Refinement will be informed by our evaluation, which will use a mixed-methods design to assess the success of the SBI implementation. Data sources will include patient visit data, extracted from the EHR, to measure screening, brief intervention, and referral rates, reasons for non-participation, and demographic representativeness of patients reached; and facilitation contact data, to identify and address barriers, document facilitators, and success stories. We will share our lessons learned and outcomes with local and national partners and stakeholders.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2024 ( Subtotal = -$845 )
2024	2021	UNIVERSITY OF ALASKA ANCHORAGE	3211 Providence Dr	Anchorage	AK	99508	ANCHORAGE	USA	Birth Defects and Developmental Disabilities - Prevention and Surveillance	04	4	2/21/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	-$845
2024	2020	UNIVERSITY OF ALASKA ANCHORAGE	3211 Providence Dr	Anchorage	AK	99508	ANCHORAGE	USA	Birth Defects and Developmental Disabilities - Prevention and Surveillance	04	4	2/21/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2019	UNIVERSITY OF ALASKA ANCHORAGE	3211 Providence Dr	Anchorage	AK	99508	ANCHORAGE	USA	Birth Defects and Developmental Disabilities - Prevention and Surveillance	04	4	2/21/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2018	UNIVERSITY OF ALASKA ANCHORAGE	3211 Providence Dr	Anchorage	AK	99508	ANCHORAGE	USA	Birth Defects and Developmental Disabilities - Prevention and Surveillance	04	4	2/21/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = -$845

Issue Date FY: 2023 ( Subtotal = $0 )
2023	2021	UNIVERSITY OF ALASKA ANCHORAGE	3211 Providence Dr	Anchorage	AK	99508	ANCHORAGE	USA	Birth Defects and Developmental Disabilities - Prevention and Surveillance	03	4	6/29/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2023	2020	UNIVERSITY OF ALASKA ANCHORAGE	3211 Providence Dr	Anchorage	AK	99508	ANCHORAGE	USA	Birth Defects and Developmental Disabilities - Prevention and Surveillance	03	4	6/29/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $0

Issue Date FY: 2022 ( Subtotal = $0 )
2022	2021	UNIVERSITY OF ALASKA ANCHORAGE	3211 Providence Dr	Anchorage	AK	99508	ANCHORAGE	USA	Birth Defects and Developmental Disabilities - Prevention and Surveillance	02	4	6/7/2022	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2022	2021	UNIVERSITY OF ALASKA ANCHORAGE	3211 Providence Dr	Anchorage	AK	99508	ANCHORAGE	USA	Birth Defects and Developmental Disabilities - Prevention and Surveillance	01	4	11/5/2021	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2022	2020	UNIVERSITY OF ALASKA ANCHORAGE	3211 Providence Dr	Anchorage	AK	99508	ANCHORAGE	USA	Birth Defects and Developmental Disabilities - Prevention and Surveillance	02	4	6/7/2022	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2022	2020	UNIVERSITY OF ALASKA ANCHORAGE	3211 Providence Dr	Anchorage	AK	99508	ANCHORAGE	USA	Birth Defects and Developmental Disabilities - Prevention and Surveillance	01	4	11/5/2021	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $0

Issue Date FY: 2021 ( Subtotal = $400,000 )
2021	2021	UNIVERSITY OF ALASKA ANCHORAGE	3211 Providence Dr	Anchorage	AK	99508	ANCHORAGE	USA	Birth Defects and Developmental Disabilities - Prevention and Surveillance	00	4	6/17/2021	NON-COMPETING CONTINUATION	$400,000
2021	2020	UNIVERSITY OF ALASKA ANCHORAGE	3211 Providence Dr	Anchorage	AK	99508	ANCHORAGE	USA	Birth Defects and Developmental Disabilities - Prevention and Surveillance	00	4	6/17/2021	NON-COMPETING CONTINUATION	$0
														Subtotal = $400,000

Issue Date FY: 2020 ( Subtotal = $400,000 )
2020	2020	UNIVERSITY OF ALASKA ANCHORAGE	3211 Providence Dr	Anchorage	AK	99508	ANCHORAGE	USA	Birth Defects and Developmental Disabilities - Prevention and Surveillance	00	3	6/25/2020	NON-COMPETING CONTINUATION	$400,000
2020	2019	UNIVERSITY OF ALASKA ANCHORAGE	3211 Providence Dr	Anchorage	AK	99508	ANCHORAGE	USA	Birth Defects and Developmental Disabilities - Prevention and Surveillance	01	2	11/6/2019	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2020	2019	UNIVERSITY OF ALASKA ANCHORAGE	3211 Providence Dr	Anchorage	AK	99508	ANCHORAGE	USA	Birth Defects and Developmental Disabilities - Prevention and Surveillance	02	2	2/28/2020	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $400,000

Issue Date FY: 2019 ( Subtotal = $400,000 )
2019	2019	UNIVERSITY OF ALASKA ANCHORAGE	3211 Providence Dr	Anchorage	AK	99508	ANCHORAGE	USA	Birth Defects and Developmental Disabilities - Prevention and Surveillance	00	2	5/22/2019	NON-COMPETING CONTINUATION	$400,000
2019	2018	UNIVERSITY OF ALASKA ANCHORAGE	3211 Providence Dr	Anchorage	AK	99508	ANCHORAGE	USA	Birth Defects and Developmental Disabilities - Prevention and Surveillance	01	1	1/20/2019	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $400,000

Issue Date FY: 2018 ( Subtotal = $400,000 )
2018	2018	University Of Alaska Anchorage	3211 Providence Dr	Anchorage	AK	99508	ANCHORAGE	USA	Birth Defects and Developmental Disabilities - Prevention and Surveillance	00	1	7/27/2018	NEW	$400,000
														Subtotal = $400,000

Grand Total All Awards = $1,599,155

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FASD - SBI in Women's Health

Award Number: NU84DD000005

ORGANIZATION: NATIONAL CENTER ON BIRTH DEFECTS AND DEVELOPMENTAL DISABILITIES (NCBDDD)

OPDIV: CDC

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: HEALTH SERVICES

PERIOD OF PERFORMANCE START DATE: 09/30/2018

PERIOD OF PERFORMANCE END DATE: 10/27/2023

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