pa sbirt newsletter · page 3: –milestones –project spotlight: primary health network page 4:...
TRANSCRIPT
PA SBIRT Newsletter
Issue 7, October 2019
IN THIS ISSUE:
PA SBIRT is funded by the Substance Abuse and Mental Health Services Administration:
SAMHSA, TI026666
For more information:Jehlisah Vaccarella717.736.7457 [email protected]
Welcome to the latest issue of the Pennsylvania Screening, Brief Intervention andReferral to Treatment (PA SBIRT) Newsletter, a quarterly publication dedicated to thePA SBIRT initiative. In this and future issues, we will feature a progress report,quarterly recap, project spotlight, and more. We hope that you find this informationhelpful and encourage you to share!
PA SBIRT is a five-year initiative that will provide SBIRT services to over 20,000patients throughout the Commonwealth by September 2021. SBIRT is acomprehensive and integrated public health approach to the delivery of screening,early intervention, and treatment services employing empirically-based and clinicallyuseful practices to circumvent harmful consequences from substance use.
The project is directed by the Pennsylvania Department of Drug and AlcoholPrograms (DDAP) and The University of Pittsburgh School Of Pharmacy, ProgramEvaluation and Research Unit (PERU). Funding for the project is granted through theSubstance Abuse and Mental Health Services Administration (SAMHSA) Center forSubstance Abuse Treatment (CSAT). All data is collected and reported in accordancewith the Government and Performance Results (GPRA) Act of 2010.
Welcome!
The PA SBIRT Initiative
Page 1:
– The PA SBIRT Initiative
Page 2:
– Progress Report
– Quarterly Recap
– The Care Coordinator Working Group Forum
Page 3:
– Milestones
– Project Spotlight: Primary Health Network
Page 4:
– SBIRT in the News
– Message from PERU
– Contact Information
• • •
The PA SBIRT Team would like to thank the staff of participating project sites and Single County Authorities, who dedicate their time
and effort to ensure that every patient receives the right SBIRT services every time.
The PA SBIRT Vision: To ensure that every patient in our primary care
clinics receives the right screening, brief intervention, and referral to treatment (SBIRT)
services by the right providers every time.
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Pennsylvania Screening, Brief Intervention, and Referral to Treatment
Progress Report
Quarterly Recap
To date, the PA SBIRT initiative has partnered with 5 healthcare sites in Pennsylvania: EMPOWER3 Center for Health,
Altoona Family Physicians, and UPMC Pregnancy Care Center in Blair County, Sharon Medical Group in Mercer
County, and Forbes Family Medicine in Allegheny County. Together, these sites have provided SBIRT services to a
total of 11,298 unduplicated patients, conducted 3,424 brief interventions, and connected 661 patients to treatment
services. The PA SBIRT Implementation Team is actively working to partner with additional healthcare sites,
including Greenville Community Health Center in Mercer County.
Month Site Visits & Trainings
July2019
• Forbes Family Medicine training with clinical staff (Topic: Screening)• Altoona Family Physicians training with new class of residents (Topic: SBIRT
Overview and Brief Interventions)• Altoona Family Physicians training with continuing class of residents (Topic: The
Standard Drink and Brief Intervention Case Practice)• UPMC Pregnancy Care Center: Training with clinical staff (Topic: Workflow
Review)• Care Coordinator Work Group (Topic: SBIRT in Different Disciplines)
August
2019
• Sharon Medical Group training with clinical staff (Topic: Screening)
• Care Coordinator Work Group (Topic: Medical Marijuana)
September
2019
• Forbes Family Medicine training with clinical staff (Topic: Screening and Handling
Patient Discord)
• Altoona Family Physicians training with residents (Topic: Harm Reduction)• UPMC Pregnancy Care Center training with clinical staff (Topic: Motivational
Interviewing)• Greenville Community Health Center initial site visit and office walkthrough
• Care Coordinator Work Group (Topic: Neuroscience of Addiction)
ATTENTION:
Altoona Family Physicians
Sharon Medical Group
EMPOWER3 Center for Health
UPMC Pregnancy Care Center
Forbes Family Medicine
The PA SBIRT Website features the Care Coordinator Working Group(CCWG) Forum where Care Coordinators can share successes, challenges,and resources. The CCWG Forum is available with enrollment on the PA
SBIRT website: http://www.pasbirt.pharmacy.pitt.edu!
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Pennsylvania Screening, Brief Intervention, and Referral to Treatment
The Primary Health Network (PHN) was established over 30 years agoand has developed into the largest Federally Qualified Health Center(FQHC) network in Pennsylvania. PHN includes over 50 sites in 17different counties in Pennsylvania and Ohio. PA SBIRT is excited to beworking with two of these sites, Sharon Medical Group Family Medicineand Greenville Community Health Center. Sharon Medical Group has beenproviding SBIRT services for over two years, due to this success, PHN willbe expanding SBIRT services to Greenville Community Health Center thisfall. We look forward to continued collaboration with Sharon MedicalGroup and future partnership with Greenville Community Health Center.
Project Site Spotlight: The Primary Health Network
Over the past quarter, project sites accomplished the following milestones:
August 13 – EMPOWER3 maintained a 100% screening rate for 9 consecutive weeks.
August 23 – 10,000 unique patients were screened across all project sites.
September 1 – Altoona Family Physicians reached 14,000 total screenings.
September 4 – Sharon Medical Group celebrated 2 years of implementation.
September 8 – UPMC Pregnancy Care Center reached 250 brief interventions.
September 9 – 40,000 total screenings were completed across all project sites.
September 19 – Forbes Family Medicine reached 2,500 total screenings.
Congratulations to all project sites on these accomplishments!
Located in Greenville, PA, Greenville Community HealthCenter offers patients behavioral health, chiropractic,family medicine, pediatric, podiatry, and psychiatryservices. PHN, Greenville Community Health Center, and PASBIRT continue to take steps towards implementation. ACare Coordinator has been identified for the site and theSBIRT workflow protocol is under development. The sitewill implement SBIRT services this fall.
Sharon Medical Group Family Medicine, located in Sharon, PA, wasestablished in 1986. Sharon Medical Group began SBIRT implementationon September 5, 2017. More clinical staff will be trained in the screeningworkflow to ensure that every patient is screened every time. The clinicalstaff has conducted 7,812 screens, conducted 1,133 brief interventionsand referred 39 patients to treatment as of September 30th, 2019.
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Pennsylvania Screening, Brief Intervention, and Referral to Treatment
In the News:
Ghinai, I., Pray, I. W., Navon, L., O'Laughlin, K., Saathoff-Huber, L., Hoots, B., . . . Layden, J. E. (2019). E-cigarette Product Use, or Vaping, Among Persons with Associated Lung Injury - Illinois and Wisconsin, April-September 2019. MMWR Morb Mortal Wkly Rep, 68(39), 865-869. doi:10.15585/mmwr.mm6839e2
E-cigarette Product Use, or Vaping, Among Persons with Associated Lung Injury
An outbreak of lung injury associated with e-cigarette product use, or vaping, hasbeen identified in the U.S. The Centers for Disease Control and Prevention (CDC)published an article in the Morbidity and Mortality Weekly Report describing acoordinated investigation between the Illinois Department of Public Health andthe Wisconsin Department of Health Services. Between April and September2019, detailed patient interviews were conducted by telephone, in person, or viathe internet with 86 of the 127 (68%) identified or probable cases in thenortheastern region of Illinois and southeastern region of Wisconsin. Their agesranged from 15-53 years with a median age of 21 years, data consistent withnational trends. Interview results reported 75 patients (87%) using e-cigaretteproducts containing tetrahydrocannabinol (THC) and 61 patients (71%) usingnicotine-containing products. Furthermore, 96% of THC-containing productsreported were packaged, prefilled cartridges of which 89% were acquired frominformal sources, such as family, friends, or illegal means. However, 77% ofnicotine-containing products were sold as prefilled cartridges of which 83%were obtained from commercial vendors. The predominant use of THC-containing products among these patients suggests they plan an important rolein these cases. However, further research is needed to determine if THC oranother cartridge chemical is the causative agent of lung injury. As this outbreakcontinues across the U.S., the CDC recommends refraining from using e-cigarette,or vaping, products, particularly those containing THC from unregulatedvendors.
The Pennsylvania Department of Drug and Alcohol Programs (DDAP)
• • •
Jehlisah VaccarellaPA SBIRT Project [email protected]
Dianne SchrodeDrug and Alcohol Program [email protected]
Jodi Skiles Director, Bureau of Treatment, Prevention and Intervention [email protected]
The University of Pittsburgh, Program
Evaluation and Research Unit (PERU)
• • •
Dr. Janice PringlePERU [email protected]
Alexandra NowalkSBIRT Program [email protected]
Abby TalbertPA SBIRT Project [email protected]
Georgie ScottResearch [email protected]
Alec HowardResearch [email protected]
Alexandra FalkResearch [email protected]