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School SBIRT What, Why, and How. What is SBIRT?. S creening: administer a brief behavioral health screen to ascertain student risk. DPI endorses several standardized screening instruments to examine a range of behavioral health concerns, including alcohol/drug involvement.
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What is SBIRT? • Screening: administer a brief behavioral health screen to ascertain student risk
DPI endorses several standardized screening instruments to examine a range of behavioral health concerns, including alcohol/drug involvement.
Screening typically shows one of three results in terms of risk for problems: • No or low risk • Moderate risk • High risk
What is SBIRT? • Screening • Brief Intervention proceeds for students who show moderate or high risk results • protocol-guided • focuses on a specific behavior • 1-4 sessions lasting 10-20 minutes each
What is SBIRT? • Screening • Brief Intervention • Referral to Treatment: for high risk students who don’t respond to the BI
Reasons to deliver: • Evidence-Based Practice for teen AOD use
Reasons to deliver: • EBP for teen AOD use • Promising practice for addressing a range of behavioral and academic problems
Reasons to deliver: • EBP for teen AOD use • Promising practice for addressing a range of behavioral and academic problems • Fits with Positive Behavior & Intervention Supports (PBIS)
SBIRT & PBIS • Screen all students • Individual BI • Consider RT • Screen selected students • Individual or group BI • SBIRT is not appropriate III II I
Reasons to deliver: • EBP for teen AOD use • Promising practice for addressing a range of behavioral and academic problems • Fits with PBIS • Fits with Response-to-Intervention
Reasons to deliver: • EBP for teen AOD use • Promising practice for addressing a range of behavioral and academic problems • Fits with PBIS • Fits with Response-to-Intervention • Training is feasible
School SBIRT in Wisconsin • From 2006 to 2012… • 30 trainings involving several school districts and CESAs • Over 500 student services staff participants
The How: Implementation Lessons Learned • Strategic planning is critical; leadership has to be on board • Having a “critical mass” of trained staff is helpful • On-going staff practice groups promote fidelity • Set up data collection on the front end
Begin initial strategic planning: • What is the goal of SBIRT implementation in your district/school? • What students will be eligible to receive services? • Which screening instrument will staff deliver? • Who on the team will deliver SBIRT?
Thank you for your interest in SBIRT. For more information, please contact… • Scott Caldwell, SBIRT Coordinator Department of Health Services scott.caldwell@wisconsin.gov • Joan Lerman, Education Consultant Department of Public Instruction joan.lerman@dpi.wi.gov