Emergency BU Alert Boston University's Charles River Campus is cancelling evening classes on Monday, February 8, 2016. All academic and administrative activities (e.g. classes, seminars and meetings) that are scheduled to take place before 5:00 PM will meet as scheduled. Academic and administrative operations that are normally scheduled to occur after 5:00 PM will be cancelled. For detailed information on the Boston University Medical Campus, please go to: http://www.bu.edu/ehs/comm Please note: Employees in essential services must report as scheduled. Essential services include, but are not limited to, University Police, Facilities Management and Planning, University Dining Services, University Mail Services, Student Health Services, Environmental Health & Safety and Network Services. For the latest information please go to: http://www.bu.edu/today

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Individual-level Training

Provide skills training for a variety to professionals using diverse methods with ongoing technical assistance, troubleshooting, and coaching.

Individual-level Training Offerings

1) Exposure trainings consisting of a brief, 1-3 hour overview of SBIRT.  These sessions will aim to stimulate interest to promote SBIRT implementation and will be delivered in person or via web conferencing.

2) Skills training and coaching (longitudinal training) for various providers (e.g., physicians, nurses, paraprofessionals, community health workers, social service professionals), administrative staff (e.g., organizational trainers, directors, administrators, practice managers, employer/union benefits managers), patient populations (e.g., adolescent, women of childbearing age, elderly), and in diverse settings (e.g., general medical settings, EAPs, Dental settings, school health settings, community organizations, independent worker organizations/unions, behavioral health settings, criminal justice settings, colleges and universities).  

3) Manualized Brief Treatment (i.e., short term substance abuse counseling based on Motivational Interviewing and Cognitive Behavioral Therapy that can be delivered by a trained behavioral health professional) training to encourage integrated SBIRT sites to offer Brief Treatment for those who need further assistance.

4) Creating SBIRT organizational change agents to lead change.

5) Train-the-trainers model for dissemination of SBIRT throughout an organization and address sustainability of SBIRT practices through staffing turnover.

Organizational-level Training

Provide technical assistance and consultation to organizations, including medical, employer, independent worker organizations/unions, behavioral health, criminal justice, colleges and universities interested in SBIRT.

 Organization-level Training Offerings

1) Exposure training to raise organizational awareness of SBIRT geared toward employees and/or consumers.

2) Implementation training including:

  1. Development of a customized implementation plan by meeting with clinical managers and other key staff, including identified SBIRT champion. The implementation plan will include identifying appropriate screening instruments, screening methods, brief intervention strategies, and referral resources and procedures.  It will also address administrative components such as documentation, communication, and reimbursement strategies.
  2. Identify, train, and coach front line staff who will deliver SBIRT services to patients/clients. Training will include the rationale for SBIRT, spectrum of unhealthy substance use (i.e., risky use to abuse/dependence), motivational interviewing concepts, addressing challenging issues (e.g., risky drinking and marijuana use), substance use referral resources, applicability of 42 CFR Part 2 regulations and consenting process to allow for communication, evidence-based Brief Treatment methods.
  3. Conduct pilot SBIRT programs with organizations to determine barriers and opportunities, and to build the case for full implementation.  Identify and develop resources to treat patients identified as needing specialty care (i.e., medication assisted treatment for alcohol and opioids).
  4. Expert technical assistance and training to various providers (e.g., physicians, nurses, paraprofessionals, community health workers, social service professionals) and administrative staff (e.g., organizational trainers, directors, administrators, practice managers, employer/union benefits managers) for organizations preparing to implement SBIRT.
  5. Expert guidance for working with special populations (e.g., LGBTQ community, people with HIV, pregnant women, adolescents, homeless, older adults) and individuals with co-occurring disorders (e.g., mental health, trauma).
  6. Expert guidance for delivering SBIRT services across various settings including outpatient, inpatient, emergency/urgent care, behavioral health clinics, service agencies, and school health clinics.
  7. Create a system of accountability for the delivery of SBIRT services through incorporating into job descriptions and staff evaluation.
  8. Work with leadership to explore revenue generation opportunities and barriers.

3) Assist organizations to build the clinical and business case for SBIRT services.

  1. Work with organizations to execute a needs assessment that will address facilitators, barriers and desired outcomes.
  2. Conduct a workflow analysis with administrators and leadership to identify organizational goals for integrating SBIRT services into existing processes and creating new processes (e.g., design of referral procedures, incorporation of special confidentiality requirements [i.e.,  42 CRF Part 2 consents]), and develop project expectations, deliverables, and timelines.
  3. Assist leadership to assess data needs and data collection strategies to meet organizational goals through process and outcomes evaluation.

4) Technical assistance, troubleshooting, and coaching (longitudinal training) to promote quality assurance and fidelity to model. Ongoing technical assistance will be offered to all sites. This will include activities such as off-site consultation, on-site shadowing (i.e., directly observed clinical encounters) to ensure fidelity to the model, booster training sessions, etc.

5) Provide system-level needs assessment and analysis of documentation and electronic workflow including assistance with forms development, EHR optimization, and development of point of care decision support.

State-level Training 

Assist BSAS to build awareness of SBIRT that will encompass policy and advocacy support, reimbursement strategies, and professional and public education across the Commonwealth.

State-level Training Offerings

1) Provide policy and advocacy assistance in collaboration with BSAS.

2) Work with BSAS to build public/private partnerships to achieve support for SBIRT through development of clinical and business cases for payers, including reimbursement strategies and financial models.

3) Promote SBIRT community awareness by convening and participating in community forums, social media forums, and use of innovative teaching methods (e.g., distance learning, webinars).

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