Workplace SBI Product Development Group

1
Workplace SBI Product Development Group

• Funded through a Cooperative Agreement with the
  National Highway Traffic Safety Administration
  (NHTSA).

2
Agenda

• 900 930 Meet Greet Breakfast
• 930 945 Welcome Introductions
• 945 1000 Brief Overview of the SBI Research
  Project-Years 1 2
• 1000 1030 The Impact of Alcohol Misuse in the
  Workplace
• 1030 1200 SBI in the Workplace
• 1200 1245 Lunch Break -- SBI Demonstration
• 1245 245 Implementing SBI in the Workplace
• 245 300 Break
• 300 400 Wrap Up Next Steps
• 400 Adjourn

3
Project Team

• Network of Employers for Traffic Safety (NETS)
• Kathy Lusby-Treber
• Tom Walsh
• Ensuring Solutions
• Eric Goplerud
• Tracy McPherson
• David Anderson
• Delia Olufokunbi
• Kelli Joubran
• NHTSA
• Funded through a Cooperative Agreement with NETS

4
The NETS Mission
Vision To Keep Americas Workforce Safe on the
Road

• To improve the safety and health of employees,
  their families, and members of the communities in
  which they live and work, by decreasing the
  number of traffic crashes that occur both on and
  off the job.

5
Federal Strategies to Reduce Alcohol Impaired
Driving
DWI Courts Special Prosecutors
High Visibility Enforcement
Screening Brief Intervention
6
NHTSA-NETS Cooperative Agreement

• Determine the feasibility of implementing the
  screening
• and brief intervention (SBI) model in the
  workplace setting
• Year One
• Convened expert advisory panel.
• Conducted literature on SBI in medical and
  non-medical settings.
• Designed employer and vendor assessments to
  determine current workplace practices to
  recognize and manage alcohol use, abuse and
  dependence.
• Developed proposed SBI model based on two
  approaches that emerged from the assessments.
• Bioassay Testing EAP
• Occupational Health/Wellness EAP

7
Cooperative Agreement Tasks

• Year Two
• Review the SBI Workplace Model in a product
  development group setting. Identify steps to
  integrate the SBI model into the workplace.
  Further develop model(s) and associated materials
  to pilot test in the workplace.

8
Cooperative Agreement Tasks

• Year Two
• Communications Strategy - to educate
  employers/employees about alcohol misuse in the
  workplace, specifically, its impact on alcohol
  impaired driving and the use of screening and
  brief intervention.
• Form NETS Alcohol Impaired Driving Advisory Board
• Develop workshops for employers
• Distribute quarterly newsletter
• Develop materials for dissemination at the
  workplace
• Publish Year One findings
• Promote Alcohol Screening Day

9
Product Development Workgroup

• Process for Todays Work
• Workgroup Activities
• Refine and elaborate on the approaches
• Develop the materials, training guides, process
  descriptions, and evaluation/monitoring design
  necessary to bring these approaches to pilot
• Meshing goals of NETS, NHTSA, employers, health
  plans, and clinicians

10
Workplace SBI Model
Outcomes
Activities
Events
Long
Short
Medium

• Outreach
• Service Promotion
• Health Education

Alcohol/ Drug Testing
Increased Utilization
Increased Identification

• Increased Prevention/Early Intervention
• Changed Organizational Culture
• Improved Employee Clinical/Health Outcomes
• Improved Business Outcomes

• EAP Process
• Screening
• Brief Intervention
• Treatment Referral
• Follow-up

Increased Screening
Increased Initiation in Brief Intervention
Referral (self or supervisor)
Increased Engagement in Brief Intervention

• OHW Process
• HRA (screening)
• Brief Intervention
• Treatment Referral
• Follow-up

Automated Screening (web telephone)
Decreased Treatment Referral for Risky Use
HRA (Health Risk Assessment)

• Staff Training
• OHW Staff
• EAP Staff
• Supervisors
• CEUs/Credentials

Increased Treatment Referral for Dependence
Critical Variables Processes
Quality Monitoring
Infrastructure
Organizational Factors
11
SBI Demonstration

• Karen K. Chan, PhD
• Associate Behavioral Scientist
• RAND Corporation
• Kelli Joubran, MPH
• Research Associate
• Ensuring Solutions

12
Role-Play

• Michelle 35 Year old unemployed, married
  female, mother of a 9 year-old daughter, seeking
  help with career development after losing her job
  as a manager in a high tech firm 2 years ago as a
  result of being laid off.

13
Outreach Materials and Employer Resources

• Vendor Promotional Materials
• ValueOptions EAP Promotional Posters and CD-ROM
  (funded by CSAP Youth in the Workplace Project)
• Contact your MBHO and EAP provider
• Publicly Available Materials and Resources
• NETS http//www.trafficsafety.org/
• NHTSA Impaired Driving Program http//www.nhtsa.do
  t.gov/people/injury/alcohol/StopImpaired/toolkits.
  html or http//stopimpaireddriving.org/planners/Ho
  liday2006/index.cfm
• US Department of Labor Working Partners
  http//www.dol.gov/workingpartners/
• SAMHSA Division of Workplace Programs
  http//dwp.samhsa.gov/index.aspx
• SAMHSA- GetFit Website http//getfit.samhsa.gov/
  

14
AUDIT Screening Tool

• AUDIT (see handout)
• Interview
• Self-report
• Web-based
• www.alcoholscreening.org
• www.drinkerscheckup.com (direct link -
  www.drinkerscheckup.com/ENGLISH/intro/audit1.cfm?A
  nswersNNNNNNNNNNNCFID13928785CFTOKEN59099416)
  

15
Other Screening Tools

• CAGE
• TWEAK
• RAPS
• BMAST
• See http//pubs.niaaa.nih.gov/publications/arh21-4
  /348.pdf

16
SBI Training Materials

• Web-based Training
• American College of Emergency Physicians (ACEP)
  Alcohol Screening and Brief Intervention in the
  Emergency Department. http//acepeducation.org/sbi
  /
• Emergency Department Alcohol Education Projects
  Screening, Brief Intervention, Referral and
  Treatment (SBIRT). http//www.ed.bmc.org/sbirt/ind
  ex.htm
• AlcoholCME.org http//www1.alcoholcme.com/
• Training Guides
• American College of Emergency Physicians (ACEP)
  Brief Negotiated Intervention (BNI) Manual
  Screening and Brief Intervention for Unhealthy
  Alcohol Use in the ED. http//acepeducation.org/sb
  i/media/bni_manual.pdf
• Richard Saitz and Boston Medical Centers Alcohol
  Clinical Training (ACT). http//www.bu.edu/act/mda
  lcoholtraining/index.html
• NIAAA Helping Patients Who Drink Too Much A
  Clinicians Guide. http//pubs.niaaa.nih.gov/publi
  cations/Practitioner/CliniciansGuide2005/clinician
  s_guide.htm and http//www.niaaa.nih.gov/Publicati
  ons/EducationTrainingMaterials/guide.htm
• World Health Organizations AUDIT Guidelines for
  Use in Primary Care http//whqlibdoc.who.int/hq/20
  01/WHO_MSD_MSB_01.6a.pdf and Brief Intervention
  for Hazardous and Harmful Drinking A Manual for
  Use in Primary Care. http//whqlibdoc.who.int/hq/2
  001/WHO_MSD_MSB_01.6b.pdf
• William Millers Treatment Improvement Protocol
  (TIPS) Enhancing Motivation for Change in
  Substance Abuse. http//ncadi.samhsa.gov/govpubs/B
  KD342/
• American College of Surgeons Committee on Trauma
  (COT) Alcohol Screening and Brief Intervention
  (SBI) for Trauma Patients COT Quick Guide.
  (coming online soon)

17
Supervisor Training

• Contact your EAP or MBHO
• Signs and Symptoms Recognition
• Contact your HR
• Job Performance Evaluation
• Publicly Available Resources
• US Department of Labor http//www.dol.gov/asp/prog
  rams/drugs/workingpartners/dfworkplace/st.asp

18
Wrap Up Next Steps

• Over next 3 months ( January-March)
• Synthesize and summarize feedback
• Disseminate feedback to workgroup
• Conduct follow-up conference call to review
  comments
• Modify approach as needed
• Over months 4-6 ( April-June)
• Disseminate prototype implementation and training
  materials to workgroup for review and comment
• Conduct follow-up conference call to discuss
  materials
• Revise as needed
• Over months 7-9 ( July-September)
• Disseminate prototype evaluation plan
  (impacts/outcomes, fidelity, quality monitoring)
• Conduct follow-up conference call to discuss
  evaluation plan
• Revise as needed
• Over months 10-12 ( October-December)
• Project team will develop a Workplace SBI Tool
  Kit ready for pilot testing in Year 3

19
Adjourn

• THANK YOU!!