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Workplace SBI Product Development Group

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9:45 10:00 Brief Overview of the SBI Research Project-Years 1 & 2 ... Delia Olufokunbi. Kelli Joubran. NHTSA. Funded through a Cooperative Agreement with NETS ... – PowerPoint PPT presentation

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Title: 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!!
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