School SBIRT What, Why, and How

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School SBIRT What, Why, and How
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What is SBIRT?

• Screening administer a brief behavioral health
  screen to ascertain student risk

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DPI endorses several standardized screening
instruments to examine a range of behavioral
health concerns, including alcohol/drug
involvement.
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• Screening typically shows one of three results in
  terms of risk for problems
• No or low risk
• Moderate risk
• High risk

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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

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What is SBIRT?

• Screening
• Brief Intervention
• Referral to Treatment for high risk students who
  dont respond to the BI

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Why consider implementing SBIRT in your schools?
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Reasons to deliver

1. Evidence-Based Practice for teen AOD use

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Reasons to deliver

1. EBP for teen AOD use
2. Promising practice for addressing a range of
   behavioral and academic problems

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Reasons to deliver

1. EBP for teen AOD use
2. Promising practice for addressing a range of
   behavioral and academic problems
3. Fits with Positive Behavior Intervention
   Supports (PBIS)

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SBIRT PBIS

• Screen all students
• Individual BI
• Consider RT
• Screen selected students
• Individual or group BI
• SBIRT is not appropriate

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Reasons to deliver

1. EBP for teen AOD use
2. Promising practice for addressing a range of
   behavioral and academic problems
3. Fits with PBIS
4. Fits with Response-to-Intervention

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Reasons to deliver

1. EBP for teen AOD use
2. Promising practice for addressing a range of
   behavioral and academic problems
3. Fits with PBIS
4. Fits with Response-to-Intervention
5. Training is feasible

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School SBIRT in Wisconsin

• From 2006 to 2012
• 30 trainings involving several school districts
  and CESAs
• Over 500 student services staff participants

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Practice Base Evidence of SBIRT
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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

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Begin initial strategic planning

1. What is the goal of SBIRT implementation in your
   district/school?
2. What students will be eligible to receive
   services?
3. Which screening instrument will staff deliver?
4. Who on the team will deliver SBIRT?

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Thank you for your interest in SBIRT. For more
information, please contact

• Scott Caldwell, SBIRT Coordinator
• Department of Health Services scott.caldwell_at_wis
  consin.gov
• Joan Lerman, Education Consultant
• Department of Public Instruction
• joan.lerman_at_dpi.wi.gov