Reclaiming Futures SBIRT Implementation: Progress & Plans

by Bridget Murphy

Before sharing our accomplishments and expansion efforts, let’s take a moment to acknowledge numerous people and organizations that we have had the privilege of working with over the past few years to implement Reclaiming Futures’ version of Screening, Brief Intervention, and Referral to Treatment (RF-SBIRT).

First, we must acknowledge the youth and families who have agreed to participate and engage in a process of considering how substance use and mental health concerns might be affecting their goals. This may not have been easy and we appreciate their willingness.

Second, the SBIRT coordinators, project directors and other project staff have collaborated to provide us with critical feedback, offered in the kindest way, on aspects that needed improvement. Project staff also shared examples of how RF-SBIRT is empowering young people and their families to decide to work towards their goals keeping health and wellness in mind. Repeatedly, we hear the strength-based screening helps engage youth and families. The screening combines a series of strength-based questions and the Global Appraisal of Individual Needs Short Screener. It screens for a young person’s self-identified strengths and symptoms related to mental health and substance use. The information is used to start a conversation with a young person to affirm their strengths and determine if they would benefit from the brief intervention and/or referral to other services and supports.… Read More »

Year 2 Update! Reclaiming Futures’ Version of Screening, Brief Intervention, and Referral to Treatment (SBIRT)

by Bridget Murphy

As many of you know, Reclaiming Futures was awarded a Conrad N. Hilton Foundation grant in September 2014. The purpose of this grant is to develop, pilot test, evaluate, and disseminate a new version of SBIRT for youth at risk for deeper involvement with the juvenile justice system. As a first step, Reclaiming Futures issued a request for proposals and awarded five sites to help us in the endeavor. The sites selected, through a competitive process, were:

  • Chittenden County, Vermont
  • King County, Washington
  • Mecklenburg County, North Carolina
  • Nassau County, New York
  • Washington County, OregonMap of Reclaiming Futures sites, now including NW Ohio

Subsequently, in April 2016, using local resources, four sites in Ohio joined our SBIRT initiative. These sites include:

  • Hocking County
  • Lucas County
  • Montgomery County
  • Northwest Ohio – Three County Collaboration (Williams, Henry, and Defiance Counties)

We are wrapping up the second year of the Hilton funding and have some exciting updates. Before I share our collective accomplishments and upcoming directions, let me provide a little information about SBIRT and Reclaiming Futures’ version of SBIRT.
Read More »

Five Reclaiming Futures Sites Chosen to Implement SBIRT

by Susan Richardson

sites map

As a result of new funding from the Conrad N. Hilton Foundation, five new Reclaiming Futures sites will pilot an innovative adaptation of Screening, Brief Intervention, and Referral to Treatment (SBIRT) for adolescents.

We vetted 20 competitive applications and selected three existing Reclaiming Futures sites to add SBIRT: King County, Washington; Nassau County, New York; and Mecklenburg County, North Carolina.

We also chose two brand news sites to incorporate the Reclaiming Futures model with SBIRT included—Washington County, Oregon, and Chittenden County, Vermont—which brings our total number of sites since inception to 41.

Each of the five pilot sites will serve at least 100 youth over the course of three years. The target will be youth who show mild to moderate levels of substance use—a population that doesn’t often qualify for or seek treatment, but who are at high risk for developing worse substance abuse problems down the road. Clinical Director for this initiative, Evan Elkin, will design an engaging, teen-friendly one to five session intervention tailored for a juvenile justice setting that can be administered flexibly depending on the severity of the youth’s substance use.

Read more from Clinical Director Evan Elkin about the SBIRT pilot.Read More »

Reclaiming Futures to pilot SBIRT

by Jim Carlton

Reclaiming Futures to Pilot Innovative SBIRT Adaptation Through a generous $2 million grant from the Conrad N. Hilton Foundation, Reclaiming Futures will develop and pilot an adaptation of Screening, Brief Intervention, and Referral to Treatment (SBIRT) for youth at the front door of the juvenile justice system. Our SBIRT pilot aims to help youth who show mild to moderate levels of substance use—a… Read More »

News from the National Executive Director, August 2016

by Evan Elkin

Reclaiming Futures National Executive Director Evan ElkinIn the current Reclaiming Futures newsletter we focus our attention on Screening Brief Intervention and Referral to Treatment (SBIRT). SBIRT is a public health-oriented framework revolutionizing the way we think about behavioral health and substance use screening and prevention. Buoyed by strong evidence from the adult research literature, there has been a surge in national interest in translating the successes of the adult SBIRT model for youth populations.

The process of developing an SBIRT framework for youth is in its very early stages and the interest in the approach is currently outpacing the presence of either a body of research evidence and a set of best practices to guide the field. However, with a significant strategic investment by the Conrad N. Hilton Foundation (CNHF), the field is making strides. Among other elements of a multi-pronged strategy, CNHF is supporting the field to develop and pilot innovative approaches to youth SBIRT, to look at workforce training, and to explore appropriate settings for implementation. The result has been to challenge a number of youth-serving systems like schools and juvenile justice systems to view their work with youth through a public health lens.… Read More »

Opiates: A National Discussion

by Bridget Murphy

On March 29, 2016 President Barack Obama communicated support for addressing the opiate and heroin crisis in the United States. Joined by physicians and individuals in recovery on a panel at the National Rx Drug Abuse and Heroin Summit in Atlanta, GA, President Obama announced several private and public sector supports including access to treatment, medical coverage and physician training, enforcement to combat distribution, and a number of other services. At the same time, the Centers for Medicare & Medicaid Services finalized “a rule to strengthen access to mental health and substance use disorder treatment.

These services and supports are specific to opiates and heroin and thisPAGE 2-COUNSELOR is good news for the juvenile justice and substance use disorders fields. Why….? Let me explain.

Although the majority of adolescents present to treatment for alcohol or cannabis problems and disorders, intervening early may prevent the onset of heroin and non-prescription use of pain relievers. Adolescent use of opiates has not significantly changed in recent years; however, for transitional aged youth it has. According to the 2014 National Survey on Drug Use and Health found that as compared to the 2009 rates, past year heroin use among 18 to 25 year olds has significantly increased (0.5 vs. 0.8). Additionally, the Center for Disease Control (CDC) reported a 14% increase in opioid overdoses in one year. Providing the necessary services and supports to adolescents and their families involved with the juvenile justice system, including education of heroin and opiate addiction, has the potential to change these significant increases in use and deaths.… Read More »

New Report, Reducing Teen Substance Misuse: What Really Works

by Kate Knappett

medicine-385947_1920A new report, “Reducing Teen Substance Misuse: What Really Works,” calls attention to the rising rate of teen overdose fatalities in the United States, the role of prescription painkillers, as well as research-based solutions for prevention and treatment. The report, supported by a grant from the Conrad N. Hilton Foundation, was authored and produced by Trust for America’s Health (TFAH), a Washington D.C.-based nonprofit, non-partisan organization with a focus on public health policy and community prevention and treatment strategies. 

Significant Increase in Teen Overdose Fatalities

TFAH finds that youth drug overdose fatalities, among 12 to 25 year-olds, more than doubled in 35 states over the past ten years, particularly among young men and boys. Fatality rates for youth overdose more than doubled in 18 states, more than tripled in 12 states, and more than quadrupled in five states (Kansas, Montana, Ohio, Wisconsin and Wyoming). Analyses reveals that, while no state had a youth overdose death rate over 6.1 per 100,000 before 2001, 33 states were above 6.1 per 100,000 deaths by the year 2013.… Read More »