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Blazing New Trails: Shifting the Focus on Alcohol and Drugs

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Presented at the National Academy for State Health Policy's 20th Annual State Health Policy Conference in Denver, Colorado. Authors: Barbara Cimaglio, Sally Fogerty, BSN, M.Ed., John C. Higgins-Biddle, Ph.D.

Gesundheit & Medizin
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NASHP Annual Conference ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Main Topics ,[object Object],[object Object],[object Object],[object Object]
Alcohol and Drugs . . . ,[object Object],[object Object],[object Object]
Alcohol and Drugs . . . ,[object Object],[object Object],[object Object],[object Object],[object Object]
How we address other issues ,[object Object],[object Object],[object Object],[object Object],[object Object]
The Preventive Paradox ,[object Object],[object Object],[object Object]
Types of Alcohol/Drug Risk ,[object Object],[object Object],[object Object]
Who Causes the Harm? ,[object Object],[object Object],[object Object],[object Object]
What we don’t see can hurt!
Biggest Drug Issue: Alcohol ,[object Object],[object Object],[object Object],[object Object]
The Drinkers’ Pyramid Dependent Drinkers Harmful/Hazardous Drinkers Responsible Drinkers Abstainers
Treatment alone won’t work ,[object Object],[object Object],[object Object],[object Object],[object Object]
Summary of the Problem ,[object Object],[object Object],[object Object],[object Object]
We need a new focus ,[object Object],[object Object],[object Object],[object Object]
SBIRT Provides a Way ,[object Object],[object Object],[object Object]
Screening for Drugs/Alcohol ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Patient Comfort
Patient Sense of Importance
Goals of Screening ,[object Object],[object Object],[object Object],[object Object]
Who and When to Screen? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Brief Intervention ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Elements of an Intervention ,[object Object],[object Object],[object Object],[object Object],[object Object]
Referral To Treatment ,[object Object],[object Object],[object Object]
Research Findings ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Policy Actions to Date ,[object Object],[object Object],[object Object],[object Object]
How to pay for SBIRT ,[object Object],[object Object],[object Object],[object Object],[object Object]
Federal Agency Actions ,[object Object],[object Object],[object Object],[object Object],[object Object]
SAMHSA SBIRT Initiative ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Massachusetts Implementation of SBIRT into Primary Care Sally Fogerty, BSN, M.Ed. Director, Bureau of Family and Community Health
Four Models ,[object Object],[object Object],[object Object],[object Object]
4 Key Components All Models ,[object Object],[object Object],[object Object],[object Object]
MASBIRT ,[object Object],[object Object],[object Object]
MASBIRT ,[object Object],[object Object],[object Object],[object Object],[object Object]
Massachusetts Colleges ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Emergency Room ,[object Object],[object Object],[object Object]
CHC Integration Model ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Integration into CHC Primary Care ,[object Object],[object Object],[object Object],[object Object]
Process – CHC Integration Model ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Process – CHC Integration Model ,[object Object],[object Object]
Implementation CHC Integration Model ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Where are we – 1 year later CHC Integration Model ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CHC Integration Implementation Challenges ,[object Object],[object Object],[object Object],[object Object]
What have we learned? ,[object Object],[object Object],[object Object],[object Object],[object Object]
What Have We Learned ,[object Object],[object Object]
What States Can Do ,[object Object],[object Object],[object Object],[object Object],[object Object]
What States Can Do ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
What States Can Do ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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