H79TI084044

SBIRT for Adolescents and Their Families in Mental Health Settings

Over five years, Drexel University aims to screen nearly 28,000 adolescents and provide at least brief intervention to nearly 5,000 youth and their parents. We will use a family-centered care model and host most of our screening and data collection (GPRA) on a web-based informatics platform called BH-WORKS.

Our target population is adolescents aged 12-18 years being served in outpatient behavioral and health specialty care services. Adolescents will be initially screened with the CRAFT for risk of substance use. Based on our community survey data, we estimate about 30% of youth will be in need of services. Unfortunately, Philadelphia has very few treatment programs and even fewer early intervention programs for youth at risk.

To address this significant need, we propose implementing a family-based, adolescent, co-occurring SBIRT project in settings beyond where SBIRT has traditionally been used. We have partnered with three community-based agencies that, combined, have over 25 unique programs ranging from traditional outpatient to crisis, to home-based services for children in the welfare system. We have 15 years of experience implementing screening, assessment, treatment, and referral programs across the state of Pennsylvania and feel confident we can adapt SBIRT to these various settings.

Each agency will be trained in the SBIRT model. We will integrate our web-based clinical management system with the EMR at each agency. For brief intervention, we will train staff in motivational interviewing. We will also provide an online support/psychoeducation group for parents of these youth. For adolescents in need of brief intervention, the CMHC agencies will learn to deliver attachment-based family therapy, an empirically-supported therapy that addresses trauma, family distress, and other co-occurring challenges. We will also offer this treatment as an online option.

We anticipate screening 600 youth in year one, 2,460 in year two, 6,860 in year three, 8,960 in year four, and 8,960 in year five for a total of nearly 28,000 youth over the course of five years.

Drexel University

SAMHSA WAS GIVEN THE AUTHORITY TO ADDRESS PRIORITY SUBSTANCE ABUSE TREATMENT, PREVENTION AND MENTAL HEALTH NEEDS OF REGIONAL AND NATIONAL SIGNIFICANCE THROUGH ASSISTANCE (GRANTS AND COOPERATIVE AGREEMENTS) TO STATES, POLITICAL SUBDIVISIONS OF STATES, INDIAN TRIBES AND TRIBAL ORGANIZATIONS, AND OTHER PUBLIC OR NONPROFIT PRIVATE ENTITIES. UNDER THESE SECTIONS, CSAT, CMHS AND CSAP SEEK TO EXPAND THE AVAILABILITY OF EFFECTIVE SUBSTANCE ABUSE TREATMENT AND RECOVERY SERVICES AVAILABLE TO AMERICANS TO IMPROVE THE LIVES OF THOSE AFFECTED BY ALCOHOL AND DRUG ADDITIONS, AND TO REDUCE THE IMPACT OF ALCOHOL AND DRUG ABUSE ON INDIVIDUALS, FAMILIES, COMMUNITIES AND SOCIETIES AND TO ADDRESS PRIORITY MENTAL HEALTH NEEDS OF REGIONAL AND NATIONAL SIGNIFICANCE AND ASSIST CHILDREN IN DEALING WITH VIOLENCE AND TRAUMATIC EVENTS THROUGH BY FUNDING GRANT AND COOPERATIVE AGREEMENT PROJECTS. GRANTS AND COOPERATIVE AGREEMENTS MAY BE FOR (1) KNOWLEDGE AND DEVELOPMENT AND APPLICATION PROJECTS FOR TREATMENT AND REHABILITATION AND THE CONDUCT OR SUPPORT OF EVALUATIONS OF SUCH PROJECTS, (2) TRAINING AND TECHNICAL ASSISTANCE, (3) TARGETED CAPACITY RESPONSE PROGRAMS (4) SYSTEMS CHANGE GRANTS INCLUDING STATEWIDE FAMILY NETWORK GRANTS AND CLIENT-ORIENTED AND CONSUMER RUN SELF-HELP ACTIVITIES AND (5) PROGRAMS TO FOSTER HEALTH AND DEVELOPMENT OF CHILDREN, (6) COORDINATION AND INTEGRATION OF PRIMARY CARE SERVICES INTO PUBLICLY-FUNDED COMMUNITY MENTAL HEALTH CENTERS AND OTHER COMMUNITY-BASED BEHAVIORAL HEALTH SETTINGS

93.243 - Substance Abuse and Mental Health Services Projects of Regional and National Significance

Division of Grants Management [HHS - SAMHSA]

Philadelphia, Pennsylvania 191045639 United States

Single Zip Code

Screening, Brief Intervention, and Referral to Treatment (TI-21-008)

Amendment Since initial award the total obligations have increased 303% from $973,773 to $3,920,671.