H79TI084064

SBIRT Community Based Outreach - The New York SBIRT Community Outreach Project will implement and evaluate an innovative, culturally responsive model to deliver SBIRT services to underserved adolescent and adult populations historically unlikely to access treatment services. These populations include sexual minority (LGBT+), economically disadvantaged, Latinx immigrant, Native American, and rural communities. The project will focus on four areas of the state: New York City (NYC), Five Towns, Long Island, Finger Lakes, and St. Regis Mohawk Reservation.

SBIRT will be delivered within community-based settings by trained outreach workers from the targeted population. The recommended screening tools to identify substance use and suicide risk are CRAFFT+N 2.1 for adolescents, AUDIT and DAST-10 for adults, and C-SSRS for both adolescents and adults. If an individual screens positive for substance use risk, they will receive a brief intervention (BI) with a brief negotiated interview (BNI) using motivational interviewing (MI) techniques. If an individual screens positive for suicide risk, the safety planning intervention (SPI) with follow-up will be used. If brief treatment or specialty treatment is warranted, the active referral to treatment (ART) model will be followed to ensure hot handoffs to substance use disorder (SUD), medication-assisted treatment (MAT), and/or mental health (MH) providers. Pre-established and continued collaborations will assist in care transitions.

The project goals are as follows:

1. Develop, refine, and pilot an innovative SBIRT community outreach model to reduce access barriers and increase service use among high-risk populations hesitant to seek services. The Office of Alcoholism and Substance Abuse Services (OASAS) will use focus groups and key informant interview data to design a culturally appropriate model, train sites to deliver it, pilot it, and then refine it based on feedback.

2. Deliver the refined model in at least 12 separate community settings, documenting cultural modifications to increase service access, decrease health disparities, substance use, risk behaviors, and suicide risk in NYC, Five Towns, the Finger Lakes, and St. Regis Mohawk Reservation. The project aims to deliver 5,000 screenings, 1,000 brief interventions, and 350 referrals to treatment per year.

3. Disseminate the model to other high-risk communities and sustain it. In years 3-5, at least 3 more providers will implement the SBIRT model and become certified children and family treatment service providers. In years 2-5, new providers will be trained, training materials will be updated, and state training capacity will be increased. In years 4-5, training of the trainer (TOT) will build capacity to sustain the SBIRT model following the grant.

4. Evaluate processes and outcomes of the SBIRT outreach model and its impact on service utilization, substance use, and suicide risk. Project sites will collect data by month 4 and track the number of screens, brief interventions, referrals to treatment, and suicide-specific screenings and interventions. Between baseline and 6-month follow-up, OASAS will assess changes in substance use resulting from brief interventions. Starting in year 2, OASAS will assess increased identification of substance misuse risk and connection to SUD treatment among the target populations compared to a similar group of individuals receiving only screening and referral.

Research Foundation For Mental Hygiene

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]

New York United States

State-Wide

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

Amendment Since initial award the total obligations have increased 370% from $995,000 to $4,679,000.