H79TI084076

Centerstone Screening, Brief Intervention, and Referral to Treatment in Tennessee - Centerstone Screening, Brief Intervention, and Referral to Treatment (C-SBIRT) will enhance and expand the continuum of care for substance use disorder services by integrating SBIRT in 6 Tennessee counties (Cheatham, Dickson, Houston, Montgomery, Robertson, Stewart).

C-SBIRT will pre-screen an unduplicated total of 35,000 individuals (ages 12+) presenting in primary care/community health settings. The breakdown of pre-screenings is as follows: Year 1: 3,000; Year 2: 7,000; Year 3: 10,000; Year 4: 11,000; Year 5: 4,000. C-SBIRT's focus population demographics are expected to mirror the catchment area's 320,500 children, adolescents, and adults (ages 12+). This population is composed of 48% male, 52% female, 76% white, 12% African American, and 6% Hispanic/Latino individuals. Subpopulations include the 45% of catchment area individuals who live in rural areas, the 14% who are veterans, and the 18% who are racial/ethnic minorities.

Consistent with the area's clinical characteristics, over 21,000 catchment area individuals are expected to have a substance use disorder (SUD), including 126 with opioid use disorder, and 11,000 catchment area adults with co-occurring disorders (COD). Additionally, more than 14,800 catchment individuals are expected to have an alcohol use disorder (AUD).

C-SBIRT's strategies/interventions include expanding screenings to identify risky substance use and alcohol/other drug consumption and initiate appropriate evidence-based response. Validated screening instruments, including the National Institute of Drug Abuse's and National Institute of Alcoholism and Alcohol Abuse's Single Question Screen Universal Pre-Screenings, as well as the AUDIT, DAST-10, and PHQ-9, will be used among adults. Youth will receive the Brief Screener for Tobacco, Alcohol, and Other Drugs (BSTAD) pre-screening, as well as the PHQ-A and CAR, RELAX, ALONE, FRIENDS/FAMILY, FORGET, TROUBLE (CRAFFT) full screening, as indicated. SAMHSA's Treatment Improvement Protocol (TIP) 34: Brief Interventions and Brief Therapies for Substance Abuse will provide a framework for delivering the evidence-based brief intervention, brief negotiated interview, and evidence-based brief treatments, including cognitive-behavioral therapy, motivational interviewing, and multidimensional family therapy (MDFT).

The project goals of C-SBIRT include:

1) Implement a project to provide comprehensive, cost-effective SBIRT services.
2) Develop a sound infrastructure and capacity to enhance, expand, and sustain SBIRT services.
3) Improve outcomes among participants receiving brief intervention, brief treatment, and treatment via referrals.
4) Develop/disseminate a documented service model for statewide and national replication/adoption.

Measurable objectives of the project include:

- Reduce reported days of alcohol/substance use by 60%.
- Reduce reported days experiencing mental health symptoms by 40% among those with COD.
- Reduce reported days of opioid use by 60% among those who screen positive for opioid use.
- Increase reported abstinence from use by 60%.
- Reduce reported inpatient and ER utilization by 40%.
- Achieve an 80% client retention rate.

C-SBIRT has secured commitments from partners dedicated to the project's success and will collaborate with primary care providers, including pediatric providers, specialty treatment providers, and key community stakeholders.

Centerstone Of Tennessee

NOT APPLICABLE

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

Division of Grants Management [HHS - SAMHSA]

Clarksville, Tennessee 370403093 United States

Single Zip Code

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

Amendment Since initial award the total obligations have increased 300% from $995,000 to $3,980,000.