Fidelity Focus Reducing Adolescent Substance Abuse Initiative BI Fidelity Webinar July 28, 2015

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3 Pam Pietruszewski, MA RASAI Clinical Lead National Council for Behavioral Health Washington, DC Christina Boyd, LSCSW, LCAC CEO Hope and Wellness Resources Jetmore, KS

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1.Ambivalence is normal to the change process. 2.Pushing a patient for change will evoke resistance to change. 3.Evoking patient’s own change talk will enhance behavior change. Some Motivational Interviewing Principles

“MI appears to be a good fit with adolescents’ developmental need to exert their independence and make decisions for themselves, while it respects their heightened levels of psychological reactance and coincides with the development of their decision-making skills.” Motivational Interviewing for Adolescent Substance Use: A Review of the Literature Barnett, et al. Addict Behav 2012

…are positively related to improved outcomes in adolescents (Barnett, 2012) Client change language Client experience of discrepancy Decisional balance

SBIRT case examples + Audience participation Questions Comments Suggestions Similar or related experiences

Rebecca Rico & Eloisa Barraza Substance Abuse Coordinator/Mental Health Rehab Specialists Hillsides in Pasadena, Baldwin Park, Los Angeles Area Types of services - Outpatient/School Based Services, Residential Services, Youth Moving On, WRAP, FSP, Calworks (Life Skills Provided for Clients (Includes, but is not limited to, how to build your resume, tutoring, class selection, etc.) Substance abuse psychoeducation, interventions, coping skills, prevention, one-on-one sessions, group sessions) Where SBIRT is being implemented - Baldwin Park School Based with the adolescent.

14-18 years old, Females, and Males, we take as young as 13 years of age, but have not had any cases Referred by Parents, Referred by School, usually referred by school when Clients are presenting substance use Rebecca will share Eloisa will share Thank you

Questions Comments Suggestions Similar or related experiences

Consuelo Cardona Clinician Pacific Clinics- Bonita site in the City of Pomona, Ca Outpatient setting SBIRT is being implemented at the clinic or out in the field during regular treatment sessions

Female client age 21 She came in with depressive symptoms Client has history of marijuana use

Questions Comments Suggestions Similar or related experiences

Andres Mendez, PhD Mental Health Therapist Pacific Clinics – Pasadena Family Services Pasadena, CA Types of services –Child and Family Outpatient –Individual, group, and family therapy –Psychiatric services –Case management Where SBIRT is being implemented –Intake, quarterly screenings, as needed in session

Client is an 18 y/o Hispanic male Referred by PCP for depressive and possible manic symptoms, cutting behaviors a year prior. Broke up with boyfriend shortly after intake, increase in depressive symptoms. Began using alcohol to cope, and started spending more time with friends who drink regularly.

Questions Comments Suggestions Similar or related experiences

Save the Date! Next quarterly webinar, August 27 2pm ET, No-show Management SBIRT Scoop this week See you in the Fall for our SBIRT Summits! (more details in coming weeks) Sept. 15: Wichita, KS Oct. 9: Albany, NY Oct. 19: Los Angeles, CA Oct. 29: Denver, CO Nov. 3: Providence, RI Nov. 12: Nashville, TN Questions? Next Steps