How SBIRT Efficiently Meets the Needs of Middle and High School Students within the PBIS Framework Deidra Gorman Tracy Herlitzke GormanD@wisconsinrticenter.org THerlitzke@cesa4.org Emilie O’Connor OconnorE@wisconsinrticenter.org @EmilieKOC

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Session Description Looking for an efficient intervention to meet the behavioral health needs of your middle and high school students? Come learn about implementing Screening, Brief Intervention, and Referral to Treatment (SBIRT) as a Tier 2 intervention within the PBIS Framework. Originally developed for delivery in busy health care settings, SBIRT offers an efficient, evidence-based, and comprehensive service to address selected behavioral health concerns among adolescents (e.g., alcohol/other drug involvement). Implementation tips from the field will be shared.

Outcomes Attendees will be able to… Explore SBIRT as a potential intervention within a school’s PBIS Framework to meet the mental health needs of students Learn from school implementation barriers and successes

Assessment Connection The content of this session connects to the Tiered Fidelity Inventory: 2.3 Screening 2.5 Options for Tier II Interventions 2.6 Tier II Critical Features 2.7 Practices Matched to Student Need 2.3: Screening: Use of multiple data sources and decision rules to identify students 2.5: Options for Tier II Interventions: Multiple options for interventions exist that are matched to student need 2.6: Tier II Critical Features: Includes instruction, predictability, and feedback 2.7: Practices Matched to Student Need: A formal process is in place to select interventions that are matched to student need

Questions to Consider Before Selecting SBIRT Why is addressing student behavioral health important? How does using SBIRT to address student need fit with existing district priorities or initiatives (i.e. Equitable Multi- Level Systems of Support / PBIS) What is the capacity for your student services staff to deliver SBIRT with 1-2 new students per month? ODRs, YRBS data, Community health data

What is SBIRT SBIRT = Screening, Brief Intervention, Referral to Treatment Originally designed for delivery in busy healthcare settings by non-specialists Evidenced-based for addressing adolescent substance use Promising practice for addressing mental health and conduct problems

Processes/Components Engaging Screening Focusing Brief Intervention Delivering SBIRT Processes/Components Engaging Screening Focusing Brief Intervention

Brief Intervention Protocol Tools: •Importance Ruler •Pros & Cons Worksheet •Change Plan •Confidence Ruler Structure: •3-4 sessions •20 minutes each •Weekly to Bi-weekly Protocol fits on one page, meant to be brief

Merging SBIRT within PBIS: Benefits Sustainability through Team Leadershship Staff capcacity and resource allocation Data Strategic alignment of Tier 1 practices and Tier 2 interventions SBIRT: Meeting the 6 Features of Tier 2 Intervention

School Presenter: Hudson Middle

School / District Presenter: WA/WM

How to access support School SBIRT Implementation Project Wisconsin RTI Center Technical Assistance Coordinators

Questions?

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