**New York State Office of Alcoholism and Substance Abuse Services**

**NYSBIRTII (TI02502)**

**Program Descript**

**Project Description**

The Substance Abuse and Mental Health Services Administration (SAMHSA), Center for Substance Abuse Treatment (CSAT) awarded the New York State Office of the Governor $2.02 million per year for 5 years to support the delivery of screening, brief intervention, extended brief interview, and referral to substance use treatment services to 150,000 New Yorkers living in communities impacted by Hurricane Sandy throughout Long Island, Staten Island and lower Manhattan.  The project is collaboration between the New York State Office of Alcoholism and Substance Abuse Services (OASAS), the National Center on Addiction and Substance Abuse at Columbia University (CASAColumbia) and the North Shore Long Island Health System (NSLIJ).  Services are delivered at seven NSLIJ primary care and emergency department sites.  OASAS additionally partners with the Center for Practice Innovations in the development of an SBIRT distance learning program.

**Program Model**

· **Screening:**Pre-screening is administered by front-line medical professionals (registered nurses and medical office assistants) using standardized prescreening questions (AUDIT-C and DAST-1). Individuals with positive pre-screens undergo full screening with the AUDIT and the DAST-10 by SBIRT Health Coaches.

· **Brief Intervention:**Brief interventions are conducted in-person by health coaches trained in Brief negotiated interviewing and motivational interviewing.  Brief interventions consist of one session.

· **Extended Brief Interventions (Brief Treatment):** For patients requiring extended brief intervention (Brief Treatment) Health coaches currently refer patients to OASAS-certified community treatment providers. 

· **Referral:**For patients requiring further substance use treatment, referrals are provided to OASAS certified substance use treatment providers.

**Unique Project Features**

In addition to direct service delivery, the project will build a technology infrastructure to support sustainable delivery of SBIRT services throughout New York State.  Specific project aims are:

· **Electronic Medical Record Integration and Health Information Exchange**—SBIRT services delivery is captured within patient electronic medical records and will ultimately be shared by participating medical and behavioral health providers through regional and state Health Information Exchange networks.

· **Tablet-based Screening and Brief Intervention**—A tablet-based screening and brief intervention program will enhance interaction between patients and project-funded health coaches.  In addition, the program will be adapted such that patients can self-administer the program in order to receive electronic screening and brief intervention. Thus, this program will increases screening and brief intervention capacity in medical settings that may lack sufficient resources to support a fully staffed SBIRT program.

· **Distance Learning Program**—A web-based SBIRT distance learning program is being developed and made available to all New York State healthcare providers.  The program will include training modules to teach SBIRT clinical, administrative and billing practices to support the adoption and implementation of SBIRT in additional medical settings throughout the state.

For more information, contact: 

John Yu, Ph. D.

Project Director

New York State Office of Alcoholism and Substance Abuse Services

1450 Western Avenue

Albany, New York 12203

518-457-0053

John.Yu@oasas.ny.gov

Or visit http://www.oasas.ny.gov/hps/research/Projects.cfm

**Website:**

http://www.oasas.ny.gov/hps/research/Projects.cfm

**Project Director:**

John Yu, Ph.D.

New York State Office of Alcoholism and Substance Abuse Services

1450 Western Ave., Albany, NY 12203

John.yu@oasas.ny.gov

518-457-0053