**Wisconsin Department of Health & Family Services**

**Program Description**

The Substance Abuse and Mental Health Services Administration (SAMHSA), Center for Substance Abuse Treatment (CSAT) has awarded the Wisconsin Office of the Governor $2.4 million per year for 5 years to support the delivery of substance abuse screening, brief intervention, referral and treatment services in primary healthcare settings across the state, utilizing the chronic care model and recommendations of the Institute of Medicine.  The Wisconsin Initiative on Promoting Healthy Lifestyles (WIPHL) emphasizes the development and ongoing improvement of durable, drug-free lifestyles for Wisconsin residents. 

**Program Model**

**Screening**Brief screening is administered by nurses, medical assistants, or an interactive voice response system using standardized prescreening questions. Individuals with positive brief screens undergo full screening by a WIPHL health educator. Individuals are screened using the Alcohol, Smoking, and Substance Involvement Screening Test (ASSIST) instrument and sections A and B of the Government Performance Results Act (GPRA) Baseline Instrument.

**Brief Intervention**Brief interventions are conducted using motivational interviewing by a WIPHL health educator. The health educator also sends a written summary to the patient after each session.Brief interventions are conducted in-person or via telephone, when necessary, and consist of up to five sessions.

**Brief Treatment**WIPHL health educators can provide up to 12 sessions of brief treatment. Treatment protocols are based primarily on the transtheoretical model of behavior change and motivational interviewing.

**Referral**For patients that are willing to consider treatment, health educators make a referral to the WIPHL treatment liaison. The treatment liaison will facilitate referrals to local county or tribal programs. A standard patient placement questionnaire will be used to determine the level of treatment needed and a referral to the appropriate provider will be made.

**Service Features**

All patients who receive referral to treatment services also receive needs assessment and referral services relating to health, dental care, HIV testing and education, mental health, family counseling, violence, housing, food, education and vocational rehabilitation, child care, financial planning, and legal issues. 

**WIPHL SBIRT Services Integrated in Wisconsin**

SBIRT services are offered in nearly 20 primary care clinics (and one emergency room setting) in urban, rural, and suburban settings all around the State. Partners include:

· University of Wisconsin Department of Family Medicine 

· Wisconsin Medical Society

· Menominee Tribe 

· Aurora Health Care 

· Gundersen Lutheran

**WIPHL SBIRT Treatment Agencies**

Provider network includes nearly 50 provider agencies, including: 

· Meta House, Inc. 

· Menominee Tribal Clinic 

· Impact Inc 

· M&S Clinical Svcs 

· Maehnowesekiyah 

· Teresa McGovern Center

· Connections Counseling 

**Program Effectiveness**

WI SBIRT services as of February 14, 2010: 

· Screened 84,350 patients

· Provided brief intervention to 16,347 patients

· Provided referral to treatment to 331 patients

· Referred 118 patients to treatment

**Contact Information**

Joyce Allen, Project DirectorWisconsin Department of Health ServicesDivision of Mental Health and Substance Abuse Services1 West Wilson StreetMadison, WI 53707(608) 267-2717Joyce.Allen@wisconsin.gov