Conference Abstract Compendium Examples from the ... - CityMatCH

2009 CityMatCH Urban MCH Leadership ConferenceActivity 2: Conduct SBIRT training at the pilot clinic to develop standardized office protocols.Phase II:Implement phased training at 6 CPSP clinics to integrate SBIRT protocols as part of the routineassessment by April, 2009. CADFP aims to expand training in all 26 CPSP sites in SCC within two years.ACCOMPLISHMENTS/RESULTSActivity 1 of Phase I has been completed. A survey of 399 pregnant women was conducted at a CPSPClinic in 2007. Results of our survey show that one in five respondents were currently using ATOD.However 45.4% of women were at-risk (any positive response for 5P’S screening tool assessing forparents, partner, past, present, peers along with smoking, adverse mental heatlh, and family violence) forsubstance use. CADFP has used these survey results in developing training curriculum for SBIRT at theCPSP clinics.Phase I: Activity 1 is currently being implemented. Two trainings within the month of April will beconducted by CADFP staff. The first training will provide the OB/GYN staff an overview of the SBIRTprogram. The second training will include step by step methodology to seamlessly integrate officeprotocols with SBIRT.Phase II: Evaluation of Activity 2 of Phase I will be used to integrate SBIRT protocols at all 26 CPSPsites by April 2011. Each of the CPSP sites will be trained to implement SBIRT to augment existingoffice protocols.BARRIERS• Social stigma around addiction issues.• Misconception among health care providers.• Limited Treatment options.• Existing economic climate affecting resources.• Lack of compassion and empathy from health care providers regarding addiction.LESSONS LEARNEDEach OB/GYN office has unique office procedures; being sensitive to existing office protocols and timeconstraints is critical for successful integration of SBIRT.INFORMATION FOR REPLICATIONKey partners/stakeholders who collaborated on this program were as follows:Santa Clara County Public Health Department, Santa Clara County Department of Alcohol and DrugServices, Santa Clara Valley Medical Center(county hospital), all of the local CPSP clinics, First 5 ofSanta Clara County, local March of Dimes, Santa Clara County Medical Association, Planned Parenthood(local), South Bay Children's Medical Group, and the FASD Task Force of Santa Clara County and manycommunity volunteers.131