SBIRT for Mental Health Disorders
What You Need to Know Before You Apply
What is the purpose of this trial?
This trial aims to determine if a program called SBIRT, which includes screening, brief intervention, and referral for treatment, can assist students in adult education centers with mental health challenges like depression and anxiety. The trial will evaluate the program's ease of use and effectiveness in these centers. Students aged 17 and older, enrolled in high school credit or GED programs, may qualify. The goal is to improve both mental health and academic outcomes for these students. As an unphased trial, this study provides students with a unique opportunity to contribute to research that could enhance mental health support in educational settings.
What prior data suggests that this protocol is safe for students in Adult Education Centers?
Research has shown that the Screening, Brief Intervention, and Referral to Treatment (SBIRT) method is generally safe for people. Studies have found that SBIRT can help reduce risky alcohol and drug use, indicating it is well-tolerated. Specifically, one study found that people who received SBIRT had fewer days of heavy drinking and drug use. Another study showed that more people reported not using alcohol or illegal drugs in the past 30 days after receiving SBIRT.
The Substance Abuse and Mental Health Services Administration (SAMHSA) supports SBIRT as an effective way to help people with substance use issues, demonstrating confidence in its safety for those who need help.
Overall, SBIRT aims to improve health and has been widely used, indicating it is a safe and acceptable method for addressing behavioral health.12345Why are researchers excited about this trial?
Researchers are excited about the SBIRT approach for mental health disorders because it offers a comprehensive and proactive strategy to engage students in their mental well-being. Unlike traditional treatments that often focus solely on therapy or medication, SBIRT integrates screening, brief interventions, and referrals to community-based support, providing a more personalized and holistic approach. This method is unique in its potential to identify issues early and guide individuals to appropriate resources quickly, potentially improving outcomes and retention in treatment programs. Additionally, the use of Patient-Reported Outcomes Measurement Information Systems (PROMIS) helps tailor the intervention to individual needs, making it a promising tool for effectively addressing mental health challenges among students.
What evidence suggests that SBIRT is effective for mental health disorders?
Research has shown that Screening, Brief Intervention, and Referral to Treatment (SBIRT) can improve mental health. In one study, participants who received SBIRT reported better mental health and reduced substance use over three years. Another study found that more individuals stopped using alcohol or drugs in the past 30 days after receiving SBIRT. Additionally, SBIRT has been linked to positive changes in alcohol and drug use among those with mental health issues. These findings suggest that SBIRT can be a useful tool for addressing mental health and substance use problems.12467
Who Is on the Research Team?
Derrick Gordon, Ph.D.
Principal Investigator
Yale University
Are You a Good Fit for This Trial?
Inclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Developmental Formative Evaluation
Conduct an iterative, mixed methods formative evaluation to identify barriers and facilitators of SBIRT implementation in AECs.
Progress-Focused Formative Evaluation
Identify factors that inform modifications needed for Implementation Facilitation in NHAEC to enhance its capacity to achieve designated study outcomes.
Pilot Study
Single-arm, open pilot study to examine the acceptability, feasibility, and preliminary effectiveness of Implementation Facilitation to promote the use of SBIRT by SRSs with AEC students.
Follow-up
Participants are monitored for safety and effectiveness after treatment, with outcomes tracked at baseline and at 3- and 6-months post study enrollment.
What Are the Treatments Tested in This Trial?
Interventions
- Screening, Brief Intervention and Referral for Treatment (SBIRT)
How Is the Trial Designed?
1
Treatment groups
Experimental Treatment
The students will complete the Patient-Reported Outcomes Measurement Information Systems (PROMIS) measures, receive feedback from the SRSs about their behavioral health, receive a brief MI intervention, if indicated, and referral to community-based supports, as needed. This will continue at the start of each semester for 15 months to month 25. Student outcomes will be tracked at baseline and at 3- and 6-months post study enrollment. Main outcomes will be assessed according to the RE-AIM evaluation framework to capture both SRS-level (e.g., students reached wit SBIRT, adoption of SBIRT consistently, implemented SBIRT well) and student-level outcomes (e.g., retention; treatment referral engagement; changes in PROMIS measured scores; NHAEC program attendance, 12hr classroom instruction completed/received, credits earned). Acceptability of Implementation Facilitation and SBIRT will be determined for NHAEC staff, SRSs, and students (i.e., Client Satisfaction Questionnaire-8, CSQ-8
Find a Clinic Near You
Who Is Running the Clinical Trial?
Yale University
Lead Sponsor
National Institute of Mental Health (NIMH)
Collaborator
Citations
Effect of Screening, Brief Intervention and Referral to ... - PMC
Conclusions: Screening and brief intervention for unhealthy alcohol and drug use in mental health treatment settings were effective at reducing the frequency of ...
Screening, brief intervention, and referral to treatment ...
In this study, patients whose pediatricians were randomized to deliver SBIRT had better substance use, mental health, and medical outcomes over a 3-year period.
Screening, Brief Intervention, and Referral to Treatment
The percentage of clients who reported they had not used alcohol or illegal drugs within the past 30 days increased by 128.8% between initial ...
Screening, Brief Intervention and Referral to Treatment ...
The US SAMHSA SBIRT program is an effective way to introduce a variety of new services that extend the continuum of care for substance-involved individuals.
Screening, Brief Intervention and Referral to Treatment
Both brief intervention and brief treatment were associated with positive outcomes, but brief intervention was more cost-effective for most substances. Sixty- ...
Screening, brief intervention, and referral to treatment (SBIRT ...
This chapter describes the screening, brief intervention, and referral to treatment (SBIRT) model for hazardous substance use and substance use disorder ...
SBIRT as a Vital Sign for Behavioral Health Identification, ...
The purpose of this quasi-experimental design study was to examine the effec- tiveness of the behavioral health Screening, Brief Intervention, and Referral to ...
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