SBIRT at International School - Bellevue School District · 2019-05-03 · SBIRT at International School and SOS (Signs of Suicide) at other schools. SOS focuses mostly on suicide

SBIRT at International SchoolScreening, Brief Intervention, Referral to Treatment

Date: Tuesday April 16, 2019

SBIRT: Overarching Goal

District Vision and Mission

To affirm and inspire each and every

student to learn and thrive as creators

of their future world.

To serve each and every student

academically, socially, and

emotionally, through a rigorous and

relevant education that is innovative

and individualized. As a learning

community that values one another’s

humanity, we provide courageous

support for an equitable and

exceptional education for all students.

Happy

Healthy

Safe

Thriving

To serve each and every student academically, socially, and emotionally

Bellevue School District, in alignment with our mission and vision, is piloting two screening programs this year: SBIRT at International School and SOS (Signs of Suicide) at other schools.

SOS focuses mostly on suicide whereas SBIRT is a strength-based screening covering more areas of wellbeing.

How did SBIRT come about?

Best Starts for Kids is considered the most comprehensive approach to child

development in the nation. Best Starts invests an average of $65 million per year

to support King County families and children so that babies are born healthy,

children thrive, and young people grow into happy, healthy adults.

Four Focus Areas: Prenatal to 5 Years, 5-24 Years, Youth and Family Homelessness

Prevention, Communities of Opportunity

11 school districts collaborated with a community organization to apply for the

SBIRT grant. Bellevue School District and Lake Washington School District

partnered with Youth Eastside Services. School districts involved: Auburn,

Bellevue, Highline, Kent, Lake Washington, Northshore, Seattle, Skykomish,

Snoqualmie Valley, Tukwila, and Vashon.

https://www.youtube.com/watch?v=zLGxESHrXcw&t=14s

SBIRT: Importance and Relevance

Broadens our reach

Identifies early mental health and substance abuse symptoms and provide access to intervention

Supports students in becoming their BEST SELF

Relevant Data:

Contemplation

of Suicide

Relevant Data:

Vaping at IS

SBIRT: Partner Organizations

Counseling – Youth Eastside Services

Medical – ICHS or your own provider

Basic Needs Resources – Bellevue School District

Family Connections Center

Academic/Extra-Curricular – NHS Tutoring, Jubilee

Reach, Rainier Athletes, Boys and Girls Club

Crisis – Crisis Connections

SBIRT: Team Leaders

Deborah Kraft/Jared Taylor

• Bellevue School District SBIRT Leaders

Robin Moore

• Assistant Principal, International School

Arty Christianto

• Middle School Counselor, International School

Brianna Chamberlain

• Mental Health Counselor, Youth Eastside Services

SBIRT: What is SBIRT?

Screening

• Check Yourself Tool – a short series of questions to assess possible needs

Brief Intervention

• A series of short meetings with students designed to elevate their awareness of problematic substance abuse or mental health needs

Referral to Treatment

• Collaboration with students and parents to connect students to appropriate services based on each student report

SBIRT: Screening – Check Yourself Tool

Developed by Seattle Children’s and UW

Medicine

Computer adaptive, personalized test with

different topics

Provides individual summary of each student and

aggregated data for the school

GOAL:

Motivate teens to engage in healthy behaviors

Encourage discussion regarding behaviors

Reduce risk behaviors in teens

SBIRT: Screening Topics

Strengths

Support

School

Health

Stress

Coping

Sleep

Home

PTSD Symptoms Screening

Depression Screening

Anxiety Screening

SBIRT: Where does the data go?

SBIRT numbers are generated for each 7th grade student at IS to

maintain confidentiality.

We will not provide any way to identify the students. It will be

anonymous to King County, University of Washington, and Seattle

Children’s Hospital.

All information will be kept in-house and shared only as a response

to provide intervention/treatment (for example, Youth Eastside

Services counselor).

SBIRT: Possible OutcomesO

utc

om

es

Low Risk

Moderate Risk

High Risk

Tier I – Personalized Feedback/No Flag

Tier II – Brief Intervention – Motivational Interviewing

Tier III – Immediate Brief Intervention

and Referral to Services

SBIRT: Brief Intervention –

Using Motivational Interviewing

“Motivational Interviewing is a collaborative, goal-oriented style of

communication with particular attention to the language of

change. It is designed to strengthen personal motivation for and

commitment to a specific goal by eliciting and exploring the

person’s own reasons for change within an atmosphere of

acceptance and compassion” [emphasis added] (Miller & Rollnick,

2013, p 29).

Motivational Interviewing is the conduit in which Brief Intervention is

delivered

Referral To… is an active process that consists of working with a youth and

their family to help them identify resources, and to assist with accessing

assessment, services, or supports, selecting a provider, and helping them

navigate any potential barriers (e.g., lack of transportation or insurance).

At all times possible, we will be collaborating with you directly in

connecting students to resources. Please note that “treatment” does not

mean hospital treatment or medication, etc. It simply means resources

based on you student’s need.

SBIRT: Referral to Treatment

SBIRT: Response Timeline for Tier III Red Flags

• Student will be met with by the end of school day or within a 24-hour window.

• YES will provide a risk assessment and if risk is determined, initiate BSD student safety protocol (including notifying parent/guardian).

Suicidal Ideation and Self-Harm

• Student will be met with by the end of the screening week or earlier.

• If HIB is determined, initiate BSD HIB policy.

Feeling Harassed/Threatened

and PTSD

• Student will be met with within two weeks of the screening process or earlier.Frequent Aches/Pains,

Substance Abuse, Depression, Anxiety

SBIRT: Other Responses – SEL Lessons

September:

What is HIB? Defining, process, and reporting

October:

Social Awareness – How does our actions in person and online affect others?

January:

Communication –Intent vs Impact

April:

Self-Management –Identifying Your Own

Emotions and Caring for Self

BSD SEL Lessons

SBIRT: From the family perspective

1

• Initial e-mail notification to families

•Date: Wednesday April 3, 2019

2

•Parent/Guardian Information Night – Introduction

•Date: Tuesday April 16th at 6:00pm

3

•PTSA General Information Night – Introduction

•Date: Wednesday April 17th at 6:30pm

SBIRT: From the student perspective

1

•E-mail notification to students

•Turn in Opt In Letter/Permission Slip

2

•Take screener in 7th Grade Science classes – Week of April 29th

•3rd Period – Monday, 6th Period – Tuesday, 5th Period – Thursday

3

•Depending on the outcome, connect with school counselor or YES counselor

•Participate in SEL Lessons based on student data/need

Screener – Week of April 29th

• 7th Grade Science Class Period 3

• Follow Up in Periods 5 and 7Monday April 29th

• 7th Grade Science Class Period 6

• Follow Up/Triage after school and Wednesday 4/17Tuesday April 30th

• 7th Grade Science Class Period 5

• Follow Up/Triage in Period 7 Thursday May 2nd

Wrap Up on Friday May 3rd

SBIRT: Benefits –

Lessons from Lake Washington School District

No active crisis as a result of SBIRT Screening

Most, although not all, students determined higher risk were already

known to staff

Students determined lower risk but still screened in (Tier II

– Yellow) were unknown and benefited from: connecting

with a kind and caring adult, awareness of school, and

community resources

Check

Yourself Tool

– please see

attachment

for questions

on the

screening

tool.

Questions

and

Answers