Workplace SBI Product Development Group

Funded through a Cooperative Agreement with the National Highway Traffic Safety Administration (NHTSA).

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Agenda 9:00 – 9:30 Meet & Greet Breakfast

9:30 – 9:45 Welcome & Introductions

9:45 – 10:00 Brief Overview of the SBI Research Project-Years 1 & 2

10:00 – 10:30 The Impact of Alcohol Misuse in the Workplace

10:30 – 12:00 SBI in the Workplace

12:00– 12:45 Lunch Break -- SBI Demonstration

12:45 – 2:45 Implementing SBI in the Workplace

2:45 – 3:00 Break

3:00 – 4:00 Wrap Up & Next Steps

4:00 Adjourn

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Project Team Network of Employers for Traffic Safety (NETS)

Kathy Lusby-Treber Tom Walsh

Ensuring Solutions Eric Goplerud Tracy McPherson David Anderson Delia Olufokunbi Kelli Joubran

NHTSA Funded through a Cooperative Agreement with NETS

The NETS Mission

To improve the safety and health of employees, their families, and members of the communities in which they live and work, by decreasing the number of traffic crashes that occur both on and off the job.

Vision: To Keep America’s Workforce Safe on the Road

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Federal Strategies to Reduce Alcohol Impaired Driving

High Visibility Enforcement

DWI Courts & Special

Prosecutors

Screening & Brief

Intervention

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NHTSA-NETS Cooperative Agreement

Determine the feasibility of implementing the screening and brief intervention (SBI) model in the workplace settingYear One: • Convened expert advisory panel.• Conducted literature on SBI in medical and non-medical settings.• Designed employer and vendor assessments to determine current

workplace practices to recognize and manage alcohol use, abuse and dependence.

• Developed proposed SBI model based on two approaches that emerged from the assessments.

Bioassay Testing & EAP Occupational Health/Wellness & EAP

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Cooperative Agreement TasksYear Two

• Review the SBI Workplace Model in a product development group setting. Identify steps to integrate the SBI model into the workplace. Further develop model(s) and associated materials to pilot test in the workplace.

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Cooperative Agreement TasksYear Two

• Communications Strategy - to educate employers/employees about alcohol misuse in the workplace, specifically, its impact on alcohol impaired driving and the use of screening and brief intervention.

• Form NETS Alcohol Impaired Driving Advisory Board• Develop workshops for employers• Distribute quarterly newsletter• Develop materials for dissemination at the workplace• Publish Year One findings• Promote Alcohol Screening Day

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Product Development Workgroup Process for Today’s Work Workgroup Activities

Refine and elaborate on the approaches Develop the materials, training guides, process

descriptions, and evaluation/monitoring design necessary to bring these approaches to pilot

Meshing goals of NETS, NHTSA, employers, health plans, and clinicians

HRA(Health Risk Assessment)

Referral (self or

supervisor)

OHW Process•HRA (screening)•Brief Intervention•Treatment Referral•Follow-up

Workplace SBI ModelWorkplace SBI ModelOutcomes

Staff Training•OHW Staff•EAP Staff•Supervisors•CEUs/Credentials

Outreach•Service Promotion•Health Education

EAP Process•Screening•Brief Intervention•Treatment Referral•Follow-up

AutomatedScreening

(web & telephone)

Infrastructure

Alcohol/Drug

Testing

Critical Variables & ProcessesCritical Variables & Processes

Events Activities

Increased Prevention/Early Intervention

Changed Organizational Culture

Improved Employee Clinical/Health Outcomes

Improved Business Outcomes

LongShort

Increased Utilization

Increased Screening

Medium

Increased Identification

Increased Initiation in Brief Intervention

Increased Engagement in Brief Intervention

Decreased Treatment Referral for Risky Use

Increased Treatment Referral for Dependence

Quality MonitoringOrganizational Factors

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SBI DemonstrationKaren K. Chan, PhD Associate Behavioral ScientistRAND Corporation

Kelli Joubran, MPH Research AssociateEnsuring Solutions

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Role-Play Michelle: 35 Year old unemployed,

married female, mother of a 9 year-old daughter, seeking help with career development after losing her job as a manager in a high tech firm 2 years ago as a result of being laid off.

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Outreach Materials and Employer Resources

Vendor Promotional Materials ValueOptions EAP Promotional Posters and CD-ROM (funded

by CSAP “Youth in the Workplace Project”) Contact your MBHO and EAP provider

Publicly Available Materials and Resources NETS http://www.trafficsafety.org/ NHTSA Impaired Driving Program

http://www.nhtsa.dot.gov/people/injury/alcohol/StopImpaired/toolkits.html or http://stopimpaireddriving.org/planners/Holiday2006/index.cfm

US Department of Labor “Working Partners” http://www.dol.gov/workingpartners/

SAMHSA Division of Workplace Programs http://dwp.samhsa.gov/index.aspx

SAMHSA- “GetFit” Website http://getfit.samhsa.gov/

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AUDIT Screening ToolAUDIT (see handout)

Interview Self-report Web-based

www.alcoholscreening.org www.drinkerscheckup.com (direct link -

www.drinkerscheckup.com/ENGLISH/intro/audit1.cfm?Answers=NNNNNNNNNNN&CFID=13928785&CFTOKEN=59099416)

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Other Screening ToolsCAGETWEAKRAPSBMAST

See http://pubs.niaaa.nih.gov/publications/arh21-4/348.pdf

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SBI Training Materials Web-based Training

American College of Emergency Physicians’ (ACEP) Alcohol Screening and Brief Intervention in the Emergency Department. http://acepeducation.org/sbi/

Emergency Department Alcohol Education Project’s Screening, Brief Intervention, Referral and Treatment (SBIRT). http://www.ed.bmc.org/sbirt/index.htm

AlcoholCME.org http://www1.alcoholcme.com/

Training Guides American College of Emergency Physicians’ (ACEP) Brief Negotiated

Intervention (BNI) Manual: Screening and Brief Intervention for Unhealthy Alcohol Use in the ED. http://acepeducation.org/sbi/media/bni_manual.pdf

Richard Saitz and Boston Medical Center’s Alcohol Clinical Training (ACT). http://www.bu.edu/act/mdalcoholtraining/index.html

NIAAA Helping Patients Who Drink Too Much: A Clinician’s Guide. http://pubs.niaaa.nih.gov/publications/Practitioner/CliniciansGuide2005/clinicians_guide.htm and http://www.niaaa.nih.gov/Publications/EducationTrainingMaterials/guide.htm

World Health Organization’s AUDIT: Guidelines for Use in Primary Care http://whqlibdoc.who.int/hq/2001/WHO_MSD_MSB_01.6a.pdf and Brief Intervention for Hazardous and Harmful Drinking: A Manual for Use in Primary Care. http://whqlibdoc.who.int/hq/2001/WHO_MSD_MSB_01.6b.pdf

William Miller’s Treatment Improvement Protocol (TIPS): Enhancing Motivation for Change in Substance Abuse. http://ncadi.samhsa.gov/govpubs/BKD342/

American College of Surgeons Committee on Trauma (COT) Alcohol Screening and Brief Intervention (SBI) for Trauma Patients: COT Quick Guide. (coming online soon)

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Supervisor Training Contact your EAP or MBHO

Signs and Symptoms Recognition

Contact your HR Job Performance Evaluation

Publicly Available Resources US Department of Labor

http://www.dol.gov/asp/programs/drugs/workingpartners/dfworkplace/st.asp

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Wrap Up & Next Steps Over next 3 months (~ January-March)

Synthesize and summarize feedback Disseminate feedback to workgroup Conduct follow-up conference call to review comments Modify approach as needed

Over months 4-6 (~ April-June) Disseminate prototype implementation and training materials to workgroup for review

and comment Conduct follow-up conference call to discuss materials Revise as needed

Over months 7-9 (~ July-September) Disseminate prototype evaluation plan (impacts/outcomes, fidelity, quality

monitoring) Conduct follow-up conference call to discuss evaluation plan Revise as needed

Over months 10-12 (~ October-December) Project team will develop a Workplace SBI Tool Kit ready for pilot testing in Year 3

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Adjourn

THANK YOU!!