OLDER ADULT SBIRT IMPLEMENTATION

1
OLDER ADULT SBIRT IMPLEMENTATION

• Stephen Ferrante
• Broward County Elderly and
• Veterans Services Division
• [phone]

2
Broward Pilot Elements

• Local Needs Assessment
• Consumers / Caregivers / Other Stakeholders
• Surveying and 5 Focus Groups
• Program Implementation Training Plans
• Agency Staff Development
• Stakeholder Outreach and Training
• Implement Screening Tool
• Minimum 50 older adults
• Implement Brief Intervention, Referral and
  Treatment
• At least 95 who screen positive
• Data Reporting

3
Broward Pilot Elements - Continued

• Meeting and Conference Participation
• Florida Older Adult Workgroup
• Pilot Training and Meeting
• FADAA Conference
• Program Manual
• Program Description Procedures
• Referral System Design Referral Tools
• Enhance Curriculum
• Resource Manual
• Pilot Implementation Report

4
Local Needs Assessments

• 2 Survey Tools
• Consumer/Caregiver Provider/Stakeholder
• 2 Focus Group Formats
• Administering Surveys
• Home Visits Senior Residences
• Senior Community Centers
• Provider Committee Meetings
• 4 Focus Groups Conducted
• Senior Fair
• Older Adult Day Program
• Broward Older Adult Workgroup
• M.S.W. Class

5
Pilot Materials Developed

• Implementation Plan
• Training Plan
• Referral Form with Risks Factors, Signs
  Symptoms
• Referral Tracking Sheet
• Partner Memorandum of Understanding
• Needs Assessments

6
Training and Outreach Conducted

• Training Events
• BCEVSD
• Pilot Staff
• Management Staff
• 4 Senior Centers
• MediVan Project
• Hispanic Unity
• Housing Authority
• Broward Older Adult Workgroup
• Community Presentations
• Broward Commission on Substance Abuse
  Presentation
• DOEA / AAA Shine Volunteers
• Broward Sheriffs Office / Ft Ldle PD / Pembroke
  Pines PD
• United Jewish Federation NORC Project
• Memorandums of Understanding
• 4 Senior Centers
• 1 Housing Authority

7
Implementation of Screening Tool

• 43 Total Completed
• 7 (16) Spanish, 6 (14) African American
• 34 (79) Female, 9 (21) Male
• Ages 61 94 (Avg. Age 78)
• Screening Populations / Screening Sites
• MediVan Project
• Senior Fair
• Community Health Fair
• Home Visit (Majority 68)
• General Community Referral
• Senior Subsidized Housing
• CCE Wait-list
• CCE Active

8
Screening Results / Intervention

• 6 (14) Positive Screening
• Depression, Suicide Risk, Grief
• 6 Brief Intervention
• 5 single sessions / 1 2 sessions
• Referrals
• Individual Counseling
• Referral to Depression Group Therapy
• Mental Health Case Management
• Follow-up with existing counselor and/or case
  manager
• Basic Case Management Assistance / Guidance

9
Experiences and Observations

• Identification Value
• Coupling Screening with a Wellness Presentation /
  Community Education
• If No Positive Screen for Substance Abuse, but
  Positive Screen for Depression, etc.. Provide
  Some Substance Misuse Prevention Education
• Compulsive Gambling Initiative
• Building a Referral Base
• Primary Care Linkage
• Adding a Peer Mentor Component
• Brief Risk Analysis Tool