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The University of Illinois at Urbana/Champaign (UIUC) is developing a comprehensive Screening, Brief Intervention, and Referral Training (SBIRT) program for Masters of Social Work (MSW) and Bachelor of Social Work students that will also offer Continuing Education Unit (CEU) credits for practicing clinicians. The program will reach 230 students (77 annually) and professionals in the first three years. After three years of funding, it is anticipated that 80 students will be sustained every year for the foreseeable future. The goal of this project is to create an effective and sustainable SBIRT training program that will merge into the educational curriculum at the School of Social Work at UIUC. The project will increase the number of students receiving SBIRT training at UIUC by 300%. The project will also increase the number of students using SBIRT during their field placements by 100%. This will greatly impact the community as a large portion of our students go on to work in behavioral health (43.5%, or 59 students per year) or medical/health (10.9%, or 14 students per year).

SBIRT Training for Medical Students and Residents in Mississippi is a project designed to adapt and implement a curriculum to train psychiatry residents and medical students to implement SBIRT for patients who have or at risk for substance use disorder. The psychiatry residents and medical students at the University of Mississippi Medical Center are very diverse and provide service to a diverse and underserved population. The program is presented students of psychiatry, substance use, and medical conditions. As the Department of Psychiatry at the University of Mississippi Medical plays a key role in training medical students in substance use disorders, the SBIRT training and curriculum will be integrated into our Psychiatry Residency Training Program as well as our Psychiatry Clerkship. In addition to the existing core features of SAMHSA SBIRT training, the proposed curriculum will incorporate a training module that enables psychiatry residents to participate in the supervision of medical student SBIRT practica. This will increase the consistency of the curriculum with common training models in medical student education, thus increasing the sustainability of the curriculum. The goals of the proposed project are to 1) select a SBIRT training curriculum that has been previously developed through SAMHSA funding and tailor the curriculum to our site; 2) iteratively implement the SBIRT curriculum in our psychiatry resident and 3rd year medical student curricula; 3) engage in continuous quality improvement to achieve desired outcomes; 4) effectively and sustainably integrate the SBIRT curriculum into our training curricula; and 5) improve the Mississippi substance abuse treatment system through workforce development efforts. Over the three project years, we aim to train a diverse group of 38 psychiatry and 350 medical students through the curriculum. We will also provide 12 workforce development trainings per year.

Project Name: SUNY Downstate Medical Center (DMC) SBIRT Training Center. Populations to be served: The patient population served reflects that of Central Brooklyn (CB) which has complex health care and treatment needs. Located in Central Brooklyn, SUNYDMC serves patients from one of the nation's poorest and most challenging health care environments with respect to health status and access. This dense, urban area is populated by a low-income, predominantly (>75%), Black population, (20% Latino). Foreign-born persons range from 18% to nearly 50% in heavily Caribbean Crown Heights and Flatbush. Substance abuse hospital admissions in CB are among the highest in NYC. Nearly 14% of Brooklyn's cumulative HIV/AIDS cases and 27% of deaths among males are directly attributable to IDU (15.1% & 29%, respectively, among females). Interventions: The proposed SUNY-DMC SBIRT Training Center will train: 1) HIV track internal medicine (IM) residents; 2) Physician Assistant (PA) students; 3) nurse-midwifery (NM) students; and 4) Family Medicine (FM) residents, in the skills necessary to provide the evidence-based intervention, Screening, Brief Intervention and Referral to Treatment (SBIRT), to patients who are at risk for a substance use disorder (SUD). Project Goals: 1) Develop and implement SBIRT training curricula tailored to these 4 health profession groups; 2) Train subspecialist faculty to build internal leadership capacity and ensure sustainability; 3) Train the 4 trainee groups to conduct SBIRT in clinical settings; 4) Serve as a resource for Brooklyn clinicians for SBIRT training. Number of People to be Served: 1) annually: 61 (35 PAs, 16 NMs, 4 HIV track IM and 6 FM residents); 2) over project lifetime: 183 (105 PAs, 48 NMs, 12 HIV track IM & 18 FM residents).

California State University, Bakersfield in Kern County, (CSUB), will lead a comprehensive Substance Abuse Training Program (SATP) that will educate, train, and empower health profession students to provide evidence-based screening and brief intervention, as well as refer those at risk for a substance use disorder (SUD) to specialty substance abuse treatment. SATP will directly impact 500 (150 per yr.) diverse health profession students and 500 (150 per yr.) practitioners over three years. CSUB is a Hispanic Serving Institution (HSI), 60% of students are under-represented minorities and 76% of students are first-generation. SATP will include the development of educational curriculum and module development for Screening, Brief Intervention, and Referral to Treatment (SBIRT) training in the following health professional programs including: Master of Science in Counseling Psychology (CPSY), Master of Social Work Program (MSW), Master of Science in Counseling, School Counseling and Drug and Alcohol Studies Certificate Program.

Screening, Brief Intervention, and Referral to Treatment (SBIRT) Health Professions Student Training at The University of the Sciences (USCI) is the applicant organization in collaboration with the University of Pittsburgh. The training population includes occupational therapists, pharmacists, physician assistants, physical therapy and kinesiology and psychology students from USCI. This project will provide Screening, Brief Intervention, and Referral to Treatment training to a total of 255 students across the three year grant period that will result in measureable changes in targeted attitudes, knowledge and evidence-based skills. Further, this program will provide interdisciplinary curricula and clinical experiences so that the students are able to implement SBIRT in an interdisciplinary setting upon completion. The targeted trainee group features an ethnically diverse range of students primarily in their early 20s. The program will be developed in a manner that will encourage sustainability after the grant expires, and will support USCI's plans to apply integrated care throughout its system. The program will be evaluated against its ability to positively impact targeted attitudes, knowledge and skill using strategies that have been successfully applied within a medical residency training grant currently funded by SAMHSA. Specifically, all trainees will complete a standardized survey about attitudes towards patients with substance use disorders (SUD) and providing intervention to these patients; complete knowledge tests mapped to knowledge targets; and role-play with standardized cases observed by trained faculty with competency assessed via a standardized proficiency checklist. The evaluation will also assist in continuously improving the quality of the training and ensuring that the training program meets national standards for cultural competency.

The Jeff Curricular Enhancement - Substance Abuse Training (CE-SAT) training recipients will include all medical, physician assistant and pharmacy students enrolled at Thomas Jefferson University in the 2015-2018 academic years, reaching 780 medical students, 110 PA students and 225 pharmacy students over the three year length of the grant. CE-SAT will engage the students by adding screening, brief intervention and referral to treatment skills into the curricular content of existing courses required for all students. The goals of CE-SAT are to: 1) develop and implement training curriculum (didactics, IPad Modules, role plays, and standardized patient scenarios) to teach medical, pharmacy and physician assistant students the skills necessary to provide evidence-based screening and brief intervention and refer patients who are at risk for, or have, a substance use disorder to appropriate treatment; 2) develop the leadership skills of Jefferson faculty to champion the implementation of SBIRT throughout the Jefferson Health System and beyond with the ultimate goal of detecting clients with substance use disorders, and referral to treatment; and 3) ensure the successful continuation of the project and disseminate SBIRT training to local and state-wide medical communities. To achieve these goals, a Council of Directors, made up of key project personnel, SBIRT Curriculum Teaching Faculty, clinical preceptors, community partners, and student representatives, will develop curricular materials, steer policy and procedures, monitor programs, review reports, and develop sustainability plans.

Morehouse School of Medicine (MSM) is the applicant organization in collaboration with the University of Pittsburgh. The training population includes Morehouse School of Medicine medical students and medical residents, Kennesaw State University (KSU) nursing students, and Clark Atlanta University (CAU) social work students. This project will provide Screening, Brief Intervention, and Referral to Treatment (SBIRT) training to a total of 600 students across the three year grant period that will result in measureable changes in targeted attitudes, knowledge and evidence-based skills. Further, this program will provide interdisciplinary curricula and clinical experiences so that the students are able to implement SBIRT in an interdisciplinary setting upon completion. The majority of the targeted trainee group is African American and under the age of 30. The program will be developed in a manner that will encourage sustainability after the grant expires, and will support MSM's plans to apply integrated care throughout its system. The program will be evaluated against its ability to positively impact targeted attitudes, knowledge and skill using strategies that have been successfully applied within a medical residency training grant currently funded by SAMHSA. Specifically, all trainees will complete a standardized survey targeting attitudes towards patients with substance use disorders and providing intervention to these patients, knowledge tests mapped to knowledge targets, and role-play with standardized cases observed by trained faculty with proficiency assessed via a standardized proficiency checklist. The evaluation will also assist in continuously improving the quality of the training and ensuring that the training program meets national standards for cultural competency.

The Screening, Brief Intervention and Referral to Treatment (SBIRT) Health Professions Student Training, an Inter-University collaboration proposes to develop a multifaceted, sustainable SBIRT training program to be integrated into the Bachelor of Social Work and Master of Social Work curricula at two urban universities in St Louis, Missouri such as the University of Missouri-St Louis and St Louis University School of Social Work. The programs will be incorporated into existing systems of care throughout the region. It is estimated that approximately 930 students will be trained during the course of the program. The second goal is to increase faculty knowledge base and ability to teach SBIRT. It is also estimated that 20 faculty members will be trained in SBIRT and increase their ability to integrate training into existing curricula, which will also assist with sustainability of the program following the funding period.

The Arizona State University SBIRT Training & Implementation Collaborative (ASU-STIC) brings together five health-related professions to integrate SBIRT in primary care and other medical settings. Through this program, students in the following health-related professional training programs will be exposed to, and develop, new knowledge and skills in SBIRT: Social Work, Clinical Psychology, Nurse Practitioner, Counseling Psychology, and Integrated Behavioral Health. The 3 year program will provide: 1) awareness exposure of the SBIRT model to students through curriculum infusion into existing courses and training experiences, 2) knowledge and skill development for students through expansion and cross listing of existing ASU courses in SBIRT, Motivational Interviewing, and Brief Interventions in Primary Care, and 3) field-based experiential practice to students through enhanced field placement and practicum placements, involving health-care and related placement agencies. We will train approximately 160 students per year, for a total of 480. The program will coordinate with the Pacific Southwest Addiction Technology Transfer Center (PSATCC). Our project plan has been developed around two primary goals. Goal 1: Strengthen the health care workforce by targeting curriculum infusion and establishment of new curriculum in targeted academic programs at Arizona State University. Goal 2: Develop leadership skills in faculty, field instructors/clinical preceptors, and provider-based clinical supervisors to champion the implementation of SBIRT in health care settings. This project will be coordinated by the ASU Center for Applied Behavioral Health Policy, on behalf of a consortium of five ASU health professions related academic units and affiliated health care agencies that serve as field placement sites for our students.

The Screening, Brief Intervention and Referral to Treatment (SBIRT) Health Professions Student Training Program at the Spokane Teaching Health Center (STHC) will integrate training for recognizing and treating substance use disorders into inter-professional training programs that target students in Spokane, Washington participating in Doctor of Nursing Practice, Doctor of Pharmacy and Doctor of Medicine and in Family Medicine, Internal Medicine and Psychiatry Residency programs. A total of 822 health professionals and residents will receive this training over a three-year period. The specific goal is to integrate the STHC SBIRT program across the continuum of health professional education, leveraging the unique capabilities of the STHC and the University District Health Clinic (UHD Clinic), a new interdisciplinary training clinic in Spokane. The SBIRT training will enable students across educational levels in different disciplines to train together and better support practicing together in the future. To support this goal, the STHC SBIRT program will have the following objectives: l) Provide training in use of the SBIRT tool and techniques to the clinical preceptors and faculty who teach and provide clinical supervision to students in each of the health professions that receive training through the STHC and UHD Clinic; 2) Integrate the SBIRT tool and strategies into the curriculum for each of the health professions that receive training through the STHC and UHD Clinic; 3) Expand awareness and use of SBIRT techniques beyond the health professions training programs to health professionals currently practicing in eastern Washington and northern Idaho. Integrating SBIRT into the UHD Clinic and its education programs will have a ripple effect across eastern Washington and northern Idaho.

The primary goal of the proposed program, LA-SBIRT Project to Address Healthcare Workforce Issues (LA-SBIRT), is to increase the skilled professional workforce in medical, health-related, and other settings throughout Louisiana to address the needs of individuals who are at risk of developing a substance use disorder (SUD). Objectives to meet these goals are as follows: (1) Increase proficiency in SBIRT practice of students and field instructors who participate in the training program, throughout the duration of their placements; (2) Demonstrate usage of SBIRT practice by at least 75% of graduates working in medical and health settings, at one year post training; (3) Expand utilization of the SBIRT model in medical, health-related, and other relevant practicum sites, beginning with 30 sites in Year 1, and increasing by 60% in Year 2 (+ 18 sites), and by an additional 75% in Year 3 (+ 36 sites), for a total of at least 84 sites, over the life of the grant; (4) Increase SBIRT knowledge and skills of at least 1,400 individuals external to the SSW, such as faculty members, administrators, primary and behavioral health care professionals and students, and other professional staff in academic institutions and medical and health agencies and organizations throughout the state, over the life of the grant; and (5) Increase accessibility and visibility of the SBIRT model in healthcare settings and systems, academic institutions, and health-related professional organizations throughout the state during and after the grant funding period. The total unduplicated number of social work students trained during the funding period is at least 511, with 211 trained in Y1, 150 trained in Y2, and 150 trained in Y3. Among the 511 students who receive the SBIRT training curriculum, 210 (41%) will receive the supervised 26 clinical practice component (39, 62, and 109 in Years 1, 2, and 3, respectively).

The Georgia Regents University Interprofessional Substance Abuse Training for the Health Professions (GRISAT) will increase the capacity to address substance use issues in medical settings throughout Georgia by implementing a comprehensive SBIRT training curriculum for health professions students, faculty, and preceptors across the Georgia Regents University (GRU) campus and by implementing SBIRT into students' clinical practice sites. To address this issue, we will equip GRU students across multiple disciplines to provide SBIRT including students in undergraduate medical education, nurse practitioner programs, family medicine residency program, and psychology and psychiatry programs. During the 3-year project, GRISAT will train 909 students, 25 faculty members, and 100 preceptors and will deliver 8 regional trainings, reaching up to 400 healthcare providers throughout Georgia. The GRISAT project has four goals: 1) to integrate the existing SBIRT curriculum into the didactic and clinical practice experiences of the GRU programs listed above; 2) to provide students with the skills needed to provide evidence-based, culturally competent SBIRT services to patients with unhealthy alcohol or drug use; 3) to implement SBIRT in clinical training sites utilized by the participating programs; and 4) to ensure the sustainability of SBIRT in clinical practices throughout the state by promoting SBIRT through interprofessional regional trainings, online continuing education opportunities, and ongoing advocacy at the state and local level. A Council of Directors will meet quarterly to steer policy and procedures, review reports, and develop sustainability plans. Project evaluation by means of a web-based simulated patient and competency assessment, and conduct one-year follow-ups with program graduates to determine the extent of SBIRT implementation into practice.

The College of Pharmacy and Health Sciences will engage in efforts to develop and implement programs specifically targeted to teach students in the Doctor of Pharmacy, Physician Assistant, and Masters of Public Health programs the skills necessary to engage in Screening, Brief Intervention, and Referral Training (SBIRT). Students will be able to engage in brief assessments, motivational interviewing and referral of patients who are at risk for a substance use disorder to appropriate treatment programs. In addition, training will be provided to faculty, healthcare center partners, and clinical supervisors to increase the use and integration of SBIRT into hospital and clinic training protocols for students and into the healthcare and medical services delivery systems. St. John's College of Pharmacy and Health Sciences enrolls approximately 400 students per year; comprised of a diverse student body, over 60% of whom are women and 75% are students of color. Furthermore, the broad reach of our clinical programs ensures the ability to reach thousands of patients across the New York metropolitan area through clinical sites at five major area hospitals, hundreds of clinics, pharmacies, and healthcare networks. In addition, approximately 400 primary faculty/preceptors; 50 who are employed full-time by the college, and an estimated 600 secondary faculty preceptors who work in inpatient, outpatient, community, private practice and many other health care settings will be exposed to SBIRT.

This program,"SBIRT Training Initiative among Allied Health Professional Disciplines at Faith Based Universities," seeks to enhance the curriculum of psychology, nursing, and social work disciplines within faith-based universities to equip professional students with the necessary skills to implement evidence-based SBIRT strategies for patients at risk for substance use disorders, thereby expanding the leadership of the allied health professional workforce at faith-based institutions. The efficient and effective implementation of SBIRT throughout the healthcare systems will help reduce substance use disorders and other related social and medical consequences. To accomplish this project, we will develop partnerships with key faculty stakeholders within the targeted disciplines across faith-based institutions in California (CA). These partnerships will provide a training infrastructure within faith-based universities as well as offer an unparalleled resource of expertise that is uniquely qualified to provide feedback and insight on integrating the SBIRT curricula into such setting. Overall this effort will create and support a SBIRT training network of psychology, nursing, and social work students within faith based university institutions in CA skilled to provide training and technical assistance on culturally responsive prevention, early intervention, and necessary treatment for substance use disorders.

The CT SBIRT Health Professionals Training Program (CT HPTP) plans to implement and evaluate evidence-based SBIRT training with a diverse set of approximately 850 (300 annually) students enrolled in UConn's medical, dental, nursing and affiliated dental hygiene programs over the 3-year grant period. The program will engage students through classroom skills-building and multidisciplinary, collaborative clinical practicum experiences that will allow students to deliver a) culturally sensitive, evidence-based screening, b) brief behavioral interventions based on motivational interviewing practices, and c) quick and reliable referrals to substance abuse treatment providers when more intensive treatment is required. Approximately 75 primary faculty members across the programs will be trained as well as 250 student supervisors/preceptors across the state. A key component of engagement and sustainability will the State's ongoing SAMHSA-funded CT SBIRT Program, which already supports the training of health care providers state-wide. Linking the two programs provides an added layer of SBIRT-educated medical providers to reinforce student behavior and enhance model uptake across a large number of clinics and hospitals throughout the state. CT HPTP will utilize the SBIRT Program Matrix framework to plan and evaluate the implementation activities of the training program within the professional course work and across the state. The Program Matrix, developed by our UConn team during the cross-site evaluation of the first and third cohorts of SAMHSA's SBIRT program initiative, examines select programmatic drivers (e.g., performance sites, provider attributes, management and structural activities) that influence important implementation outcomes including acceptability, adoption, feasibility, fidelity, penetration and sustainability.

The proposed three-year Southern Nevada Substance Use Disorders Training Project is intended to strengthen and further develop the southern Nevada behavioral health workforce by training health professions students (e.g., social workers, counselors, dentists, psychologists, and nurses) in the use of evidence-based screening and brief intervention and referral to treatment (SBIRT). In this proposed project Target Population One consists of 150 undergraduate students and 300 graduate students in the health professions (social workers, counselors, dentists, nurses, psychologists). Target Population Two comprises 300 established behavioral health practitioners who will participate in SBIRT training in order to increase their skill level and enhance their ability to supervise and train subsequent generations of behavioral health providers. Target Population Three in this proposed project are 175 allied professionals who hold employment titles such as Human Resource Director or Residential Counselor. These three target populations are selected because their involvement in the community positions them to be on the front-line of SUD prevention, identification and treatment services. The goals of the program are to: 1) develop and provide sustainable, coordinated, and comprehensive training and other resource materials designed to educate and support health and human service students, established practitioners, and allied professionals in the use of evidence-based and culturally responsive SBIRT models; 2) improve students' competencies and their intervention and service delivery effectiveness by providing intensive, didactic, and experiential training in SBIRT; and 3) increase the number of students who complete undergraduate and graduate education with specialized training in SUD treatment.

The Our Lady of the Lake University (OLLU SBIRT) Competency and Dissemination Project is a collaborative project of the Psychology and Social Work programs. SBIRT curricula will be integrated into programs at the bachelor, master, and doctoral level programs and in community based organizations and public and Catholic schools that serve as practicum and field education placement sites for OLLU students. The OLLU SBIRT programs have five goals: (1) Enhance faculty participants' SBIRT knowledge and confidence in ability to teach SBIRT practices, (2) Enhance field supervisors' SBIRT knowledge and confidence in ability to incorporate SBIRT practices in their supervision, (3) Enhance learners' knowledge of evidence-based SBIRT practices, (4) Enhance learners' readiness & perceived confidence to implement SBIRT with their clients/patients, and (5) Increase learners' implementation of SBIRT practices with their clients/ patients. Over 600 faculty and practicum/field education supervisors will be provided with either on campus or distance learning train-the-trainers workshops over three years, disseminating SBIRT practices to a broad range of social service organizations. Onsite trainings for community based organizations will be available through an open access website. Training teams in each discipline, under the leadership of the Council of Directors, will review the SBIRT curriculum and modify it to include: translation of materials in Spanish; acculturation of all curricula into the unique demographics and socio economic needs of our local community in San Antonio, with its strong presence of Mexican American families; adoption of a systems- oriented and strengths-based language throughout the training; and application SBIRT with couples and families as well as individuals. Over the three years of the project a minimum of 233 students in San Antonio, 15 in Houston and 440 throughout the nation will be trained in SBIRT practices.

Shenandoah University's Schools of Pharmacy, Nursing and Health Professions, in alliance with community partners, will implement a 3-year project, Inter-professional SBIRT Training for Health Professions Students and Practitioners in Northwestern Virginia. Health professions students, as well as local health professionals will learn to provide screening, intervention and referral to treatment for substance use disorders. The project will train at least 245 graduate health professions students annually. Project goals include: (1) Develop partnerships and relationships to integrate Shenandoah University (SU) health professions (HP) programs with local healthcare providers and behavioral health services in the Lord Fairfax Health District (LFHD) to improve substance use disorders (SUD) screening, intervention and referral. (2) Train HP students to identify behavioral health issues related to substance abuse and use SBIRT training in the provision of culturally competent care for patients. (3) Promote integration of behavioral health and primary care for community- dwelling seniors using inter-professional student health-care teams. (4) Partner with the Virginia Department of Health to determine and meet SBIRT-related educational needs for healthcare providers within the LFHD. (5) Sustain the project beyond the life of the grant. Objectives are summarized as: (1-3) Determine appropriate screening tools and brief interventions for SUD and at-risk behaviors for the patient populations in the LFHD including distinctive needs of low income and/or elderly individuals; identify behavioral health services available; and develop a referral network for substance abuse support and treatment in the LFHD. (4-6) Train faculty and 100% of PA, NP, pharmacy students to properly utilize SBIRT for substance abuse/misuse in clinical practice prior to completion of their respective programs; and train 33% of all other SU health professions.

The Hawai'i Island Family Health Center (HIFHC) is located in Hilo, Hawai'i and is home to the HHSC Primary Care Training Program which consists of a multi-disciplinary training site for family medicine residents, advanced practice nursing students, pharmacy students, health psychology students, and medical students. The SBIRT Hawai'i project at HIFHC expects to train approximately 50 learners in the first year and upwards of 150 over the 3 year grant award. HIFHC hopes to use SBIRT to create a more formal curriculum for its learners thus expanding pre-existing behavioral health services for the clinic population. Learners who participate in SBIRT training at HIFHC will bring their experience to their home institutions, future job sites and hopefully continue to utilize these skills in future patient encounters. HIFHC serves a diverse population of patients who live in and around Hilo. Project Goals include implementing a new curriculum for teaching about SUDs, delivering SBIRT for the full continuum of substance abuse disorders in an observed training environment, and measuring the effectiveness and quality of training in participating students.

The Screening, Brief Intervention and Referral to Treatment (SBIRT) service has been shown to be one of the most cost-effective preventive services and has been associated with long-term reductions in substance use and health care utilization. The WSU SBIRT Training Program will provide SBIRT training to health professions students enrolled in four different schools/colleges within Wright State University (WSU) and to students at four collaborating institutions. At least 500 health professions students will receive SBIRT training annually, including: 100 third-year Boonshoft School of Medicine (BSOM) medical students, 25 School of Professional Psychology (SOPP) PsyD students, 145 undergraduate College of Nursing and Health (CONH) nursing students, 10 Family Medicine residents at BSOM, 25-30 Internal Medicine residents at BSOM, 50 students in the master's rehabilitation counseling program in College of Education and Human Services (CEHS), 145 undergraduates majoring in rehabilitation services in CEHS, 25-30 sixth- year pharmacy students from the School of Pharmacy at Ohio Northern University, 4-5 Pediatric Medicine residents at BSOM, 8 Dental residents, 5 Psychology Post-Doctoral SOPP Interns, 50 Physician Assistant students from the University of Dayton and Kettering College, and 30 pharmacy students from Cedarville University, who currently rotate through WSU sites. The Council of Directors composed of representatives from the participating units and will make decisions regarding how and when to begin offering SBIRT training to these diverse student cohorts. The SBIRT training envisioned will include a small didactic component and a much larger experiential component that includes clinical practice with simulated patients and application of SBIRT techniques.

The University of Oklahoma SBIRT Collaborative will train students enrolled in nine professional health care training programs in five different colleges located on three OU campuses. These trained professionals will in turn use SBIRT in their future practices in urban, suburban, and rural medical settings across Oklahoma. Experienced instructor/trainers will initially lead the classroom curriculum, co-teaching with professors. In years two and three the professors will take on more of the classroom instruction under the guidance of the trainer. Each college has agreed to insert successful SBIRT curriculum into their courses after the three years of training support from the collaborative, insuring long-term sustainability of SBIRT training for future health professionals. The OU-SBIRT Collaborative will be administered through the University of Oklahoma, Anne and Henry Zarrow School of Social Work, Center for Social Work in Healthcare (CSWHC) located in Norman, Oklahoma. The participating OU colleges include: the College of Medicine (medicine, physician associates and residents of pediatrics, family and internal medicine), the College of Dentistry (students of dentistry), College of Pharmacy (pharmacy students), and College of Nursing (Certified Nurse Specialist and Family Nurse Practitioner program students), and the College of Arts and Sciences, (Psychology doctoral level Interns and post doc fellows, and Bachelor and Master level Social Work students). During the three years of the collaborative, over 1900 students will be trained. The faculty and staff trained through the OU-SBIRT Collaborative will in tum provide training and learning opportunities to healthcare professionals across Oklahoma through continuing education events, and professional writing, all of which will support further adoption of SBIRT practices, in Oklahoma.

The George Mason University (GMU) project: Training to Engage, Assess, and Motivate for Substance Use Prevention (TEANS-UP) will enable inter-professional collaborative practice opportunities to provide integrated behavioral health care for substance abuse disorder patients via a transdisciplinary SBIRT training program for nursing, social work and psychology faculty and students. The program aims to train 365 BSW and MSW social work students, 630 BSN, MSN, DNP nursing and 32 PhD clinical psychology students. Students will receive training within a primary health care setting through GMU's MAP clinics serving Northern Virginia's highest risk populations. TEAMS-UP will increase the adoption and practice of SBIRT throughout the healthcare delivery systems through 1) curriculum infusion of SBIRT content into appropriate undergraduate and graduate coursework and 2) a transdisciplinary approach to hands-on application and evaluation of SBIRT skills in nurse-managed clinics working with vulnerable populations, providing two distinct pathways for students to become "SBIRT champions." Project goals include (1) Provide education and training in the use of SBIRT for substance use and co- occurring mental health disorders across nursing, social work, and psychology disciplines at GMU; (2) Students in clinical courses will practice and become proficient in the implementation of SBIRT techniques in MAP Clinics using a transdisciplinary approach (3) Students will champion SBIRT techniques in non-MAP clinical rotations/field placements when the setting allows for it; (4) Increase access to behavioral health services in underserved populations by increasing access to SBIRT techniques within the MAP clinics; and (5) Devise and incorporate a quality improvement plan to improve GMU's application of SBIRT.

SBIRT Training for Students in Health Professions in Rural Southwest Virginia is a rural curriculum project integrating the SBIRT model in coursework for counseling students, nursing students, medical residents, and practicing health professionals in the area. Approximately 300 students will benefit from the training in the first three years of the project and 200 practicing healthcare professionals and teaching faculty will be taught the SBIRT approach through continuing education opportunities. Southwest Virginia is rich in rural cultural heritage and also home to significant alcohol and drug problems, including prescription painkillers, methamphetamine, heroin, marijuana, and moonshine. Moreover, other rural issues, including limited transportation, remote geographic locations, limited program resources, and shortages of healthcare options influence the decision-making process to seek help. Virginia Tech, Virginia Tech Carilion School of Medicine, Radford University, and Jefferson College of Health Sciences have joined together to develop, implement, and sustain a rural SBIRT curriculum for students and practicing health professionals in the region. The proposed student curriculum will include core components of SBIRT and utilize information on the attitudes, perspectives, and behaviors often encountered in rural cultures. Curriculum implementation will span three years and include a process and outcome evaluation and an implementation strategy for sustainability. In addition to embedding SBIRT into course curriculum, a public web-based repository of SBIRT curriculum, resources, and materials will be launched to serve the region. The infusion of SBIRT into professional community practice will help build institutional support and community collaborations to address the region's substance abuse problems.

Screening, Brief Intervention and Referral to Treatment (SBIRT) Health Professions Student Training Chatham University (Chatham) is the applicant organization in collaboration with the University of Pittsburgh. The training population includes physician assistant students, nursing students, physical therapy students, occupational therapy students, and counseling psychology students within Chatham University's School of Health Sciences. This project will provide screening, Brief Intervention, and Referral to Treatment (SBIRT) training to a total of 729 students across the three year grant period that will result in measureable changes in targeted attitudes, knowledge and evidence-based skills. Further, this program will provide interdisciplinary curricula and clinical experiences so that the students are able to implement SBIRT in an interdisciplinary setting upon completion. The targeted training group is primarily white females ranging 23-40 years of age. The program will be developed in a manner that will encourage sustainability after the grant expires, and will support Chatham's plans to apply integrated substance use disorder (SUD) care throughout its system. The program will be evaluated against its ability to positively impact targeted attitudes, knowledge and skill using strategies that have been successfully applied within a medical residency training grant currently funded by SAMHSA. Specifically, all trainees will complete a standardized survey on attitudes towards patients with SUD and providing intervention for these patients, knowledge tests mapped to knowledge targets, and role-play standardized cases observed by trained faculty with competency assessed via a standardized proficiency checklist. The evaluation will also assist in continuously improving the quality of the training and ensuring that the training program meets national standards for cultural competency.

This project will adapt and implement the Screening, Brief Intervention, and Referral to Treatment (SBIRT) curriculum for use with pre-licensure nursing students, advanced practice nursing students, pharmacy students, and graduate counseling students to provide the skills necessary to screen and refer patients who are at risk for substance abuse disorder. This project includes regional trainings for practicing healthcare providers to increase the adoption and practice of SBIRT within South Dakota. Project Title: Implementation of Screening, Brief Intervention, and Referral to Treatment Education for Health Professionals in South Dakota Populations Served. The project will also offer trainings to practicing healthcare professionals in the rural and medically underserved state of South Dakota. The project will use the evidence-based Screening, Brief Intervention, and Referral to Treatment tool. Project objectives include the following: 1) Adapt and implement the SBIRT curriculum for pre-licensure nursing students, advanced practice nursing students, pharmacy students, and graduate counseling students; 2) Increase student awareness of and competencies in the use of SBIRT for patients at risk for substance abuse disorder; and 3) Increase awareness of and competencies in SBIRT for practicing healthcare providers in South Dakota through regional trainings focused on the use and implementation of SBIRT. The project will train 820 students in year 1, 860 students in year 2, and 940 students in year 3 for a total of 2,620 over the three years of the award.