Screening, Brief Intervention, and Referral to Treatment Screening, Brief Intervention, and Referral to Treatment (SBIRT) is an evidence-based practice used to identify, reduce, and prevent problematic use, abuse, and dependence on alcohol and illicit drugs. The SBIRT model was incited by an Institute of Medicine recommendation that called for community-based screening for health risk behaviors, including substance use. https://www.integration.samhsa.gov/clinical-practice/sbirt
The Global Assessment of Individual Needs-Short Screener (GAIN-SS) is an evidence-based, five-minute screening tool for general populations to identify clients who have one or more behavioral health disorders.
Overview: The 5-minute GAIN-Short Screener (GAIN-SS) is designed primarily for 3 things: 1) it serves as a screener in general populations to quickly and accurately identify clients (also known as patients, respondents, or research participants) whom the full 1.5 to 2-hour GAIN-Initial would identify as having 1 or more behavioral health disorders (e.g., internalizing or externalizing psychiatric disorders, substance use disorders, or crime/violence problems), which would suggest the need for referral to some part of the behavioral health treatment system. It also rules out those who would not be identified as having behavioral health disorders; 2) it serves as an easy-to-use quality assurance tool across diverse field-assessment systems for staff with minimal training or direct supervision; 3) it serves as a periodic measure of change over time in behavioral health.
GAIN-SS Forms are available by clicking the following links:
GAIN-SS copyright © Chestnut Health Systems. For more information on the instrument, please visit http://www.gaincc.org or contact the GAIN Project Coordination Team at (309) 451-7900 or GAINInfo@chestnut.org
Washington State Health Care Authority links for billers, provider and partners
In 2011, Dr. Robert Bree established a collaborative forum comprised of public and private stakeholders. The group combine efforts and expertise to identify and recommend evidence-based strategies, which improve quality of care, improved health outcomes through the delivery of integrated health care. Behavioral health care integrated into primary care is one of the leading focuses of the Bree Collaborative which has been not only efficient in the delivery of best practice treatment is has shown to be a cost-effective model of care.
Use of evidence-based, existing models of assessment and eight elements are incorporated to define a minimum standard to promote integrated care in the Bree Collaborative Model. Washington State has adopted the elements of best practice by incorporating the eight elements of the Bree Collaborative as an initiative to bridge evidence-based management that allows all health care providers the basis to achieve integrated care services. Use of the following eight elements, with specified criteria, allow the patient to be the full focus of care delivery, promote care that becomes standard, by encompassing the full perspective of integration of medical and behavioral wellbeing.
1. Integrated Care Team
2. Patient Access to Behavioral Health as a Routine Part of Care
3. Accessibility and Sharing of Patient Information
4. Practice Access to Psychiatric Services
5. Operational Systems and Workflows to Support Population-Based Care
6. Evidence-Based Treatments
7. Patient Involvement in Care
8. Data for Quality Improvement
For additional criteria to engage the Bree Collaborative, please resource the full document: The Bree Collaborative (2017)
Recovery and Resiliency Toolkit for Providers
Intellectual and Developmental Disabilities (I/DD) Toolkit
Transitions of Care Resources
Behavioral Health Toolkit for Medical/Behavioral Providers
AIMS - Collaborative Care
Collaborative care is a specific type of integrated care developed at the University of Washington that treats common mental health conditions such as depression and anxiety that require systematic follow-up due to their persistent nature. Based on principles of effective chronic illness care, collaborative care focuses on defined patient populations tracked in a registry, measurement-based practice and treatment to target. Trained primary care providers and embedded behavioral health professionals provide evidence-based medication or psychosocial treatments, supported by regular psychiatric case consultation and treatment adjustment for patients who are not improving as expected. https://aims.uw.edu/collaborative-care
Washington State Healthcare Authority (WSHA): Evidence-based and research-based practices
The Northwest MHTTC: Mental Health Technology Transfer Center Networks