BRief Intervention and Treatment for Elders

Mission

The mission of the Brief Intervention and Treatment for Elders (BRITE) project is to serve individuals 55 years and older to identify non-dependent substance use or prescription medication issues and to provide effective service strategies prior to their need for more extensive or specialized substance abuse treatment.

The SBIRT Initiative

BRITE implements the Screening, Brief Intervention, and Referral to Treatment (SBIRT) initiative of the SAMHSA Center for Substance Abuse Treatment (CSAT). In late 2006, Florida was awarded a $14 million CSAT grant to expand Florida to 20 sites across the state, thanks to the success of a three-year pilot project from 2004-2007 funded by the Florida Department of Children and Families Substance Abuse Program Office (DCF/SAPO) conducted by Broward County Elderly and Veterans Services, Gulf Coast Jewish Family Services (Pinellas County), Center for Drug Free Living (Orlando), and Coastal Behavioral Health Care (Sarasota). Results from the pilot study of 3,497 screenings are published in the American Journal of Public Health. The provider agencies in that pilot study offered in-home screening and services for elders with problems related to alcohol, illicit substances, and prescription and over-the-counter medications.

With the CSAT grant, BRITE now focuses on providing services within primary and emergency health care settings, public health clinics, elder homes, and at sites coordinated by aging services. Clients may be offered screening, brief intervention, and brief treatment by these generalist providers or they may be offered more intensive care by a substance abuse specialist provider agency. Providers were selected through a competitive process requiring “requests for proposals” submitted to DCF/SAPO.

The SBIRT Model

Within the U.S., SBIRT programs typically are located in medical settings such as emergency departments and primary care practices. In many states, all admissions to the medical setting are screened for substance abuse and then given a brief intervention if there are signs of problems that are related to substance use. Duration for a typical session in an E.R. might be no more than 20 minutes, but research indicates substantial reduction in harmful behaviors. Examples of such brief approaches can be found at the Boston University Medical Center’s website: http://www.ed.bmc.org/sbirt/cases.php.

The Florida BRITE Project is the first federally funded SBIRT project that focuses on the older adult. In addition to medical settings, BRITE screens and provides brief interventions in aging services, retirement communities, senior housing, at health fairs, and at other locations. This population is a high priority age-group in Florida, given that Florida has the highest median age population among all states in the U.S.

Since the SBIRT grant was received, more than 16,00 people have been screened across all BRITE sites. (Check back for updates on the BRITE data).

For information about BRITE, please contact:

Vance Burns, SBIRT Project Director, Florida DCF Substance Abuse Program Office, 1317 Winewood Blvd., Building 6, Tallahassee, FL. 32399

· Phone: (850) 921-8495 (Suncom 291-8495)

· Email: Vance_Burns@dcf.state.fl.us

For training on BRITE services and data entry, please contact:

Robert W. Hazlett, Ph.D., BRITE Quality Assurance and Training Manager, Florida DCF Substance Abuse Program Office. 1317 Winewood Blvd., Building 6, Tallahassee, FL. 32399

· Phone: (352) 603-0970

· Email: Robert_Hazlett@dcf.state.fl.us

For questions on the background or evaluation, please contact:

Deborah Hedgecock, Ph.D., Assistant Professor/co-Evaluator

Department of Aging and Mental Health, Florida Mental Health Institute University of South Florida, Tampa, FL 33612

· Phone: (813) 974-3339

· Email: dhedgecock@fmhi.usf.edu

Larry Schonfeld, Ph.D., Professor and Chair, Department of Aging and Mental Health, Florida Mental Health Institute University of South Florida, Tampa, FL 33612 (co-Evaluator)

· Phone: (813) 974-1946

· Email: schonfeld@fmhi.usf.edu

Locations

The Florida BRITE Project sites are shown in the map below:

Florida BRITE Project Locations

The Florida BRITE Project is operating in the following Florida Department of Children and Families’ circuits (service areas). The Florida BRITE Project sites and their contact information are shown below:

1^st Circuit

Lakeview Center, Inc. Baptist Hospital Emergency Room, Pensacola

1000 West Moreno St., Pensacola, FL 32501

(850) 434-4011

4^thCircuit

Urban Jacksonville/Shands Jacksonville Medical Center - Level I Trauma Center

4250 Lakeside Drive, Ste 116, Jacksonville, FL 32210

Contact: Hannah Hackworth, Program Coordinator

Email: hhackworth@urbanjax.com

Phone: (904) 807-1230

http://urbanjacksonville.com/mentwelldept.html

Urban Jacksonville Aging Services

4250 Lakeside Drive, Ste 116, Jacksonville, FL 32210

Contact: Hannah Hackworth, Program Coordinator

Email: hhackworth@urbanjax.com

Phone: (904) 807-1230

http://urbanjacksonville.com/mentwelldept.html

Baptist Medical Center Beaches

1350 13th Avenue South
Jacksonville Beach, Florida 32250

Contact: Britnee Skinner, Health Care Educator

Email: bskinner@urbanjax.com

Phone: (904)807-1228

Baptist Medical Center – Downtown (Proposed Site)

800 Prudential Drive
Jacksonville, Florida  32207

Contacts - Jessica Roman , Health Care Educator by Email: jroman@urbanjax.com or Jerry Barthelus, Health Care Educator by Email: jbarthelus@urbanjax.com

5^th Circuit - 2 sites:

Lake Regional Urgent Care Center - Two sites:

Contact: Raymond Dominic, M.D., Director of Operations

Email: lruc@comcast.net Phone: (352) 315-8881

Lake Regional Urgent Care - Leesburg

8404 Hwy 441

Leesburg, FL 34788

Phone: (352) 315-8881

Lake Regional Urgent Care – The Villages

910 Old Camp Road

The Villages, FL 32162

Phone: (352) 259-4322

9^th Circuit - 2 sites:

The Center For Drug Free Living Inc. (2 Programs)

BRITE Program in Orange County

BRITE Program in Osceola County

P.O. Box 538350, Orlando, FL 32853-8350

Contact: Victoria Adams, LPN, CCJS, MAC, Lead Health Educator

Email: vadams@cfdfl.com

Phone: (407) 245-0010 ex: 267

10^th Circuit

Florida Hospital Sebring – Emergency Department

4200 Sun 'n Lake Boulevard

Sebring, FL 33870

Contact: Mark W. Medick, BRITE Healthcare Educator

Email: medick.mark@ahss.org

Phone: (863) 314-4357 (Office)

11^th Circuit

Jackson Memorial Hospital

Lynne Roberts, BRITE Program Manager

Email: lroberts@um-jmh.org

Phone: 305-355-8034

Grace Carbonell, BRITE Supervisor.

901 NW 17^th Street, Ste G, Miami, FL 33136-1038

Phone: (305) 355-4741

Jackson North Community Mental Health Center

Windi Donald, BRITE Program Manager (JNCMHC)

Email: wdonald@um-jmh.org

Phone: (786) 466-2826

Fax:  (786) 466-2925

Catholic Charities of the Archdiocese of Miami

9401 Biscayne Boulevard, Miami Shores, FL 33138

Contact: Dr. Martin Terris, Director of Grants and Research

Email: mterris@ccam.org

Phone: (305) 762-3050

12^th Circuit

Coastal Behavioral Healthcare, Inc. (Sarasota area)

7810 S. Tamiami Trail, Suite A1, Venice, FL 34293

Contact: Amy Thatcher, LSW, Team Leader: CCST SOUTH

Email: athatcher@coastalbh.org

Office (941) 492-4300 x130

FAX. (941) 492-2170

http://www.coastalbh.org/saadultsgeriatric.htm

13^th Circuit

Gulf Coast Jewish Family Services

14041 Icot Blvd, Clearwater, FL 33760

Contact: Dorothy Chambers RN, MS, Florida BRITE Project Program Manager

Email: chamberd@gcjfs.org

Phone: 727 479-1800 x3024

http://www.gcjfs.org/brite.htm

Centre for Women

305 S Hyde Park Ave, Tampa, FL 33606

Contact: Denise Dydowicz, LCSW Director of Behavioral Health Services

Email: ddydowicz@cfwtampa.org

Phone: (813) 251-8437 ext 241

http://www.centreforwomen.net/brite/help_seniors_brite.swf

Drug Abuse Comprehensive Coordinating Office, Inc.

422 E. Columbus Drive, Tampa, FL 33605

Contact: Sherri Kincaid, Project Coordinator

Email: sherrik@dacco.org

Phone: (813) 984-1818

http://www.dacco.org/program.html

15^th Circuit

His Great Commission

613 Northlake Blvd, Palm Beach

Contact: James Roddy, Program Director

Email: chiefroddy@comcast.net

Phone: (772) 349-7108

Palm Beach County Division of Senior Services

810 Datura Street

West Palm Beach, Florida 33401

Contact: Sharon Richardson, Operations Supervisor

Email: Srichard@pbcgov.org

Phone (561) 355-4759

Fax (561) 355-3222

17^th Circuit

Broward County Elderly and Veterans Services Division (2 sites: BCEVSD Main and BCEVSD North)

2805 North Dixie Highway, Ft. Lauderdale, Fl. 33334

Contact: Raul Gordillo, PsyD, BRITE Project Supervisor;

Email: rgordillo@broward.org

Phone: 954-537-2936 Extension 12930

http://www.broward.org/eldervets/welcome.htm

20^th Circuit

Southwest Florida Addiction Services

2101 McGregor Blvd.
Fort Myers, FL. 33901
Contact: Barbara Davis, BRITE Coordinator

Email: bdavis@swfas.org

Phone: (239) 332-6937 ext. 110

http://swfas.org/us/content/prevprogs.html

The Florida BRITE Project – Resources

The Florida BRITE Project collects prescreening, screening, and assessment data using instruments required by SAMHSA’s Center for Substance Abuse Treatment (the funding source for the project) and educational materials developed by Dr. Hazlett. These are as follows.

Required CSAT GPRA Instruments:

1. Go to SAMHSA’s “Services Accountability Improvement System or “SAIS” at https://www.samhsa-gpra.samhsa.gov/home/index.htm
2. At the bottom of the page click on the box that says: “CSAT-GPRA” this will take you to another webpage.
3. Click on “GO” and this will take you to the CSAT GPRA page
4. On the far left side of the page, click on the “Data Collection Tools”
5. This will open another header “Services” click on that
6. Select the English or Spanish language instructions for the GPRA assessments as required.

Assessment Instruments and Educational Materials for BRITE

Some materials are in the public domain and available from CSAT and other selected instruments developed for BRITE can be accessed by emailing Dr. Schonfeld: Schonfeld@fmhi.usf.edu

Screening Instruments

• BRITE Prescreening Instrument – NOTE: You are required to complete the demographics section of GPRA Screen Part A as well
• BRITE Prescreen (English)
• BRITE Prescreen (Spanish)

• Short Geriatric Depression Scale (S-GDS) – Administer if the person responds “YES” to either of the two prescreening items on depression.
• S-GDS (English)
• S-GDS (Spanish)

• GPRA Screen Part A – Demographics only:
• BRITE Screening GPRA – Part A (English) = Page 2 of GPRA (demographics)
• BRITE Screening GPRA – Part A (Spanish) = Page 2 of GPRA (demographics)

• Required instruments available from CSAT or WHO - Florida BRITE Providers may download the following items from either the CSAT or World Health Organization websites:

• ASSIST - Screening Instrument (English)
• ASSIST - Screening Instrument (Spanish)
• GPRA Assessment (English)
• GPRA Assessment (Spanish)

Educational Materials

• Handouts to be distributed to professionals and clients of the BRITE Project are available in both English and Spanish.

• Alcohol – Should I stop drinking or just cut down? (English)
• Alcohol – Should I stop drinking or just cut down? (Spanish)

• Alcohol – What is a standard drink?/Effects of High-Risk drinking (English)
• Alcohol – What is a standard drink?/Effects of High-Risk drinking (Spanish)

• Crack and Cocaine (English)
• Crack and Cocaine (Spanish)

• Heroin (English)
• Heroin (Spanish)

• Marijuana (English)
• Marijuana (Spanish)

• Methamphetamine (English)
• Methamphetamine (Spanish)

• Oxycontin (English)
• Oxycontin (Spanish)

• Stimulants (English)
• Stimulants (Spanish)

• Curricula

• Brief Intervention:

1. BRITE Health Promotion Workbook (English)

2. BRITE Health Promotion Workbook (Spanish)

3. Brief Intervention for Problematic Use: Guidelines for Use in Primary Care (from World Health Organization)

• Brief Treatment:

Substance Abuse Relapse Prevention for Older Adults (from SAMHA/CSAT 2005). Order hard copies from SAMHSA’s clearinghouse by at NCADI website: http://ncadistore.samhsa.gov/catalog/productDetails.aspx?ProductID=17179

• Supplemental Materials for Brief Intervention and Brief Treatment

• How to Prevent Alcohol-Related Problems (English)
• How to Prevent Alcohol-Related Problems (Spanish)

• All Purpose Coping Plan (English)
• All Purpose Coping Plan (Spanish)

• AOD Refusal Skills Homework (English)
• AOD Refusal Skills Homework (Spanish)

• Coping Tool for Homework (English)
• Coping Tool for Homework (Spanish)

• Functional Analysis(English)
• Functional Analysis (Spanish)

• Short-Term Goal Work Sheet (English)
• Short-Term Goal Work Sheet (Spanish)

• Long-Term Goal Work Sheet (English)
• Long-Term Goal Work Sheet (Spanish)

• Managing Availability Homework (English)
• Managing Availability Homework (Spanish)

• Reminder Sheet for Problem Solving (English)
• Reminder Sheet for Problem Solving (Spanish)

• Risk Reduction Worksheet (English)
• Risk Reduction Worksheet (Spanish)

• Seemingly Irrelevant Decisions Tool (English)
• Seemingly Irrelevant Decisions Tool (Spanish)

• Support Plan (English)
• Support Plan (Spanish)

Training Resources:

Webinars are offered by the Florida Alcohol and Drug Abuse Association (www.fadaa.org) on the SBIRT model as applied to BRITE. See webpage: http://www.fadaa.org/services/resource_center/PD/WebEx/index.asp

The webinars related to BRITE on this site are as follows:

Dr. Robert Hazlett: Motivational Techniques for Brief Interventions and Brief Treatment - September 27, 2007

Dr. Kristen L. Barry and Dr. Lawrence Schonfeld: Brief Interventions and Brief Treatments: Approaches for Varied Service Settings - January 17, 2008

Dr. Robert Hazlett: New Pre-screening Procedures and Brief Advice for Brief Intervention Techniques - April 30, 2008

Dr. Christy K. Scott (click here): Proactive Strategies for Designing and Implementing Six Month Follow-up - November 13, 2008

Dr. Maria Llorente, M.D., Use and Misuse of Prescription Medications among Older Adults – March 19, 2009. View Recorded Event

UPCOMING WEBINAR:

Title:  Motivational Interviewing Techniques: Beyond the Basics

Presenter:  David Duresky, M.A.

Date:  Thursday, June 18, 2009

Time:  10 - 11:30 a.m. EDT

Register at:

https://www.livemeeting.com/lrs/8001159156/Registration.aspx?pageName=ppx57wlcd6cb84jq

In the News: Information about the Florida BRITE Project

American Society on Aging newsletter: Aging Today

CSAT Announcement on Florida BRITE Project

DCF Announcement about Florida BRITE Project

For more information about the Florida BRITE Project, please contact:

Vance Burns, SBIRT Project Director

Florida DCF Substance Abuse Program Office

1317 Winewood Blvd., Building 6,

Tallahassee, FL. 32399

Phone: (850) 921-8495 (Suncom 291-8495)

Email: Vance_Burns@dcf.state.fl.us