Maryland SBIRT Initiatives
SBIRT Planning Grants
From 2010 to 2012, Behavioral Health System Baltimore received two grants from the Open Society Institute—Baltimore to study the feasibility of providing SBIRT services at community health centers.The project was led by the Mosaic Group, a Baltimore-based consulting firm, and resulted in SBIRT services being implemented in five community health centers:
- Chase Brexton Health Care: Five locations in Anne Arundel County, Baltimore City, Baltimore County, Howard County and Talbot County
- East Baltimore Medical Center: Baltimore City
- Family Health Centers of Baltimore: Three locations in Baltimore City
- Greater Baden Medical Services: Seven locations in Prince George’s County
- Total Health Care: Seven locations in Baltimore City
In 2015, the Department of Health and Mental Hygiene Behavioral Health Administration awarded a grant to BHSB to have the Mosaic Group re-visit the five organizations to determine the level of SBIRT services being provided and to offer technical assistance and training as needed. All organizations were still providing SBIRT services; however, responding to changes in organizational leadership and changes in electronic medical record systems, the Mosaic Group worked with the organizations to revitalize the provision of SBIRT services. For more information, please contact Marla Oros at [email protected] or 410-852-4263.
Hospital-Based SBIRT Services
Through the use of state substance abuse treatment block grant funding, Behavioral Health System Baltimore supports the provision of SBIRT services at three hospitals in Baltimore City: Bon Secours Hospital, MedStar Harbor Hospital and Mercy Medical Center. The hospital-based SBIRT services are different from community health centers in that hospital nurses provide alcohol and drug use screening during triage, and trained peer recovery coaches provide brief interventions and follow-up with patients identified as having moderate to severe substance use disorder risk. The Mosaic Group provides ongoing technical assistance and training to the participating hospitals. For more information, contact Marla Oros at [email protected] or 410-852-4263.
Baltimore City Health Department Clinics
From 2014 to 2016, the Baltimore City Health Department has supported a program to provide technical assistance to integrate SBIRT at two reproductive health clinics in East and West Baltimore and at the Department’s sexually transmitted disease clinics. The Mosaic Group provides the implementation technical assistance to these sites. For more information, contact Marla Oros at [email protected] or 410-852-4263.
The Baltimore City Health Department, as part of its Preventing Substance Exposed Pregnancies Initiative (PSEP), supported the Mosaic Group to work with Planned Parenthood in Baltimore City to implement SBIRT services. For more information, contact Marla Oros at [email protected] or 410-852-4263.
The U.S. Substance Abuse and Mental Health Services Administration (SAMHSA) awarded a $9.8 million, five-year grant to the Maryland Department of Health and Mental Hygiene (DHMH) in 2014 to implement SBIRT services in health care organizations across Maryland. Maryland SBIRT will be implemented in approximately 50 community health centers and two hospitals in 15 Maryland jurisdictions and is projected to reach 90,000 individuals during its five-year rollout. The selected jurisdictions have among the highest rates of intoxication deaths, drug-induced deaths, drug arrests, drug- and alcohol-related car crashes, and numbers of persons treated for drug and alcohol disorders.
In each year of the five-year grant period, the project provides intensive technical assistance and training for three to five health providers. The first three months focuses on a workflow analysis, development of an SBIRT service protocol, adapting electronic health record to incorporate SBIRT screening tools and service documentation, and training of staff to deliver SBIRT services. Over the subsequent nine months, SBIRT services are introduced, along with a focus on quality assurance, booster training for staff and sustainability planning.
From April 2015 through December 2015, six participating providers screened 49,527 patients.
Participating health centers during that period:
- Access Carroll: Carroll County
- Baltimore Medical Systems Inc.: Six locations in Baltimore City and Baltimore County
- Community Clinic Inc.: Seven locations in Montgomery and Prince George’s Counties
- Health Care for the Homeless: Three locations in Baltimore City and Baltimore and Harford Counties
- Holy Cross Health: Four locations in Montgomery County
- Owensville Primary Care: Anne Arundel County
The project also provides half-day SBIRT orientation training for health care providers. Any providers who are interested in either the intensive technical assistance or half-day training may contact Bonnie Campbell, SBIRT Project Director, [email protected], 410-637-1900 ext. 7790.
Conrad N. Hilton Foundation
In 2015, Behavioral Health Systems Baltimore received a three-year, $1 million grant to implement SBIRT services for adolescent patients at community health centers participating in the SAMHSA-funded initiative, as well as five large pediatric practices and 10 school-based health centers. The Mosaic Group leads the implementation of this project. During the first year, 2,994 adolescents were screened, and more than 300 health care providers were trained to provide SBIRT services. Participating providers included:
- Baltimore Medical Systems, Inc.: A federally qualified health center that operates five independent health centers in Baltimore City, one in Baltimore County and two Baltimore City school-based health centers.
- Community Clinics, Inc.: A federally qualified health center that operates five independent health centers in Montgomery and Prince George’s Counties.
- Owensville Primary Care: A federally qualified health center in southern Anne Arundel County.
- Health Care for the Homeless: A federally qualified health center designated to serve homeless adults and children operating three sites in Baltimore City, Baltimore County and Harford County.
- Johns Hopkins Harriet Lane Clinic: A pediatric primary care practice that serves as the principle training site for Johns Hopkins School of Medicine Department of Pediatrics. This practice serves a large population of adolescents in Baltimore City.
- Center for Children: A mental health provider in Southern Maryland that serves adolescents and operates four sites in St. Mary’s, Charles, Anne Arundel and Calvert Counties. SBIRT is being integrated in four programs offered by the Center for Children – the outpatient mental health center, the targeted case management program, Healthy Families home visiting program for pregnant and parenting teens and the Functional Family Therapy Program.
In its second and third years, the project will work with additional community health centers, large pediatric practices and schools. Any providers who are interested in participating in the project should contact Bonnie Campbell, SBIRT Project Director, [email protected], 410-637-1900 ext. 7790.