CHECK Foster Care Project Resources

Substance Use

• Risks Associated with Substance Use Factsheet for Providers
• Adolescent SBIRT Fact Sheets & Educational Brochures (NORC)
• Drug Facts (NIDA)
• Marijuana:
• Marijuana Facts (NIDA)
• Marijuana Risks (SAMHSA)
• What We Know About Marijuana (CDC)
• What You Need to Know About Marijuana Use and Teens (CDC)
• Marijuana Additional Resources for Providers - Contains science and marijuana research, marijuana fast facts, videos, vaping information, and guides for parents.
• Marijuana Clinical Guidance document - Contains information about marijuana to guide SBIRT work with adolescents and adults.
• Cannabis Use throughout the Lifespan: A Review of Current Research presentation slides (Sarah Ferraro Cunningham, PsyD) and Additional Resources
  
• BNI for a Follow Up
  

Tobacco & Vaping

• Tobacco, Nicotine, & Vaping facts (NIDA)
• Electronic Cigarettes Facts (CDC) – Contains factsheets and information on the risks of e-cigarette us on young people’s health.
• Know the Risks: E-Cigarettes & Young People (U.S. Dept. of Health and Human Services, U.S. Surgeon General and CDC) – Contains facts and risks about e-cigarette use, resources, and action steps adults can take to reduce youth exposure to e-cigarettes.
• Tobacco Cessation Resources (American Academy of Pediatrics):
• Addressing Youth Tobacco Cessation in Practice – Contains screening tools that measures symptoms of nicotine dependence in youth, a clinical resource guide for clinicians, tip sheets for providers, and printable resources for youth and parents.
• Supporting Youth who are Addicted to Nicotine Factsheet: Advice for Pediatricians
• Nicotine Replacement Therapy (NRT) and Adolescent Patients Information
• Behavioral Cessation Supports for Youth and Young Adults – Contains a list of behavioral supports (e.g., telephone/texting quitlines, smart phone apps, and web-based resources) that can be share with youth to help them quit smoking, vaping, and/or using other tobacco products.

Screening Tools

• CRAFFT 2.1 (self-administered)
• CRAFFT 2.1 (clinician-administered)
• CRAFFT 2.1N +HONC (self-administered)
• CRAFFT 2.1N +HONC (clinician-administered)

Motivational Interviewing & Stages of Change

• Using Motivational Interviewing in Substance Use Disorder Treatment (SAMHSA) - Provides information on MI, core principles, and examples.
• Enhancing Motivation for Change in Substance Use Disorder Treatment: Tip 35 (SAMHSA) - See table of contents.
• Stages of Change document (NORC) - Provides information on the stages of change for providers/staff along with a diagram. 

Worksheets to Enhance Brief Intervention

• Decisional Balance Worksheet (NORC) - Can be used to help a patient make a clear decision on whether he/she/they wants to change. This exercise asks a patient to articulate the pros and cons of changing, as well as continuing their current behavior.
• Change Plan Worksheet (NORC) - This goal setting exercise is useful for helping a patient articulate specifically what they want to change and develop a plan for change.
• Goal Setting Exercise (NORC) - Can be used to help a patient set one or more behavior change goals.
• Triggering Self-Monitoring Diaries (NORC) - Can be used to help a patient reflect on and keep track of their triggers, urges to use, and coping strategies.
• Triggers Worksheet (Therapist Aid)
• Coping Skills (Therapist Aid)
• Building Discrepancy (Therapist Aid)
• My Health Goals (Colorado SBIRT-SBHC Project)
• No Use Challenge (Colorado SBIRT-SBHC Project)
• Contract for Life (SADD)

Child Welfare Professionals Youth Substance Use Toolkit

• Supporting Youth in Custody with Concerns around Substance Use: Training for Child Welfare Professionals
• Supporting Youth in Custody with Concerns around Substance Use: Pocket Card for Child Welfare Professionals

Trauma Informed Care

• Conversation Guide for Delivering a Trauma-Informed Brief intervention (National Council for Mental Wellbeing) - Intended to help healthcare providers deliver a brief intervention for substance use using a trauma-informed care approach.
• Trauma-Informed Care Implementation Resource Center - Contains information about the definition of trauma, effects of trauma on health and relationships, principles and benefits of trauma-informed care, and what trauma-informed care looks like in action.  

Adverse Childhood Experiences (ACEs) and Positive Childhood Experiences (PCEs)

• ACEs, Suicide, and Overdose website (APHA and CDC) – This training website addresses ACEs, overdose, and suicide and provides videos and audio recordings, infographics, a collective messaging framework, talking points, and a customizable presentation template, all of which can be used as tools to educate and raise awareness about the intersection of these public health challenges.
• ACEs Information/Prevention Strategies (CDC)
• ACEs Vital Signs Fact Sheet (CDC)
• Positive Childhood Experiences (PCEs) Information (Child and Adolescent Behavioral Health)

Role Plays and SBIRT Practice

• MI Skills Role Play - age 13, high risk, vaping marijuana
• MI Skills Role Play - age 17, failing school, high risk
• MI Skills Role Play - Bridget - alcohol and edibles
• MI Skills Role Play - Kevin - alcohol and injury
• MI Skills Role Play - Cam - High risk, alcohol and vaping, age 16
• MI Skills Role Play - Andrea - marijuana
• Follow Up Role Play - Patrick
• Sample Interaction (script) - BI + RT, CRAFFT+N 2.1, PHQ-9A - age 18
• Sample Interaction (script) - BI with moderate risk, marijuana, age 17, sports physical and injury
• Sample Interaction (script) - Screening + BI- age 16, trouble at school
• Sample Interaction (script) - BI + RT, CRAFFT 2.1
• Sample Interaction (script) - BI with high risk needing RT, opioids
• Sample Interactions (scripts) - Screening with CRAFFT 2.1 - age 16, trouble at school
• Sample Interactions (scripts) - Screening with CRAFFT 2.1N - age 16, trouble at school

SBIRT Pocket Cards 

• SBIRT Pocket Card (CHECK Foster Care Project)
• Adolescent SBIRT Pocket Card (SBIRT in Colorado, Peer Assistance Services, Inc.)

Implementation

• Sample SBIRT Implementation Flow Charts

Demonstration Videos

• SBIRT Oregon demo videos – Offer strong examples of SBIRT in practice.
• See Erin BI demo video - Erin is a 16-year-old patient who drinks alcohol and receives a brief intervention after completing the CRAFFT screening tool (telehealth visit).
• See Natasha BI demo video - Natasha is a high school student who vapes cannabis and receives a brief intervention after completing the CRAFFT screening tool.
• Adolescent SBIRT Brief Intervention & Follow Up demo video (SBIRT in Colorado, Peer Assistance Services, Inc., 2020) - This video demonstrates a nurse delivering a brief intervention to a 15-year-old adolescent who drinks alcohol and uses marijuana and completed the CRAFFT 2.1+N screening tool. This video also highlights the Contract for Life, a tool that can be used to address riding risk, as well as the importance of conducting multiple brief interventions to enhance readiness to change.
• The Effective School Counselor with a High-Risk Teen: Motivational Interviewing demo video (University of Florida Institute for Child health Policy & Cherokee National Behavioral Health)
• Boston University’s BNI-ART Institute demo videos

Workflows

• SBIRT Workflow - Substance Use Risk Level Based on the CRAFFT+N 2.1 HONC

• CAR Question Workflow & Script - Risk Level Based on CRAFFT+N 2.1 HONC
• Brief Negotiated Interview (BNI) Workflow & Script for a Regular Visit
• Brief Negotiated Interview (BNI) Workflow & Script for a Follow-Up Visit