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August 18, 2014

1. Marketplace Webinar Thursday!
Hear directly from HHS about the lessons learned from the first open enrollment period and what to expect from the next one at our next webinar Thursday, Aug. 21, at 2 p.m. Eastern. Dr. Pamela Roshell, Regional Director of Region 4 of the U.S. Department of Health and Human Services, will also provide new resources to educate health professionals and consumers as part of the Coverage to Care Initiative. Register Now!

AHECs Get Creative With Marketplace Trainings
How are you training health professionals on the Health Insurance Marketplace? AHEC Marketplace trainings conducted since October 2013 count towards the AHEC Marketplace Project. Train 50 health professionals and earn $1,500! Find out how by e-mailing Need Marketplace training materials? No problem! The AHEC Marketplace Project curriculum includes a fully-scripted PowerPoint slide show, glossary of terms and acronyms, state resource sheets and a CE self-study guide. Review the Curriculum Roll-out training to get a closer look and see how AHECs can use these materials. Check out how these AHECs are getting the job done:

  • Chicago AHEC partnered with staff from the Illinois governor's office to provide a webinar.
  • Along with traditional trainings, Northern Highland and Northwest AHECs in Wisconsin partnered to present an ACA-themed poster at the annual Public Health Nursing Conference and estimated their direct engagement of more than 110 health professionals in a single day.
  • Texas AHEC East's Coastal Region trained 60 Community Health Workers at a conference, offering continuing education credits.

2. A Population Approach to Treatment Engagement in Behavioral Health Care
Date/Time: August 28, 2014, 1-2:30 p.m. (EDT)

The webinar will address two major challenges relating to psychological treatment engagement in the military. First, many with psychological health conditions do not access timely services. Second, most who access services drop out of treatment before it is completed. Frontloading services in primary care can improve the first challenge. A recent Institute of Medicine report noted the growing burden of posttraumatic stress disorder among service members and veterans and recommended an integrated, coordinated treatment strategy and measurement based care with feedback to clinicians to improve treatment engagement once patients access care.

Webinar participants will review systems-level interventions that improve access and continuity of behavioral health care. Delivering high quality services in primary care can improve treatment access. Once in treatment, strategies such as motivational interviewing, behavioral activation and problem solving can increase continuity, help patients manage symptoms and improve functioning, adherence, outcomes and risk management. The addition of a care facilitator into staffing plans and workflows further strengthens continuity through improved engagement.

During this webinar, participants will learn to:

  • Define a population approach to behavioral health care in the Military Health System
  • Differentiate patient level engagement strategies from system level strategies
  • Foster total care team involvement in engaging patients in care
  • Discuss examples and ways to improve treatment engagement

Michael C. Freed, PhD
Associate Director, Research
Principal Investigator and Director, Stepped Enhancement of Posttraumatic Stress Disorder Services Using Primary Care
Contract Support, DoD Deployment Health Clinical Center
Research Assistant Professor, Department of Psychiatry Uniformed Services University of the Health Sciences
Bethesda, Md.

Charles C. Engel, MD, MPH
Colonel (Retired), Medical Corps, U.S. Army
Senior Health Scientist, RAND Corporation
Arlington, Va.

Koby Ritter, RN
Central Care Facilitator, Stepped Enhancement of Posttraumatic Stress Disorder Services Using Primary Care
Contract Support, DoD Deployment Health Clinical Center
Bethesda, Md.

Capt. Richard F. Stoltz, MSC
U. S. Navy
DirectorDefense Centers of Excellence for Psychological Health and Traumatic Brain Injury
Arlington, Va.

Continuing Education:
Continuing education credit is available from Duke Medicine. You must register on or before August 28, 2014, at 3 p.m. (EDT) to qualify for the receipt of continuing education credit.

To qualify for receipt of continuing education credit for applicable webinars, eligible participants must create a profile in the Duke Medicine Learning Management System and register for the event on, or before, the event registration deadline. Complete responses to all pre-registration questions are required to be eligible to receive credit for attending this event. For guidance on creating a user account and event registration in the Duke Medicine Learning Management System site, please visit

DCoE's awarding of continuing education credit is limited in scope to health care providers who actively provide psychological health and traumatic brain injury care to U.S. active-duty service members, reservists, National Guardsmen, military veterans and/or their families.

For additional details, please visit .

Upon completion of registration, a confirmation email will be sent providing webinar event details.

Sign up for the webinar at

If your network security settings do not allow access to the Duke Medicine website, use another network or device to access the registration page. Once registered, you may use Adobe Connect or Defense Connect Online to attend the webinar.


 An occasional email update from the National SBIRT ATTC


Tools for Practice


CDC releases step-by-step guide to alcohol SBIRT implementation in primary care 

Research shows that alcohol screening and brief interventions can reduce excessive drinking by up to 25%. But a recent study showed that only 1 in 6 people reported ever talking with a health professional about their alcohol use. With this new guide, the CDC is working to make alcohol screening and brief intervention a routine part of health care. The guide is designed to help an individual or small planning team adapt screening and brief interventions to the unique operational realities of their primary care practice. Read more


Upcoming Webinars


August 27, 2014

1:00 - 2:30 PM EDT

SBIRT in Action: Implementing and Delivering SBIRT in NYC STD Clinics

Shirley DeStafeno, MS, Brett Harris, DrPH, Meighan Rogers, MPH

SBIRT has been implemented in six New York City STD clinics since January 2010. Presenters will review the history of the SBIRT program in these clinics as well as their process of leveraging support, adapting workflow and documentation in electronic medical records, evaluating program outcomes, and progressing toward sustainability.  Register


Miss a webinar? No problem. You'll be able to view it on-demand on our Webinar Library.


Other Online Opportunities


On-demand webinar: Implementing SBIRT in Any Site or Organization

Recorded 7/23/14

Led by epidemiologist Dr. Jan Pringle, this popular presentation offers a blueprint to guide SBIRT implementation (and evidence-based practices in general) in any site or organization.  Below the video recording, we've listed webinar shortcuts to help you quickly find what you need. Read more


New online course: Introduction to SBIRT for Adolescents 

Free registration, open to all

Led by pediatrician and SBIRT pioneer Dr. Sharon Levy, this self-paced online course consists of three sections plus an introductory module. Included are eight content videos that range from 12-17 minutes in length, totaling approximately two and a half hours of video. The course does not have to completed in one sitting. CEUs are available. Read more


Of Interest


Medical student on addiction as patient's "scarlet letter"

Pavan Patel, a recent graduate from our Scaife Medical Student Fellowship, wrote a wonderful piece on doctors' attitudes toward patients with substance use disorders. It's gotten lots of love on social media. Read and share with colleagues. Read more



August 11, 2014


Our Blogroll




The World of SBIRT


Expanding SBIRT to Hospitals


SBIRT Colorado Blog


Alcohol IBA (UK)




Subscribe to The SBIRT Alert



Funded by SAMHSA, the National SBIRT ATTC is housed at the Institute for Research, Education and Training in Addictions (IRETA) in Pittsburgh, PA. As an SBIRT ATTC, we:


- Offer training, technical assistance, and a variety of services in the area of SBIRT


- Use the technology transfer model to move research findings into practice


- Disseminate best practices and new research to stakeholders interested in SBIRT


- Are part of a national network of experts in the area of substance use disorder prevention, treatment, and recovery



New CDC guide on addressing alcohol use

Mission Statement: The National AHEC Organization supports and advances the AHEC Network to improve health by leading the nation in the recruitment, training and retention of a diverse health workforce for underserved communities.

Vision: Our vision is that the AHEC network is the national leader in developing a highly competent and diverse health care workforce for underserved populations.

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