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Enhancing adolescent SBIRT with a peer-delivered intervention: An implementation study.

Laura A Pannella Winn1, Kristen L Paquette1, Laura Rose W Donegan1

  • 1C4 Innovations, 200 Reservoir Street, Suite 202, Needham, MA 02494, United States of America.

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PubMed
Summary

Project Amp, an early intervention model, successfully integrated with Screening, Brief Intervention, and Referral to Treatment (SBIRT) in schools and clinics. This study identified key facilitators and barriers for implementing adolescent substance use prevention programs.

Keywords:
AdolescentMentoringRecoverySubstance-related disordersYoung adult

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Area of Science:

  • Public Health
  • Adolescent Medicine
  • Substance Use Prevention

Background:

  • Early substance use among adolescents necessitates innovative prevention and early intervention strategies.
  • Public health models like Screening, Brief Intervention, and Referral to Treatment (SBIRT) require scalable implementation methods.
  • Young adults in recovery can play a vital role in delivering these innovations.

Purpose of the Study:

  • To examine the feasibility, barriers, and facilitators of Project Amp, a four-session intervention designed to enhance SBIRT for adolescents.
  • To assess the integration of a novel early intervention model within existing clinical and school settings.

Main Methods:

  • Six sites (3 school-based, 3 health clinics) implemented SBIRT for adolescents aged 13-17 at moderate risk for substance use disorder.
  • Young adult peer mentors with lived experience in substance use recovery were recruited and trained to deliver the intervention.
  • Quantitative and qualitative data were collected to identify implementation facilitators and barriers.

Main Results:

  • 71 practitioners and 30 peer mentors were trained; 28 adolescents completed the intervention.
  • 1192 adolescents were screened, with 139 eligible and 51 enrolled.
  • Five of six sites successfully integrated the Project Amp model, with facilitators and barriers identified related to recruitment, readiness, and sustainability.

Conclusions:

  • The Project Amp intervention is feasible and can be successfully implemented in school and healthcare settings alongside SBIRT.
  • The model enhances access to developmentally appropriate screening and early intervention for adolescents.
  • Adaptations for future implementation include a streamlined model and centralized roles for peer mentors.