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Healthcare-Based Prevention Resources

Screening, Brief Intervention, and Referral to Treatment (SBIRT)

SBIRT is a comprehensive, integrated public health approach to the delivery of early intervention and treatment for individuals with substance use disorder, depression, and suicidality, as well as those at risk of developing these issues. SBIRT services utilize universal screenings to identify problematic mental health and substance abuse issues, employs brief interventions to address unhealthy behaviors, and offers referrals to treatment when a great level of care is required. Primary care centers, family medicine clinics, hospitals, emergency departments, and trauma centers can provide a great opportunity for early intervention before more sever consequences occur.

  • Screenings take only a few minutes!
  • Multiple studies show reduction in harmful behaviors due to SBIRT interventions.
  • SBIRT can be tailored with different screenings and assessments.
  • SBIRT services can be reimbursed and lead to long-term healthcare cost savings.
  • SBIRT services are endorsed by the World Health Organization, the U.S. Preventative Services Task Force, and the American College of Surgeons.

 

SBIRT Settings

SBIRT can be used in a variety of settings, including primary care sites, hospitals, emergency departments, assisted living, home health, law enforcement, military, and schools. Although SBIRT implementation may lookd ifferent in each of these locations, the goal is still the same: identify and reduce potential risky substance use and/or symptoms of depression and suicidality. You can learn more by reading the SBIRT documentation around Primary Care Sites, Emergency Departments, Hospitals, and Non-Medical Settings.

Do No Harm: Pain and Opioid Management

Do No Harm: Pain and Opioid Management provides best practices and technical assistance for the safe and responsible treatment of chronic pain, including opioid prescriptions, when indicated.  The goals of the Do No Harm program are to improve patient-centered care and safety, leading to improvements in pain management and daily functioning.  Through the delivery of evidence-based guidelines and safe opioid prescribing recommendations, Do No Harm seeks to provide quality improvements to the delivery of primary and mental health care services.  In collaboration with the Do No Harm program, the ODMHSAS Overdose Education and Naloxone Distribution (OEND) program assists in combating the opioid epidemic and reducing fatal overdoses by improving access to naloxone and providing additional resources for the treatment of substance use disorders.

Need for Programming

Opioid Epidemic Timeline

Opioid Prescribing Guidelines

 

Administrative Codes

 

Prescription Monitoring Program

 

Quantity Limits

 

Letters of Support and Endorsements

Zero Suicide in Healthcare

Zero Suicide in Healthcare is a way to improve suicide care within healthcare systems.  The foundational belief of Zero Suicide is that suicide deaths for individuals under the care of medical providers are preventable; studies have shown the majority of people who died by suicide saw a healthcare provider in the year prior to their death.  For healthcare systems dedicated to improving patient safety and stability, Zero Suicide offers an aspirational challenge and practical framework for system-wide transformation toward safer suicide care.  Zero Suicide is based on the realization that people experiencing suicidal thoughts and urges often fall through the cracks in a sometimes fragmented health care system. There is an opportunity for health care systems to make a real difference by transforming the care patients receive.

Current Suicide Trends

In Oklahoma:

  • Suicide is the 9th leading cause of death in Oklahoma.2
  • In 2020, 869 Oklahomans died by suicide.2
  • The age adjusted suicide rate in 2020 was 22.2 per 100,000 individuals, higher than the national rate.2
  • On average, one person died by suicide every 11 hours in Oklahoma.2
  • In 2020, firearms accounted for 61.9% of all suicide deaths.2

In the United States:

  • Suicide is the 12th leading cause of death.1
  • In 2020, 45,979 Americans died by suicide; an estimated 1.2M suicide attempts were made.1
  • The age-adjusted suicide rate in 2020 was 13.48 per 100,000 individuals.1
  • On average, there are 130 suicides per day.1
  • In 2020, firearms accounted for 52.83% of all suicide deaths.1

93% of adults surveyed in the U.S. think suicide can be prevented.1

1 American Foundation for Suicide Prevention

2 Center for Disease Control

Zero Suicide Research

  • The Relationship Between Suicidal Behaviors and Zero Suicide Organizational Best Practices in Outpatient Mental Health Clinics
  • Efficacy of the Zero Suicide framework in reducing recurrent suicide attempts: cross-sectional and time-to-recurrent-event analyses

 

Zero Suicide Outcome Stories

  • Zero Suicide Outcomes One-Pager
  • Zero Suicide Case Studies

Zero Suicide Foundational Principles

  • Core Values: the belief and commitment that suicide can be eliminated in a population under care by improving service access and quality and through practicing continuous quality improvement.
  • Systems Management: taking systematic steps across systems of care to create a culture that no longer finds suicide acceptable, setting aggressive but achievable goals to eliminate suicide attempts and deaths, and organizing service delivery and support accordingly.
  • Evidence-Based Clinical Care Practices: adopting practices that research shows reduce suicide deaths and behaviors and that are delivered through the entire system of care and that emphasize productive patient-staff interactions.
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Oklahoma Department of Mental Health and Substance Abuse Services

2000 N. Classen Blvd. 

Oklahoma City, OK 73106

Suite 2-600

405-248-9200 

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