Directions for Part 2
Direct Care Project Part 2
Screening, Brief Intervention, and Referral to Treatment
(SBIRT): Planning the Presentation Instructions
Directions: Create a PowerPoint presentation teaching about the use of Screening,
Brief Intervention, and Referral to Treatment (SBIRT). See the assignment directions
and tutorial for suggestions and best practices. Review the week’s readings prior to
starting on your presentation, understand SBIRT, and its use related to the problem
you identified in Part 1: Assessment and Diagnosis assignment.
1. Identify at least 3 practicing registered nurses who will volunteer for a session to
learn about the SBIRT process that is used to identify, reduce, and prevent
problematic use, abuse, and dependence on alcohol and illicit drugs.
o
You can present to all at the same time or individually. Set a date and
time(s) for your presentation during Saturday of Week 5 and Saturday of
Week 6 to allow ample time to complete the Week 6 Part 4 Evaluation
assignment.
2. Review local data related to the specific problem or addiction identified in the
Community Health Assessment and Diagnosis assignment. Maintain privacy and
only include data that is available to the public. Include citation(s) on the slide when
resources are used. Include all resources used on reference slide.
3. Download the PowerPoint Presentation Template PowerPoint. (Once your
presentation is complete, follow the job aid located in the Canvas Week 4 module
Part 2 directions on how to convert the PowerPoint to PDF format with speaker notes
displayed).
4. Create a PowerPoint presentation with speaker notes (8-15 slides not including
introduction or references) for fellow healthcare professionals that includes:
•
Community description
o
Basic demographic data (i.e. population, size, education,
poverty levels, etc.)
o
Relevant epidemiological data from Community Assessment
and Diagnosis assignment.
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•
Problem description
o
•
Comprehensive overview of the substance and problem
▪
Overview of the problem and relevant data
▪
Give an overview of contributing factors specific to your
community (supported by data/ scholarly evidence) (i.e.
target marketing, lack of employment opportunities, few
treatment providers, lack of transportation, availability,
etc.)
SBIRT description
o
Elements
▪
o
Description of SBIRT abbreviation and process
•
Include an overview of each part of SBIRT
•
Identify the steps that are used with each part
Use
▪
How SBIRT is used specific to identified problem
•
o
Example
▪
How to use SBIRT in nursing practice with vulnerable
populations
•
o
i.e. how to incorporate into an assessment
This may include a role play, script for a nurse
to use in their assessment, example of an
existing tool, etc.
Outcomes
▪
How SBIRT impacts the problem?
•
i.e. enhances awareness, motivates change,
health improvement, cost reduction, etc.
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•
Community Resource
o
Describe one community resource that may assist with the
substance use concern.
▪
o
Include how to reach this resource
▪
o
•
•
Assess 4 A’s: affordability, accessibility, acceptability,
availability for each resource (see the Week 4 lesson)
o
Provide a comprehensive overview of the impact of substance
use to the audience. What does this data mean to them? How
does the data impact them as healthcare professionals?
o
How could the implementation of SBIRT intervention into their
practice impact patient health outcomes?
o
Use at least one scholarly reference as support
Conclusion
Includes brief overview of:
1. Community demographic and epidemiological data;
2. Problem;
3. SBIRT description;
4. Resources;
5. Implications for practice;
6. Importance to improving population health outcomes
Q&A slide
o
•
Phone, referral form, etc.
Implications for practice
o
•
(For example, a local substance abuse clinic).
Give your audience an opportunity to ask questions they may
have.
Reference slide
o
Minimum of 3 references. Should include references for SBIRT
overview, community data, and at least one scholarly source.
Utilize more references as needed.
5. See rubric, submission details, and best practices in Canvas.
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POWERPOINT NOTES PAGE IN PDF FORMAT
JOB AID
In order for faculty to easily view the speaker notes of a PowerPoint, you may be asked
to submit the PowerPoint in PDF format. Here are the steps:
For a Windows PC:
Open your Powerpoint. Verify that the speaker notes are present below the slide. Click
on File.
Option 1: Print to PDF
Step 1: Under File, scroll down and click on Print. Find
Printer.
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Step 3: Click on the drop down options
under Printer. Select Print to PDF.
Step 4: Under Settings, select Print All
Slides.
Step 5: Under Settings below Print All Slides, click on Full Page Slides and change it to
Notes Pages
Step 6: Click on Print. Name your new PDF document and Save it to a location on
your computer. Note: Some courses request a specific name. Please see assignment
directions for naming of your document.
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Option 2: Export to PDF
Step 1: Under File, scroll down and click on Export. Find Create PDF/XPS Document.
Click on box.
Step 2: Before saving, click
Options.
Step 3: Under “Publish what:”, select Notes
Pages. Click OK.
Step 4: Name your new PDF document and
Save it to a location on your computer. Note:
Some courses request a specific name. Please
see assignment directions for naming of your
document.
Final Step of Either Option: Return to the assignment page in Canvas to submit your
PDF file.
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For a MAC PC:
Step 1: Open your Powerpoint. Verify that the speaker notes are present below the
slide. Pull down File and scroll down to Print.
Step 2: Under Layout, find and select Notes. Choose Orientation,
portrait or landscape.
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Step 3: Open PDF (bottom left), select Save as PDF.
Step 4: Name your new PDF document and Save it to a location on your computer.
Note: Some courses request a specific name. Please see assignment directions for
naming of your document.
Step 5: Return to the assignment page in Canvas to submit your PDF file.
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Direct Care Project Part 1
Substance Use Assessment and Diagnosis Template
Directions: Collect the data outlined in this template. Fill in the blanks in the tables
provided. There are two parts – online data collection and a modified windshield survey
data collection. You will then identify a nursing problem in a vulnerable population and
write a nursing diagnosis. See the assignment directions for suggestions and best
practices. For full credit, all information in a category must be completed. This will be
the topic of your Assessment and Nursing Diagnosis Template and Parts 2
through 4 of your course project.
Name: Veronika Garcia
Date: 9/11/2022
Online Data Collection
1. Community Information
Your Community Data
Name of city or town and state
Population
Nature of this community (rural,
suburban, urban)
Describe your community in 2-3
sentences
Alameda County, California (Zip code
94501)
1,648,556
Urban
My community is located in California, a
major state on the west coast of the
United States that has one of the most
ethnically and culturally varied
populations in the entire country.
Alameda has a unique culture built on
openness and tolerance which originates
from different identities from all over the
world that resonate in numerous diverse
ways.
2. Community Demographics
a. Go to https://www.census.gov/quickfacts/fact/table/US/PST045218
i. The US data should automatically populate
ii. Input your zip code or county/township name
iii. Then input your state for comparison data
iv. Enter the data into the table below
v. Compare the county, state, and US data
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County Data
State Data
U.S. Data
Population total
Male (subtract female
% from 100)
Female
Persons under 5
Persons over 65
49.6%
50.0%
50.4%
5.3%
14.9%
49.5%
50.0%
5.7%
15.2%
Race and origin data
County Data
State Data
71.1%
47.8%
50.5%
5.7%
16.8%
10.7%
6.5%
13.6%
1.1%
1.7%
1.3%
33.8%
15.9%
6.1%
1.0%
0.5%
0.3%
Two or more races
5.6%
4.2%
2.9%
Hispanic or Latino
22.4%
40.2%
18.9%
29.2%
35.2%
59.3%
White alone
Black or African
American alone
American Indian and
Alaska Native alone
Asian alone
Native Hawaiian and
other Pacific
Islander alone
White alone, not
Hispanic or Latino
Significant population characteristics
County Data
State Data
Veterans
Foreign born
persons
Housing units
Owner-occupied
housing unit rate
Median selected
monthly owner costs
with a mortgage
U.S. Data
75.8%
U.S. Data
47,820
1,525,746
17,835,456
32.8%
26.6%
13.5%
Housing overview
County Data
State Data
U.S. Data
629,118
53.6%
14,512,281
55.3%
142,153,010
64.4%
$3,052
$2,422
$1,621
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Median selected
monthly owner costs
without a mortgage
Median value of
owner-occupied
housing units
Median gross rent
Households
Persons per
household
Living in same
house 1 year ago
Language other than
English spoken at
home
Households with a
computer
Households with
broadband internet
subscription
High school
graduate or higher
Bachelor’s degree or
higher
$734
$618
$509
$825,300
$538,500
$229,800
$1,904
$1,586
Family and living arrangements
County Data
State Data
$1,096
573,174
2.84
13,103,114
2.94
122,354,219
2.60
87.2%
87.6%
86.2%
45.7%
43.9%
21.5%
U.S. Data
Computer and Internet Use
County Data
State Data
U.S. Data
95.3%
94.3%
91.9%
91.1%
88.9%
85.2%
Education
County Data
State Data
U.S. Data
88.8%
83.9%
88.5%
48.7%
34.7%
32.9%
County Data
State Data
U.S. Data
5.7%
6.8%
8.7%
Health
With a disability
under age 65 years
Persons without
health insurance
under age 65 years
Civilian labor
workforce ages 16+
4.9%
8.2%
10.2%
Economy
County Data
State Data
U.S. Data
63.3%
63.0%
63.3%
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Transportation-mean
travel time to work
(minutes)
Median household
income
Persons in poverty
34.2
29.8
26.9
Income and poverty
County Data
State Data
U.S. Data
$104,888
$64,994
$78,672
3. Community Epidemiological Data
a. Go to: https://www.countyhealthrankings.org/
b. Click on your state
i. Start with Overall Rankings in Health Outcomes
ii. Then choose your county
**you will need to use the “+” to see all of the data**
County Data
Health Outcomes
Percentile
Health Factors Percentile
Premature death
Low birth weight
Adult smoking
Adult obesity
Physical inactivity
Excessive drinking
Alcohol impaired deaths
STIs
Teen births
Drug overdose deaths
Uninsured
Unemployment
Children in poverty
Violent crime
Air pollution
Drinker water violations
Long commutes
State Data
75%-100%
N/A
75%-100%
N/A
4,700
7%
5,700
10%
24%
20%
17%
25%
577.1
9
15
5%
7%
10%
26%
22%
19%
28%
599.1
16
17
9%
8.8%
9%
629
14.4
No
48%
10.1%
15%
421
12.9
42%
4. Substance Use
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a. Go to: https://www.samhsa.gov/data/report/behavioral-health-barometerstate-barometers-volume-6?page=0
i. Find your state and download the report.
ii. Review the report and document the following:
1. Go to Substance Use, Misuse, and Use disorders section.
This will be the area that discusses those 12 and older
(near end of report).
iii. Find the following percentages:
Tobacco use
Marijuana
Marijuana use
disorder
Heroin use
Misuse of
prescription pain
reliever
Opioid use
disorder
Illicit drug use
disorder
Alcohol use
disorder
Substance use
disorder
State Average
Regional Average
National Average
19.8%
19.4%
2.1%
21.1%
19.1%
2.0%
26.8%
16.2%
1.6%
0.18%
3.8%
0.22%
3.9%
0.30%
3.7%
0.6%
0.6%
0.7%
3.4%
3.4%
2.9%
6.0%
5.9%
5.3%
8.3%
8.1%
7.4%
Windshield Survey
It is recommended that you have someone drive you around your community at least 2
times, ideally at different times of day and weekend vs. weekday.
Look at the people in your community.
No
Yes
Yes
If Yes,
provide
number or
state “many”
“some” or
“few”
5
yes
yes
4
many
Did you observe:
•
•
•
•
*pregnant women
*pregnant adolescents
*infants (under the age of 1 year old)
*young children (1-5 years old)
No
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•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
*school-age children (6-18 years old)
adults (18 – 60 years old)
*older adults (over the age of 60 years old)
people exercising
people driving
people walking
people biking
people congregating in groups on the street
*people that had hygiene issues or were unkempt
people that were appropriately dressed
people that were physically fit
people that were obese
*people that were undernourished, thin
people that appear healthy
*people that have obvious physical disabilities,
such as those using walkers or wheelchairs
• *people with apparent mental/emotional
disabilities
• *people who appeared homeless or unemployed
*Represents vulnerable populations
Social and Economic Conditions
No
Yes
Yes
Yes
Yes
Yes
Many
Many
Some
Many
Many
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Many
Many
Many
Many
Many
Many
Many
Yes
Yes
Yes
Some
Many
Some
Yes
Some
Yes
Many
Yes
Yes
Yes
Yes
Yes
Yes
Yes
If Yes, provide
number or
state “many”
“some” or
“few”
Some
Some
Many
Many
Many
some
Yes
Yes
Yes
Many
Many
Many
Yes
Many
Yes
Many
Yes
Many
Did you observe:
•
•
•
•
•
•
•
•
•
•
•
•
housing that was run down or dilapidated
areas undergoing renewal
public housing
public transit (subway, train, buses, taxis, etc)
transportation to health care resources
landfills
restaurants
any political signs
any evidence of health education on billboards,
advertisements, or signs
any efforts to improve the neighborhood’s health
such as advertisements for health-related events,
health fares, clinics, or lectures
any group efforts in the neighborhood to improve
the living conditions or the neighborhood
churches, synagogues, and other places of
worship
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Health Resources
No
Yes
If Yes, provide
number or
state “many”
“some” or
“few”
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Many
Many
Many
Many
Many
Many
Many
Many
Yes
Yes
Yes
Yes
Yes
Some
Few
Few
Few
Few
Did you observe:
•
•
•
•
•
•
•
•
•
•
•
•
•
hospitals
community clinics
family planning clinics
generalist doctors
dentist offices
pharmacies
urgent care clinics
skilled nursing facilities
mental health or counselling clinics
homeless or abuse shelters
public health department office
substance abuse treatment center
alternative medicine practices, botanicals, or
herbal medicine shops
Answer the following question:
If some of the above health resources were not observed, approximately how far away
would a person need to travel to find these resources?
Environmental Conditions
No
Yes
Yes
If Yes, provide
number or
state “many”
“some” or
“few”
Some
Yes
Few
Yes
Yes
Many
Many
Did you observe:
•
•
•
•
evidence of anything that might make you
suspicious of ground, water, or air pollutants
poor road conditions with potholes, or poor
drainage
adequate traffic lights, signs, sidewalks, and curbs
railroad crossings fitted with warnings and barriers
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•
•
•
•
•
streets and parking lots well lit
handicapped access to buildings, sidewalks, and
streets
recreational facilities, playgrounds, and/or facilities
like the YMCA
children playing in the streets, alleys, yards, or
parks
evidence of nuisances such as ants, flies,
mosquitoes, or rodents, or stray animals observed
Yes
Yes
Many
Some
Yes
Many
Yes
Many
Yes
Many
Problem
Identify a nursing problem based on your data and observations. The problem must be
related to substance use. Example: Alcohol use
Problem Identification: The major problem is Alameda county is alcohol use.
Vulnerable Population
Identify the vulnerable population that is most impacted by this problem. Example:
Adolescents
Vulnerable Population Identification: Adults above the age of 18 years.
Diagnosis
Write a nursing diagnosis based on your problem from above. Fill in the blanks below.
Example: Increased risk for alcohol use among adolescents related to lack of sufficient
knowledge about the long and short-term impacts demonstrated in increased county
data compared to state/national averages.
*See chapter 6 in the Nies and McEwen (2019) textbook for more examples of
composing a community health nursing diagnosis.
Nursing Diagnosis: Increased risk of alcohol use (problem from above) among Adults
above the age of 18 years (vulnerable population from above) related to the increased
psychological problems (etiological statement) as demonstrated in increased county
data (health indicators/community data from above) compared to state/national averages
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References
Substance Abuse and Mental Health Services Administration (SAMHSA). (2020).
Behavioral health barometer, volume 6.
https://www.samhsa.gov/data/report/behavioral-health-barometer-statebarometers-volume-6?page=0
County Health Rankings and Roadmaps. (2018). Explore rankings.
http://www.countyhealthrankings.org/
U.S. Census Bureau. (2018). State and county
QuickFacts. https://www.census.gov/quickfacts/
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