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MGH researcher presents Wayland High pilot of I DECIDE and SBIRT, finds gaps in connection to care
Summary
At the Dec. 18 Wayland School Committee meeting, Dr. Randy Shuster of MGH summarized a school-based randomized trial and survey showing 25% of surveyed 10th–11th graders screen at risk for anxiety/depression, about 10% reported past-year suicidal thoughts, and schools paired with a youth wellness coach saw roughly double disclosure during screening.
Dr. Randy Shuster, a clinical psychologist and associate professor affiliated with Massachusetts General Hospital, told the Wayland School Committee on Dec. 18 that a portfolio of school-based programs aims to shift responses to student substance use from exclusionary discipline to early, restorative supports. Shuster described the I DECIDE and I CARE programs and a statewide SBIRT trial testing expert screening and a nonclinical "youth wellness coach" model.
Shuster said the SBIRT effort is funded through a multi-year grant portfolio (PCORI and the Massachusetts Department of Public Health) and described the randomized clinical trial as a large, multi-school project. "We have relegated ourselves to a 0 tolerance and punitive only approach to substance use in schools," Shuster said,…
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