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Program Design & Development

The Blueprint works collaboratively with DVHA departments, other state agencies, community leaders, and providers to design and develop new programs that improve population health. This design work includes health care delivery reform, and increasingly engages human services and targets the social determinants of health. The current Blueprint design projects are below.

Alternative Approaches to Managing Pain

The Blueprint is working with partners to develop alternative systematic approaches to managing chronic pain. This will take the shape of pilot programs active in the calendar year 2019. Each pilot program will include an interdisciplinary team of pain specialists, and enhanced primary care services including ongoing medical, psychological, and complementary and alternative treatment modalities (CAMS) such as chiropractic, acupuncture, yoga, massage, Tai Chai, Feldenkrais, mindfulness, and meditation. Pilots may also include intensive and time-limited clinic-based services.

Communities interested in reviewing and responding to a Request for Proposal can locate it here. The due date has been revised to October 5 at 3pm, per the RFP addendum available here. Answers to questions about the RFP are posted here.


SBINS stands for Screening, Brief Intervention, and Navigation to Services. It is an approach that helps health care providers identify risks to their patients’ health and wellbeing, from a wide range of sources including drug and alcohol use, housing and food insecurity, inter-partner violence, and more. When risks are present, trained counselors offer patients support and help them access the services they need to address risk factors and maintain or improve their health.

Some Vermont communities had previously implemented SBIRT (Screening, Brief Intervention, and Referral to Treatment). SBINS continues that work and enhances it. SBIRT screenings focused on risky substance use; SBINS screenings identify a broader range of risk factors including depression, substance use, and social determinants of health. SBIRT refers patients to treatment; SBINS navigates with patients and stays engaged until patients have the help they need.

The SBINS approach is now available for adoption by payers and providers. For more information about the model and how to implement SBINS in practices and communities, consult the SBINS Planning Guide. Additional information is available in the SBINS frequently asked auestions document and in an overview of lessons learned from the implemenation of SBIRT in Vermont.