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What is SBIRT?
Is SBIRT Effective?
Looking for SBIRT Training or Technical Assistance?
Additional SBIRT Resources (online training and links)
Screening, Brief Intervention, and Referral to Treatment (SBIRT) is a comprehensive integrated public health approach to the delivery of early intervention and treatment services for people with substance use disorders as well as those who are at risk for developing those disorders.
It consists of three major components:
Screening |
Brief Intervention |
Referral to Treatment |
Assess the patient for risky substance use behaviors using a standardized screening measure (typically the AUDIT, ASSIST, or DAST). |
Engage a patient showing signs of risky use in a short conversation about their use, using motivational techniques to provide feedback and enhance motivation for change. |
For those identified as possibly dependent on a substance or needing additional services, offer information on how to access treatment. |
SBIRT is designed for use by providers who don’t specialize in SUD treatment and can be offered in any public health, medical, or related setting, including emergency departments, primary care physicians’ offices, community clinics, and even schools/universities.
A recent study (Babor, Del Boca & Bray, 2017) of over one million people who were screened for drug and alcohol use disorders over a 5-year period evaluated the effectiveness of SBIRT in a variety of medical and community settings.
The study, funded by SAMHSA, found SBIRT to be an innovative and effective way to integrate the management of substance use disorders into primary care and general medicine. Substantial numbers of patients received recommendations for intervention or treatment, with greater intervention intensity associated with larger decreases in substance use.
Patients receiving SBIRT demonstrated significant reductions in substance use, with some caveats that raise questions about the best ways to implement SBIRT as a public health program. It was also associated with improvements in treatment system equity (the provision of care to patients varying in economic status, race/ethnicity, and setting) and efficiency, and found to be cost-effective, too.
Find more research on SBIRT in PubMed, the database for the U.S. National Library of Medicine.
Babor TF, Del Boca F, Bray JW. Screening, Brief Intervention and Referral to Treatment: Implications of SAMHSA’s SBIRT initiative for substance abuse policy and practice. Addiction 2017;112(Suppl. 2): 110-117. http://dx.doi.org/10.1111/add.13675
The NWATTC offers a range of SBIRT training and technical assistance (TA) services to health care organizations. The SBIRT services described below may be offered individually or as part of a training/TA package.
If you are interested in SBIRT training or technical assistance please contact us at northwest@attcnetwork.org.
This presentation, which can be delivered in either 30- or 60-minute format, offers healthcare providers and/or management:
This presentation is appropriate for clinic leadership staff who may be considering full implementation of SBIRT or as a general staff introduction to SBIRT.
This 4-hour basic SBIRT training is designed to provide potential SBIRT providers and billers (primary care, emergency department, and behavioral health) with an overview of the background and rationale for SBIRT, along with the details for providing screening, brief interventions, and referral to treatment. The training consists of four modules:
Meets the 4-hour training requirement for certification from the WA State Health Care Authority to submit billing for SBIRT and provide or supervise individuals providing SBIRT services.
Medical assistants (MAs) often play a key role in delivering the screening components of SBIRT. This training provides them with an overview of the SBIRT process and rationale. The primary focus is on helping MAs develop the necessary skills to effectively deliver the pre-screens and full screens to patients. This training can be customized for the clinic setting and ranges from 30-60 minutes.
Training is just one component of implementing the SBIRT process. The NWATTC provides intensive technical assistance (TA) to clinics, emergency departments, and mental health organizations to assist them in developing SBIRT implementation. The TA provides a model for building staff buy-in of the SBIRT process, developing an effective clinic flow, integrating SBIRT into the clinic’s EMR system, training the key personnel to deliver their respective parts of the SBIRT process, and tracking data to measure the success of implementation.
If you are interested in SBIRT training or technical assistance please contact us at northwest@attcnetwork.org.
o Find more SBIRT trainings on the HealtheKnowledge site