Screening, Brief Intervention, Referral and Treatment (SBIRT)

  

Northwest ATTC provides trainings, resources, technical assistance and implementation projects on SBIRT.  For more information contact NWATTC at 503-494-9611 or northwest@ATTCnetwork.org

What Is SBIRT?

SBIRT is an effective, brief protocol used during routine medical or specialty care visits to determine if a person’s alcohol or drug use may be causing potential harm to his/her overall health.

SBIRT provides an opportunity to help patients who are engaging in problematic behavior make changes before they become worse. 

Primary care centers, trauma centers, and other community health and medical settings provide opportunities for early intervention with at-risk substance users.

SBIRT builds on the screening approach used in health care for a range of lifestyle issues, e.g. blood pressure and medication compliance.  With SBIRT, screening for drug and alcohol use becomes part of every medical exam. Simple tools make it easy to implement in your setting.

NEW!  National SBIRT ATTC  Introducing a new hub for the application and evolution of SBIRT.  Read the ATTC Messenger announcement and follow the links for more information and to subscribe for free to the SBIRT Alert.  There is an introductory webinar scheduled for Feb. 27 for which you can register.

Why use SBIRT?

Because alcohol and drug use directly and signifircantly affect patient health, yet are not routinely included in medical screenings. 

In fact, alcohol and drug use are both among  the top 10 risk factors for disease.

Alcohol use can cause and exacerbate a wide range of health conditions, including: liver disease, heart disease, certain cancers, accidents, gastrointestinal problems,  interference with medications,  to hame just a few.  Undetected and untreated alcohol problems undermine good patient outcomes and contribute to repeated provider visits, often without getting to the root cause of the problem because alcohol use may not be as readily addressed as other potential causes of health problems. 

SBIRT Outcomes

slide source: http://www.nascsa.org/Conference2011/Presentations/Reuter.pdf

The SBIRT model includes clinician-tested tools, protocols, materials and  training to help health care providers help their patients--see the resources below.

SBIRT RESOURCES

SBIRT Oregon - Primary care Residency Initiative: Addressing Alcohol and Drug Use with Primary Care Patients   http://www.sbirtoregon.org/

This website offers a wide array of useful tools and clear, straightforward information on SBIRT used in the clinical setting, including:

  • a schematic description of the method
  • videos demonstrating how it is used (see below)
  • training curricula
  • tools for providers to use in the clinical setting
  • information on reimbursement
  • screening forms
  • information on clinics currently using the protocol in Oregon. 

To view the SBIRT Oregon Primary Care Model Video click on the picture below.

 

Introduction to SBIRT

"Introduction to SBIRT" video/PowerPoint presentation by Northwest Frontier ATTC for the ATTC Network Third Thursday iTraining  presented on May 19, 2011.  To view the video click on the picture below. (Length of video is 1 hour 19 minutes)

 

Addiction Messenger series on SBIRT (click on picture to view document)

Part 1 - Why Screen and Intervene?

Part 2 - Breaking The Model Down

Part 3 - Taking It to The Field

 

SBIRT Readiness Ruler: summarizes information for clinicians to use with patients

  

SBIRT Reference Sheet: outlines steps in the process and screening parameters

 

ATTC Network's "Foundations of SBIRT" online training

SAMHSA-HRSA SBIRT webpages

Boston University School of Public Health BNI ART Institute SBIRT Website

SAMHSA white paper on SBIRT

CASA's SBIRT Implementation and Process Change Manual for Practitioners (Nov. 2012)

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