SBIRT is a comprehensive, integrated, public health approach to the delivery of early intervention and treatment services. It is an evidence based protocol both for people with substance use disorders and for those at risk of developing them. In SBIRT, screening, intervention, and treatment all happen in a medical setting such as a primary care office, hospital emergency department, or community clinic. These medical providers in turn form closer relationships with the substance abuse treatment providers in their area, developing a ‘warm hand off’ protocol for patients who need targeted treatment. SBIRT providers are helping to move toward health systems integration which better cares for the whole person.
Universal Screening – Efficiently screen everyone for risky substance use and depression
Initial screening – Includes alcohol, drugs and depression
Secondary screening – Defines level of risk severity and appropriate plan of action
Brief Intervention – Motivational conversation focused on changing risky behavior
Brief Treatment – Embedded behavioral health clinician delivers outpatient treatment
Referral to Specialty Treatment – Linkages in place for referral to intensive levels of treatment
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a SAMHSA funded project.