SBIRT is an evidence-based practice model which is proven to be successful in modifying the consumption/use patterns of at-risk substance users and in identifying individuals who need more extensive, specialized treatment. SBIRT is a comprehensive, integrated, public health approach that provides opportunities for early intervention before more severe consequences occur. Evidence-based tools that are demonstrated to be valid and reliable in identifying individuals with problem use or at risk for a Substance Use Disorder (SUD) must be used. Based on implementation of this model nationally, of 459,599 patients screened, 22.7 percent screened positive for a spectrum of use (risky/problematic, abuse/addiction). Of those who screened positive 15.9 percent were recommended for a brief intervention with a smaller percentage recommended for brief treatment (3.2 percent) or referral to specialty treatment (3.7 percent).
SBIRT can effectively be implemented in a variety of practice settings including physician offices, hospitals, clinics, educational institutions, and mental health centers where there is the ability to screen patients, discuss the findings and provide a “Brief Intervention” and/or referral to specialized care if indicated.
- Background Information
- Evidence Based Alcohol and Substance Use Screening Instruments
- Reimbursement Information
- Federal Agency SBIRT Resources
- Training Curricula and SBIRT Strategies From Other States
- Demonstration Videos on SBIRT Screening
- Resources for Screening Women
- Resources for Screening Adolescents
- Resources for Screening for Tobacco Use
- Motivational Interviewing Resources
- Mentor Resources
Background Information
- OASAS FYI: SBIRT - an introduction to SBIRT
- Taking Burden Off Physicians Key to SBI Growth, New Report Says
- Join Together article - Brief Intervention and Treatment for Elders (BRITE) - Florida Department of Children and Families
Evidence Based Alcohol and Substance Use Screening Instruments
- AUDIT
- ASSIST
- CRAFFT (Adolescent screen)
- DAST
- GAIN Short Screen
- POSIT and POSIT Scoring Instructions
- Alcohol and Substance Use Screens in Multiple Languages
Reimbursement Information
- NEW Medicaid Guidelines - NYSDOH
- OASAS licensed 822 and 828 programs
- Coding for SBI Reimbursement
- Decision Memo for Screening and Behavioral Counseling Interventions in Primary Care (CAG-00427N) - The Centers for Medicare and Medicaid Services
- Decision Memo for Screening for Depression in Adults - The Centers for Medicare and Medicaid Services
Federal Agency SBIRT Resources
New York State Approved SBIRT Training
- OASAS SBIRT Training Provider Certification
- Four Hour Certified SBIRT Training Providers NOTE: At this time the Clinical Tools, Inc. course is for hospital based and/or primary care healthcare professionals only.
- Twelve Hour Certified SBIRT Training Providers
Training Curricula and SBIRT Strategies From Other States
Demonstration Videos on SBIRT Screening
Resources for Screening Women
- US Surgeon General’s Advisory on Alcohol Use in Pregnancy
- Video: Screening and Brief Interventions for Women
- Tool Kit: Drinking and Reproductive Health
- Screening for Alcohol Use During Pregnancy
Resources for Screening Adolescents
- Adolescent Screening, Brief Intervention, and Referral to Treatment for Alcohol and Other Drug Use Using the CRAFFT Screening Tool
- NIDA for Teens
- New Teen Alcohol Risk Screening Guide From NIAAA
- “Talk to Your Child About Alcohol” guide
- SBIRT for Pediatricians
Resources for Screening for Tobacco Use
- Counseling to Prevent Tobacco Use and Tobacco-Caused
Disease
- SBIRT and Tobacco Training Module
- You Can Quit Smoking - Information Kit for Consumers