Screening, Brief Intervention and Referral to Treatment
SBIRT is an evidence-based approach to identifying patients who use alcohol and other drugs at risky levels with the goal of reducing and preventing related health consequences, disease, accidents and injuries. Risky substance use is a health issue and often goes undetected.
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).
An Introduction to SBIRT (2 videos) - These videos were developed to introduce healthcare professionals to the importance of screening, brief intervention and referral to treatment (SBIRT). Highlights of SBIRT are included with testimonials from the NYS OASAS Acting Medical Director and other physicians from North Shore Long Island Jewish Health Systems.
Why is SBIRT Important?
- SBIRT is effective. More than screening, SBIRT is an effective tool for identifying risk behaviors and providing appropriate intervention.
- By screening for high risk behavior, healthcare providers can use evidence-based brief interventions focusing on health and other consequences, preventing future problems.
How does SBIRT work?
- SBIRT incorporates screening for all types of substance use with brief, tailored feedback and advice.
- SBIRT can be performed in a variety of settings. Screening does not have to be performed by a physician.
- Simple feedback on risky behavior can be one of the most important influences on patient behavior and change.
What are the benefits of SBIRT?
- Prevent disease, accidents and injuries related to substance use, resulting in better patient outcomes.
- SBIRT reduces costly healthcare utilization.
- SBIRT is reimbursable, billing codes are available in New York State.
- Many payers reimburse for SBIRT services.
- OASAS SBIRT Training Provider Certification
- SBIRT Core Training Program (4 hours) - Online SBIRT training for primary and acute healthcare professionals offered by Clinical Tools, Inc. Please note: behavioral health professionals should consider other OASAS approved options for training.
- Four Hour Certified SBIRT Training Providers
- Twelve Hour Certified SBIRT Training Providers
- New York Best Practice - Establishing a Policy Advisory Committee (posted 7/2014)
- SBIRT Implementation and Process Change Manual for Practitioners - This manual is designed to be a resource for those interested in creating a sustainable SBIRT program.
- NEW SBIRT Medicaid Billing Questions - Resources (posted July 2015)
- Billing Update for Pre-Admission SBIRT Services and Post-Admission Brief Treatment Services
- Medicaid Guidelines - NYSDOH
- OASAS licensed 822 and 828 programs
- 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
- Alcohol Screening and Counseling - An effective but underused health service CDC Vitalsigns (January 2014 issue). CDC Vitalsigns links science, policy, and communications with the intent of communicating a call-to-action for the public. Spanish version
- Center for Disease Control and Prevention - Vitalsigns: Communication between Health Professionals and their Patients About Alcohol Use - 44 States and the District of Columbia (2011)
- OASAS FYI: SBIRT - an introduction to SBIRT
- SAMHSA - SBIRT webpage
ONDCP - SBIRT webpage
- NIAAA - Report on Brief interventions
- CRAFFT (Adolescent screen)
- DAST - 10
- Alcohol and Substance Use Screens in Multiple Languages
- 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
- 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