Addiction Medicine Updates
Screening, Brief Intervention and Referral to Treatment (SBIRT)
SBIRT is a comprehensive, integrated, public health approach to the delivery of early intervention and treatment services for persons with substance use disorders, as well as those who are at risk of developing these disorders. Primary care centers, hospital emergency rooms, trauma centers, and other community settings provide opportunities for early intervention with at-risk substance users before more severe consequences occur.
SBIRT is broadly recommended by multiple federal agencies, the U.S. Preventive Services Task Force (USPSTF), and all of the primary care physician groups. In fact, the National Commission on Prevention Priorities ranked SBIRT among its top five priorities, ahead of 20 other effective services including colorectal cancer screening, hypertension screening and treatment, and influenza immunization. (Solberg et al 2008)
Watch a brief demonstration of the SBIRT NC Model.
Marie is a 54 year old female in for a follow up visit related to her hypertension. She also presented 6 months ago with a fractured arm from a fall. Marie’s drinking scores place her in the harmful category of substance use.
Michael is a 30 year old male presenting with the chief complaints of insomnia and “feeling anxious”. Michael’s drinking scores fall into the risky category of substance use.
PowerPoint Slide Modules
A brief introduction to SBIRT including prevalence, clinical concepts, method, effectiveness, and barriers.
The basics for successful screening in SBIRT. This module provides guidance on the screening process and how to use the SBIRT NC recommended screening tools (annual screen, AUDIT, and DAST).
Guidance for conducting a successful brief intervention using a motivational Interviewing oriented approach and the FRAMES Model. Resources and case examples are also given.
The Kessler 6 (K6) is a standardized and validated measure of non-specific psychological distress.
Making a Referral
Locate your Local Management Entity-Managed Care Organizations (LME-MCOs) and other Substance Abuse resources in your community below.
For contact information on each LME-MCO, click below:
- Alliance Behavioral Healthcare
- Cardinal Innovations Healthcare Solutions
- CenterPoint Human Services
- Partners Behavioral Health Management
- Sandhills Center for MH/DD/SAS
- Smoky Mountain Center
Call the Alcohol & Drug Council of North Carolina’s 24/7 Referral Line at 1-800-688-4232.
Find additional resources with the SAMHSA Behavioral Health Treatment Services Locator.