SBIRT Toolkit

This toolkit is intended for behavioral and medical healthcare providers, educators, employers and service providers that are interested in learning about, developing, implementing, and/or providing SBIRT services. This toolkit is separated into sections to make it easier to identify materials that will be useful in specific settings.

Clinical Tools:

Defining Screening, Brief Intervention and Referral to Treatment

Screening and Brief Intervention: Making a Public Health Difference

SBIRT in Specific Settings

This section provides screening tools, information and materials to help with implementing SBIRT in specific settings.

SBIRT in Medical Healthcare Settings

  • This Resource Guide is intended to provide clinicians serving adult populations in general medical settings with the screening tools and procedures necessary to conduct screening, brief intervention, and/or treatment referral for patients who may have or be at risk of developing a substance use disorder. http://www.nida.nih.gov/nidamed/resguide/resourceguide.pdf

SBIRT Implementation Toolkit for the Emergency Department Settings

  • The Emergency Nurses Association Injury Prevention Institute developed this toolkit. It provides information, materials, and tools – including, but no limited to, a manual, Powerpoint presentation, and videos – for implementing SBIRT. http://www.ena.org/IQSIP/

SBIRT Implementation Toolkit for Trauma Patients

  • This 16 page guide developed by the American College of Surgeons Committee on Trauma provides tips for planning and implementing an SBI program; a description for screening methods and different screening instruments; as well as the components of a brief intervention. http://www.facs.org/trauma/publications/sbirtguide.pdf

SBIRT in the Primary Care Settings

  • A six page scholarly article about the significance of implementing alcohol screening and brief intervention programs in the primary care settings published in the National Institute on Alcohol Abuse and Alcoholism’s (NIAAA) quarterly, peer-reviewed scientific journal, Alcohol Research & Health. http://pubs.niaaa.nih.gov/publications/arh28-2/57-62.pdf
  • The SBIRT Oregon Method for Primary Care Clinics: SBIRT Oregon project is funded by the Centers for Substance Abuse Treatment, under the Substance Abuse and Mental Health Services Administration. http://www.sbirtoregon.org

SBIRT Toolkit for Engaging Pregnant Women

  • This link to Contra Costa County Health Services Bridges to Care toolkit gives health care providers tools, including screening and brief intervention, to engage pregnant women who use alcohol and drugs in prenatal care. http://cchealth.org/groups/psap/bridges.php

SBIRT Toolkit for College and University Campuses

  • This toolkit was produced by the U.S. Department of Transportation, National Highway Traffic Safety Administration (NHTSA). It provides guidance for conducting a screening and brief intervention; the AUDIT instrument for screening; as well as descriptions of the effects of alcohol and lower-risk drinking strategies. http://www.friendsdrivesober.org/documents/SBI_College.pdf

SBIRT in the Workplace

  • This toolkit was developed by Ensuring Solutions to Alcohol Problems at the George Washington University Medical Center. It provides methodologies and tools for SBI, guidance on how to refer employees to treatment and other services, and methods for keeping track of progress and outcomes. http://www.ensuringsolutions.org

SBIRT in the Criminal Justice System

  • A nine page scholarly article about the significance of implementing alcohol screening and brief intervention programs in the criminal justice system published in the National Institute on Alcohol Abuse and Alcoholism’s (NIAAA) quarterly, peer-reviewed scientific journal, Alcohol Research & Health. http://pubs.niaaa.nih.gov/publications/arh28-2/85-93.pdf

SBIRT for Health Educators

Studies in SBIRT

This section provides data and research from studies on the impact of providing SBIRT services.

UCLA Mental Health ASSIST Implementation

  • The research reported here is based on experiential evidence from clinicians who administered the Alcohol, Smoking, and Substance Involvement Screening Test (ASSIST) screening tool and brief intervention to college students at UCLA Counseling and Psychological Services (CAPS), which participated in a 3-year SAMHSA services grant to implement SBI services on a college campus. http://www.adp.ca.gov/SBI

Medicaid Cost Outcomes

  • The Washington State Screening, Brief Intervention, and Referral to Treatment (WASBIRT) Project compares the changes in Medicaid costs for clients who received at least a brief intervention through the WASBIRT Project, and clients who did not receive an intervention through the program. http://www.ncbi.nlm.nih.gov/pubmed/19927016

Current Research on Screening and Brief Intervention and Implementations for State Alcohol and Other Drug (AOD) Systems

  • Prepared by the National Association of State Alcohol and Drug Abuse Directors (NASADAD), this 16 page brief provides a compilation of selected findings in SBI and an examination of the implications for administrators of AOD treatment systems. http://www.adp.ca.gov/SBI/pdfs/SBI_NASADAD_research.pdf

Screening Tools

Alcohol, Smoking and Substance Involvement Screening Test (ASSIST)

  • This document on the Alcohol, Smoking and Substance Involvement Screening Test (ASSIST) was developed by the World Health Organization (WHO) and an international team of substance use researchers as a simple method of screening for hazardous, harmful and dependent use of alcohol, tobacco and other psychoactive substances. http://www.adp.ca.gov/SBI/pdfs/audit.pdf

Alcohol Use Disorders Identification Test (AUDIT)

  • The Alcohol Use Disorders Identification Test (AUDIT) was developed by the World Health Organization (WHO) as a simple method of screening for excessive drinking and to assist in brief assessment. This manual introduces the AUDIT and describes how to use it.  http://www.adp.ca.gov/SBI/pdfs/audit.pdf

Brief Intervention

Brief Intervention for Substance Use: A Manual for Use in Primary Care

  • This document on brief intervention for substance use was developed by the World Health Organization (WHO); together with the ASSIST guidelines for use manual, this manual presents a comprehensive approach to screening and brief intervention which is tailored to the specific circumstances of primary care. http://www.adp.ca.gov/SBI/pdfs/Brief_Intervention.pdf

Motivational Interviewing

Enhancing Motivation for Change in Substance Abuse Treatment: Treatment Improvement Protocol (TIP) Series 35

  • This publication from the Substance Abuse and Mental Health Services Administration’s (SAMHSA) Center for Substance Abuse Treatment (CSAT) provides information on research, results, and the promise of motivational interventions. It also describes different motivational interventions that can be used at all stages of change, from precontemplation and preparation to action and maintenance. http://www.adp.ca.gov/SBI/pdfs/TIP_35.pdf

Motivation for Change and Alcoholism Treatment

  • A seven page article about the role of motivation in alcoholism treatment, published in the National Institute on Alcohol Abuse and Alcoholism’s (NIAAA) quarterly, peer-reviewed scientific journal, Alcohol Research & Health. http://www.adp.ca.gov/SBI/pdfs/MI_article_NIAAA.pdf