Screening, Brief Intervention, and Referral for Treatment Program (SBIRT)
SBIRT (Screening, Brief Intervention, and Referral for Treatment) is an integrated public health evidence-based practice (EBP) aimed at fostering healthier communities. Our program focuses on universal screening and assessing the risk of substance use disorders, addressing moderate-to-high substance use, and intervening early to mitigate potential harm. This training is for students and current site preceptors.
SBIRT is a proactive approach to identifying and addressing substance use issues before they escalate. Our program is characterized by its brevity, comprehensiveness, and utilization of universal screening techniques. Through the application of Motivational Interviewing, we engage clients in constructive conversations about their substance use behaviors, guiding them toward healthier choices.
SBIRT is not only effective but also cost-efficient. By intervening early, we reduce the severity of drug and alcohol use, preventing the escalation of substance-related problems. This not only improves individual well-being but also alleviates the burden on healthcare systems, resulting in substantial cost savings for everyone involved.
Who should use SBIRT?
SBIRT is suitable for a wide range of professionals and settings, including
- Counselors
- Doctors
- Nurses
- Pastors, Clergy
- Public Health Workers
- Social Workers
- Psychologists
- Health Educators
- Other Service Providers
By empowering diverse professionals, we extend the reach of early intervention efforts, ensuring that individuals receive the support they need, regardless of where they seek help.
From primary care clinics to community organizations and educational institutions to workplaces, SBIRT services can be implemented across a variety of settings. By adapting to the unique needs of each environment, SBIRT maximizes its impact, reaching individuals where they are most receptive to intervention.
Learn more about SBIRT and discover helpful screening tools, resources, and reimbursement codes through the Substance Abuse and Mental Health Services Administration (SAMHSA).
What is a Standard Drink?
Standard drink sizes:
- 12 fl oz of regular beer (about 5% alcohol)
- 8-9 fl oz of malt liquor (about 7% alcohol)
- 5 fl oz of table wine (about 12% alcohol)
- 1.5 fl oz shot of 80-proof distilled spirits such as gin, rum, tequila, vodka, whiskey, etc. (40% alcohol)
The percent of “pure” alcohol, expressed here as alcohol by volume (alc/vol), varies by beverage.
Why is this important to know?
To stay low risk, keep within BOTH the single-day AND weekly limits. Low-risk drinking limits:
- On any single DAY
- Men – No more than 4 drinks on any day
- Women – No more than 3 drinks on any day
- Per WEEK
- Men – No more than 14 drinks per week
- Women – No more than 7 drinks per week
Need Help?
- SAMHSA (1-800-662-4357)
- 988 Suicide And Crisis Lifeline
- 828-264-4357 for local assistance
Additional Resources
Screening Tools
- Adolescent Screening Card
- Adult Screening Card
- AUDIT (Alcohol Use Disorder Identification Test) – Given to patients ages 18 and older when positive on brief alcohol screening questions
- DAST (Drug Abuse Screening Test) – Given to patients ages 18 and older when positive on the brief drug screening questions.
- CRAFFT – Screening tool for adolescents aged 12-21
- SBIRT Mobile App
- Substance Use Health Risk
Field Instructors
- Disclosure Statement (docx, 57 KB)
- Proficiency Checklist (pdf, 340 KB)
Upcoming SBIRT Trainings
Trainings are offered every August/September and January/February. For more information, view our training schedule.