TR - Expand SBIRT Program

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SBIRT Implementation

Toolkit/Resource Type Source Description Supplemental Materials
Powerpoint Presentation

Contact:
Amy Curtis
41 Anthony Ave
Augusta, Me 04333
287-2596
[[1]]

AUDIENCE: multiple

Good overview of SBIRT, its goals, its impact
 
         
         
         

National Registry SBIRT Trainers

  1. National Registry of SBIRT trainers

SBIRT Training & Toolkits

Toolkit/Resource Type Source Description Supplemental Materials
Technical Assistance Manual

SAMSHA

AUDIENCE:

This Technical Assistance Publication describes the core elements of SBIRT programs and provides general administrative and managerial information relevant to implementing SBIRT services
 
Manual

MA SBIRT

AUDIENCE: Clinicians

This toolkit provides:
-Rationale for routine screening for unhealthy alcohol and drug use as an important component of good healthcare
-Two recommended screening approaches for alcohol and other drug use
-A suggested brief intervention script
‹-Steps for referring patients to substance use specialty care, when needed
-Questions to consider for implementing SBIRT
-Helping Patients Who Drink Too Much: A Clinician’s Guide, produced by the National Institute on Alcohol Abuse and Alcoholism
 

Foundations of SBIRT

Online Course (free)

Healthknowledge.org

AUDIENCE: Health Care Professionals

Introduces the terms, topics, and resources essential to SBIRT
1.5 CE Credits
 

Dentistry & the SBIRT Model: How You Can Help Patients with Substance Abuse Issues

Online Course (free)

Healthknowledge.org

AUDIENCE: Dentistry Professionals

Self-paced course contains six modules of instruction covering various topics related to the SBIRT Model and its use in the field of Dentistry, including an overview of the problem, why dentists need to understand substance use and abuse, a brief overview of SBIRT, screening, brief interventions, referral to treatment, and common concerns.
1.5 CE Credits
 

SBIRT for Health and Behavioral Health Professionals

Online Course (free)

Healthknowledge.org

AUDIENCE: Behavioral Health Professionals

The goal of this course is to help participants develop their knowledge, skills, and abilities in using SBIRT as an intervention with patients.
4 CE Credits
 

The Substance Use in Adults and Adolescents: SBIRT

Online Course (free)

Medscape

AUDIENCE:

Medscape addresses the basic principles of SBIRT as well as coding and reimbursement for the implementation of SBIRT in practice.


A free membership to Medscape is required to view the training.
 
Knowing When to Say When: Transitioning Patients From Opioid Therapy. Training Guide

National Institute on Drug Abuse

AUDIENCE: Clinicians

A free 2-hour course that covers how to recognize aberrant drug-taking behaviors, strategies for monitoring patients, using a risk-benefit framework to help determine options for discontinuation of opioids, strategies for transitioning patients off of opioids, and how to treat opioid withdrawal symptoms.
Information about the training program.
Sample Notification of Discontinuation of Opioid Treatment Letter Letter Template

National Institute on Drug Abuse

AUDIENCE: Clinicians

Sample letter for clinicians to use to provide patients with information about why opioid treatment can no longer be provided and information about local treatment programs.
 

 

Screening Tools

Go to Tools + Resources for Screening/Testing for Misuse to see more drug misuse screening tools. The screening tools listed below are specifically related to SBIRT and provide information for doctors and patients about what to do going forward after the evaluation.
 
Toolkit/Resource Type Source Description Supplemental Materials

SBIRT App

Phone and Tablet App (Free)

Baylor College of Medicine

AUDIENCE: Clinicians, health workers and mental health professionals

The app provides evidence-based questions to screen for alcohol, drugs and tobacco use. If warranted, a screening tool is provided to further evaluate the specific substance use. The app also provides steps to complete a brief intervention and/or referral to treatment for the patient based on motivational interviewing.
Integrated within the app are three screening instruments for substance use: the CRAFFT assesses substance use in adolescents, the Alcohol Use Disorders Identification Test (AUDIT) assesses alcohol use in adults, and the Drug Abuse Screening Test (DAST) assesses drug use in the adults.
 
  Screening Form

SBIRT Oregon

AUDIENCE: Clinicians

-Given to adults age 18 and older, at least once a year, during any visit.
-One validated question for alcohol use, and one validated question for adult drug use. Positive responses warrant further screening.
-Includes the PHQ-2 screening tool for depression.
-Note: not billable using CPT 96160.

Available in 7 languages
 
  Screening Form

SBIRT Oregon

AUDIENCE: Clinicians

-Given to adults ages 18 and older when positive on the alcohol question on the Brief screen.
-A “full screen” that assesses quantity of alcohol use and related consequences.
-Includes definitions of standard drinks and an extra question about alcohol treatment.

Available in 7 languages
 
  Screening Form

SBIRT Oregon

AUDIENCE: Clinicians

-Given to adults ages 18 and older when positive on the drug screening question on the Brief screen.
-A “full screen” that assesses consequences related to non-medical drug use.
-Includes extra questions about types of drugs, injection of drugs, and drug treatment.

Available in 7 languages
 
  Screening Form

SBIRT Oregon

AUDIENCE: Clinicians

-Given to adolescent patients ages 12-17, at least once a year, during any visit.
-A “full screen” that measures frequency of tobacco, alcohol and drug use to indicate a possible substance use disorder.
-Includes supplemental CRAFFT questions.
-Includes the PHQ-2 and PHQ-9 Modified for Teens screening tools for adolescent depression.

Available in 7 languages
 
  Screening Form

SBIRT Oregon

AUDIENCE: Clinicians

-Given to pregnant and postpartum patients.
-Eight questions screen for use of tobacco, alcohol, and drug use, as well as depression and intimate partner violence.

Available in 7 languages
 

SBIRT Screening App

Web-based Application

SBIRT Oregon

AUDIENCE: Clinicians

Delivers substance use and depression screening tools on a tablet, phone, or desktop computer

This app offers advantages over a paper-based screening process by:
-Using skip patterns to ensure every question is relevant to each patient.
-Converting patient responses into progress notes suitable for a health professional.
-Presenting questions in an optional audible format for patients with low literacy.
-Streamlining the delivery of multiple, comprehensive screening tools:
ASSIST for adult non-medical drug use
AUDIT- C and AUDIT for adult alcohol use
PHQ-2 and PHQ-9 for adult depression
S2BI for adolescent tobacco, alcohol, and non-medical drug use
PHQ-2 and PHQ-9 Modified for Teens for adolescent depression.

Does not collect personally identifiable information or store responses to any questions. Currently in beta mode.
 
Car, Relax, Alone, Forget, Family or Friends, Trouble (CRAFFT) 2.0 Screening Form

Center for Adolescent Substance Abuse Research

AUDIENCE: Clinicians

Orally administered tool for adolescents to determine whether they are at high risk for alcohol or drug misuse.
This version of CRAFFT includes talking points for clinicians when patients show possibly concerning behaviors with drugs.

To see other versions of CRAFFT and other screening tools, see Tools + Resources for Screening/Testing for Misuse

 
The Alcohol, Smoking, and Substance Involvement Screening Test (ASSIST) Screening Form

World Health Organization

AUDIENCE: Clinicians

This screening tool for high risk drug use gives clinicians guides on scoring, as well as information about when, and how, to intervene when a patient is participating in dangerous drug use.

This tool provides information to patients about potential consequences of drug use.

Download ASSIST in another language

 

 

Educational Resources for Clinicians & Patients

  1. SBIRT Oregon handouts and reference sheets, video demonstrations
  2. SBIRT Colorado clinical tools
Toolkit/Resource Type Source Description Supplemental Materials
  Reference Sheets   AUDIENCE: Health professionals

Go to site for copy of handouts in Spanish

  Pocket Cards   AUDIENCE: Health professionals

Go to site for copy of handouts in Spanish

  Patient Handout   AUDIENCE: Adults

Go to site for copy of handouts in Spanish

  Reference Sheets   AUDIENCE: Health professionals

Go to site for copy of handouts in Spanish

  Pocket Cards   AUDIENCE: Health professionals

Go to site for copy of handouts in Spanish

  Patient Handout   AUDIENCE:

Go to site for copy of handouts in Spanish

  Reference Sheets   AUDIENCE: Health professionals

Go to site for copy of handouts in Spanish

  Pocket Cards   AUDIENCE: Health professionals

Go to site for copy of handouts in Spanish

  Patient Handout   AUDIENCE:

Go to site for copy of handouts in Spanish

 

Toolkit/Resource Type Source Description Supplemental Materials