Solutions New Update (A+ Pass)
SBIRT - Answers -SAMHSA defines this as 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 at risk for developing them (evidence based
health promotion)
SBIRT - Answers -Identifies potentially problematic substance use quickly
True - Answers -T/F SBIRT can be integrated into a wide variety of settings
SBIRT - Answers -Increasingly used in behavioral and medical treatment and
prevention/early intervention settings, but new for many practitioners (used primary, can
be used inpatient/schools)
True - Answers -T/F SBIRT is one of the leading ways to help reduce the impact of
unhealthy alcohol and substance use
Screening - Answers -Assesses degree of risk
Brief Intervention - Answers -Brief clinical encounters using motivational interviewing
Referral to treatment - Answers -Warm hand-off and linkage to care (assure pt. you will
continue to work with them)
Screening, Brief Intervention, Referral to Treatment - Answers -What does SBIRT stand
for
It is EB, simple, cost-effective, medical professional associations and government
agencies endorse SBIRT, and mandated through statutes!!! (should be something you
do with every patient) - Answers -Why use SBIRT?
essential services - Answers -Patient protection and affordable care act deemed " ___
____ " required of all health plans starting in 2014
False- Early Periodic Screening, Diagnosis, and Treatment (EPSDT) - Answers -T/F
Through the NIH all states are required to provide Medicaid-eligible children with
screening and assessment of physical and mental health, including substance use
NIH, WHO, U.S. Surgeon General and U.S. Preventative Services Task Force,
American Academy of pediatrics, American Public Health Association, Society for
Adolescent Health and Medicine, Emergency Nurse Association, and others - Answers -
What are medical professional associations that endorse SBIRT?
, 5 - Answers -The screening is a valid, brief (___ mins or less) standardized
questionnaire about quantity, frequency, and consequences of use
Paper and pencil, verbally or by computer, and can be delivered face-to-face or by
telephone - Answers -How can the screening be administered for SBIRT?
CRAFFT (most common), Audit-C and AUDIT, GAIN-SS, S2BI, NIAAA Youth Guide
Screen - Answers -What are tools you can use for SBIRT?
behavior - Answers -Brief intervention: A _____ change strategy focused on helping the
adolescent reduce or stop use of alcohol and other substance
advice - Answers -Brief intervention: You may provide feedback on risks of alcohol and
drug use, information on how drinking or drug use compares to others, offer simple
_____, explore the pros and cons of use, and ask if willing to make a change.
As little as 1 to 3 mins for those at no or low risk; 15-30 mins or longer for those at
moderate or high risk. Can be one session or extend to several sessions. - Answers -
How long should you provide intervention for patients?
True - Answers -T/F Alcohol or drug use may not be the adolescent's primary
presenting problem, it may be a factor that complicates the problems that the
adolescent came to resolve
Referral to treatment and follow-up - Answers -Linking the adolescent to specialized
substance use treatment and staying with the adolescent to support sustained success
True - Answers -T/F Many health professionals or primary care settings now offer brief,
solutions-focused services
Connecting - Answers -Referral to treatment means ______ the adolescent to a
provider and/or other licensed mental health professionals for comprehensive
assessment, medical and behavioral health treatment, or specialty treatment program
Follow up - Answers -___ ___ means care management as well as supporting the
adolescent during treatment and post treatment follow-up contacts. Follow-up in the
form of brief contact is appropriate for all adolescents!
9-13 - Answers -Children begin to have positive thoughts about alcohol between ages
___ to ___
College - Answers -Parental communication about alcohol before ___ more likely to
prevent non-drinking students to transition to heavy drinking