Screening, Brief Intervention and Referral to Treatment (SBIRT) Exam 2023 100% verified
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SBIRT
Screening, Brief Intervention and Referral to Treatment (SBIRT) Exam 2023 All Questions and Answers Complete
What is SBIRT?
it’s a comprehensive, integrated, public health approach to the delivery of early intervention and treatment services for people with substance use disorders and those a...
brief intervention and referral to treatment sbirt exam 2023 all questions and answers complete what is sbirt it’s a comprehensive
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Screening, Brief Intervention and Referral to Treatment
(SBIRT) Exam 2023 All Questions and Answers Complete
What is SBIRT?
it’s a comprehensive, integrated, public health approach to the delivery of early
intervention and treatment services for people with substance use disorders and those
at risk of developing them
What does SBIRT mean?
-Screening
-Brief Intervention
-Referral to Treatment
Screening
procedure to evaluate the probability of a person having a substance use disorder or
being at risk for negative consequences due to the use of alcohol/drugs
Brief intervention
-any time-limited effort to provide: info or advice, increase motivation to avoid substance
use, or teach behavior change skills to reduce substance use and chances of negative
consequences
-typically delivered to persons at low to moderate risk
referral to treatment
-when screening identifies a person already having substance-related health problems
or SUD needing formal diagnosis and possible treatment referral
-referral process facilitates access to care (including brief treatment) beyond Brief
intervention
SBIRT is...
-based on public health principles
-designed to reduce the burden of injury, disease, and disability associated with the
misuse of alcohol, illicit drugs, prescription medications, and tobacco
GOALS of SBIRT
-encourage healthcare providers to screen and provide advice or counseling to their
patients who misuse alcohol or other drugs
-to influence risky behavior patterns and reduce exposure to the negative
consequences of misuse
-improve linkages between general community health care and specialized substance
abuse providers to facilitate access to care when needed
Why is Alcohol mostly focused on in SBIRT?
-historically, SBIRT was developed and tested with people at risk for heavy/problem
drinking
Where is SBIRT being used?
, -primary care
-community health centers
-trauma centers
-hospital emergency rooms
-and many more places
The components of SBIRT
1. screening is the rapid, proactive procedure to ID people who may have or may be at
risk for having an alcohol/drug problem
2. brief intervention focuses on increasing client awareness of his/her own substance
use and motivation to change
3. referral to treatment provides clients who require more extensive treatment with
access to specialty care
Who gets screened?
-done with EVERYONE (universal)
-no single "right way" to screen
does screening indicate whether someone is at risk or a diagnosis for a given
condition?
-tells if someone is at RISK for a given condition
Screening basics
1. introduce the screen
2. be specific in your questions
3. make sure you are speaking the same language as the patient
4. convey non-judgmental attitude throughout screen no matter what the answers are
General Screening Guidelines
-items should be asked in a matter-of-fact way
-if self-administered, embed items into a broader client survey
-most important: use items that are reliable and valid! (select instrument/items best
suited to your client mix)
Commonly used screeners
-AUDIT (alcohol)
-CAGE (alcohol and drugs)
-DAST (drugs)
-CRAFFT (alcohol and drugs)
-T-ACE/TWEAK (alcohol)
AUDIT
-developed by WORLD HEALTH ORG (1982)
-excellent for identifying early signs of hazardous drinking and mild dependence
-time frame: past 12 months
-92% effective in detecting hazardous/harmful drinking
-reliable/valid across all ethnic and gender groups
CAGE
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