Exam (elaborations)
Screening, Brief Intervention and Referral to Treatment (SBIRT) Exam Questions and Answers
Screening, Brief Intervention and Referral to Treatment (SBIRT) Exam Questions and Answers
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Screening, Brief Intervention and
Referral to Treatment (SBIRT) Exam
Questions and Answers
What iis iSBIRT? i- iCorrect iAnswers i-its ia icomprehensive, iintegrated, ipublic ihealth
iapproach ito ithe idelivery iof iearly iintervention iand itreatment iservices ifor ipeople iwith
isubstance iuse idisorders iand ithose iat-risk iof ideveloping ithem
What idoes iSBIRT imean? i- iCorrect iAnswers i--Screening
-Brief iIntervention
-Referral ito iTreatment
Screening i- iCorrect iAnswers i-procedure ito ievaluate iprobability iof ia iperson ihaving ia
isubstance iuse idisorder ior ibeing iat irisk ifor inegative iconsequences idue ito iuse iof
ialcohol/drugs
Brief iintervention i- iCorrect iAnswers i--any itime-limited ieffort ito iprovide: iinfo ior iadvice,
iincrease imotivation ito iavoid isubstance iuse, ior iteach ibehavior ichange iskills ito ireduce
isubstance iuse iand ichances iof inegative iconsequences
-typically idelivered ito ipersons iat ilow ito imoderate irisk
referral ito itreatment i- iCorrect iAnswers i--when iscreening iidentifies iperson ialready
ihaving isubstance-related ihealth iproblems ior iSUD ineeding iformal idiagnosis iand
ipossible itreatment ireferral
-referral iprocess ifacilitates iaccess ito icare i(including ibrief itreatment) ibeyond iBrief
iintervention
SBIRT iis... i- iCorrect iAnswers i--based ion ipublic ihealth iprinciples
-designed ito ireduce ithe iburden iof iinjury, idisease iand idisability iassociated iwith imisuse
iof ialcohol, iillicit idrugs, iprescription imedications iand itobacco
GOALS iof iSBIRT i- iCorrect iAnswers i--encourage ihealthcare iproviders ito iscreen iand
iprovide iadvice ior icounseling ito itheir ipatients iwho imisuse ialcohol ior iother idrugs
-to iinfluence irisky ibehavior ipatterns iand ireduce iexposure ito ithe inegative
iconsequences iof imisuse
, -improve ilinkages ibetween igeneral icommunity ihealth icare iand ispecialized isubstance
iabuse iproviders ito ifacilitate iaccess ito icare iwhen ineeded
Why iis iAlcohol imostly ifocused ion iin iSBIRT? i- iCorrect iAnswers i--hystorically, iSBIRT
iwas ideveloped iand itested iwith ipeople iat irisk ifor iheavy/problem idrinking
Where iis iSBIRT ibeing iused? i- iCorrect iAnswers i--primary icare
-community ihealth icenters
-trauma icenters
-hospital iemergency irooms
-and imany imore iplaces
The icomponents iof iSBIRT i- iCorrect iAnswers i-1. iscreening iis irapid, iproactive
iprocedure ito iID ipeople iwho imay ihave ior imay ibe iat irisk ifor ihaving ian ialcohol/drug
iproblem
2. ibrief iintervention ifocuses ion iincreasing iclient iawareness iof ihis/her iown isubstance
iuse iand imotivation ito ichange
3. ireferral ito itreatment iprovides iclients iwho irequire imore iextensive itreatment iwith
iaccess ito ispecialty icare
Who igets iscreened? i- iCorrect iAnswers i--done iwith iEVERYONE i(universal)
-no isingle i"right iway" ito iscreen
does iscreening iindicate iwhether isomeone iis iat irisk ior ia idiagnosis ifor ia igiven
icondition? i- iCorrect iAnswers i--tells iif isomeone iis iat iRISK ifor ia igiven icondition
Screening ibasics i- iCorrect iAnswers i-1. iintroduce ithe iscreen
2. ibe ispecific iin iyour iquestions
3. imake isure iyou iare ispeaking ithe isame ilanguage ias ithe ipatient
4. iconvey inon-judgmental iattitude ithroughout iscreen ino imatter iwhat ithe ianswers iare
General iScreening iGuidelines i- iCorrect iAnswers i--items ishould ibe iasked iin ia imatter-
of-fact iway
-if iself-administered, iembed iitems iinto ia ibroader iclient isurvey
-most iimportant: iuse iitems ithat iare ireliable iand ivalid! i(select iinstrument/items ibest
isuited ito iyour iclient imix)
Commonly iused iscreeners i- iCorrect iAnswers i--AUDIT i(alcohol)
-CAGE i(alcohol iand idrugs)
-DAST i(drugs)
-CRAFFT i(alcohol iand idrugs)
-T-ACE/TWEAK i(alcohol)
AUDIT i- iCorrect iAnswers i--developed iby iWORLD iHEALTH iORG i(1982)
-excellent ifor iidentifying iearly isigns iof ihazardous idrinking iand imild idependence
-time iframe: ipast i12 imonths