2017
DOI: 10.1186/s40985-017-0077-0
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Implementing SBIRT (Screening, Brief Intervention and Referral to Treatment) in primary care: lessons learned from a multi-practice evaluation portfolio

Abstract: BackgroundScreening, Brief Intervention and Referral to Treatment (SBIRT) is a public health framework approach used to identify and deliver services to those at risk for substance-use disorders, depression, and other mental health conditions. Primary care is the first entry to the healthcare system for many patients, and SBIRT offers potential to identify these patients early and assist in their treatment. There is a need for pragmatic “best practices” for implementing SBIRT in primary care offices geared tow… Show more

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Cited by 114 publications
(98 citation statements)
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References 33 publications
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“…Recent recommendations support the use of SBIRT as a model for integrated care of patients with chronic liver disease and substance use and mental health problems . Large research projects with substantial funding have effectively implemented SBIRT in medical practices, but the evidence that SBIRT can be implemented in clinics with little external funding remains limited …”
Section: Discussionmentioning
confidence: 99%
“…Recent recommendations support the use of SBIRT as a model for integrated care of patients with chronic liver disease and substance use and mental health problems . Large research projects with substantial funding have effectively implemented SBIRT in medical practices, but the evidence that SBIRT can be implemented in clinics with little external funding remains limited …”
Section: Discussionmentioning
confidence: 99%
“…As other researchers have suggested, these might include the addition of a champion who can encourage HCPs to conduct a brief intervention to all patients who are drinking above guidelines and to problem solve barriers [74,82] as well as having ongoing training in alcohol screening and brief intervention. This might be particularly important in clinics with high staff turnover [82][83][84][85]. Both the champion and the training should emphasize the importance of making sure that sex and gender are taken into consideration when delivering brief alcohol intervention (e.g., addressing stigma and fear associated with reporting alcohol use during pregnancy and motherhood) [86][87][88][89].…”
Section: Discussionmentioning
confidence: 99%
“…Screening, Brief Intervention, and Referral to Treatment (SBIRT) involves a three-step process (Hargraves et al 2017 ; Babor et al 2007 ): universal, brief Screening (S) identifies unhealthy use and dangerous alcohol-prescription drug interactions. For those who pre-screen positive, a full-screen assessment was conducted to determine the level of risk.…”
Section: Methodsmentioning
confidence: 99%