Screening, Brief Intervention, and Referral to Treatment (SBIRT)

SBIRT redefines how we identify substance use problems and redesign how we treat them.Learning from health care how to use preventative services prior to the onset of acute symptoms to delay or preclude the development of the chronic diseases, SBIRT is the newest trend in addressing the chronic disease of addiction.

SBIRT uses a public health approach to universal screening for substance use problems in primary, emergency and hospital care settings.  Universal screening, or screening everyone who is seen at the medical setting, provides immediate “rule out” of non-problem users and meaningful information about those who are at risk. SBIRT screening leads to identification of levels of risk, which patients that would benefit from brief advice and those that would benefit from specialty treatment.

The primary goal of SBIRT is to identify those individuals at a moderate or high risk for psycho-social or healthcare problems related to their substance use choices.  Brief interventions in SBIRT are short discussions with patients designed to raise motivation and awareness.  This modality is a re-conceptualization between traditional primary prevention and treatment.

Keystone is currently partnering with North Central Family Medical Center in the SC SBIRT Grant awarded to DAODAS in August 2013, funded by SAMHSA.  Together we are working to reach over 5,700 individuals annually in York County.