Screening, Brief Intervention, and Referral to Treatment (SBIRT) for Substance Use Disorders in Primary Care Settings-SLIDES

SLIDES
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The document discusses the use of Screening, Brief Intervention, and Referral to Treatment (SBIRT) for substance use disorders in primary care settings. The target audience includes healthcare professionals in primary care who aim to prevent and treat substance use disorders. The educational objectives of the document include identifying appropriate screening tools for detecting substance use disorders, determining the severity of substance use disorders, providing follow-up appointments and referrals, and understanding the components of a brief intervention.<br /><br />The document highlights the scope of the problem, with 28% of adult patients in primary care sites reporting illicit or prescription drug use in the past 12 months. Tobacco use is also a leading cause of preventable death in the US, and there has been a significant increase in drug overdose deaths, especially due to opioids.<br /><br />The importance of screening in primary care settings is emphasized as patients may be unaware of the risks associated with drugs and alcohol. If clinicians do not ask about substance use, problematic use may go undetected. Primary care providers offer continuity of care and are ideal for screening and implementing brief interventions. The document also mentions the efficacy of SBIRT interventions, which have shown significant success in reducing illicit drug use and heavy alcohol use.<br /><br />Various screening tools are discussed, including the NIDA Quick Screen, TAPS, CAGE-AID, AUDIT, DAST, TWEAK, and CRAFFT. These tools can be embedded into electronic medical records for easy administration and interpretation. Brief interventions are described as brief counseling or patient education during a clinic visit to reduce risky behavior. They have been shown to reduce alcohol consumption, tobacco use, and illicit drug use. Furthermore, the document discusses the use of motivational interviewing skills to engage patients and elicit motivation for behavior change.<br /><br />Follow-up care is emphasized through regular appointments to monitor progress, problem-solve challenges, and assess mood. Reimbursement for SBIRT services is discussed, with specific billing codes mentioned for Medicare and Medicaid.<br /><br />The document provides information on treatment options, including inpatient hospitalization, residential treatment, intensive outpatient treatment, and self-help groups. It also highlights the use of medications for smoking cessation, alcohol use disorder, and opioid use disorder. Psychosocial therapies, such as motivational interviewing, cognitive-behavioral therapy, and family therapy, are also mentioned.<br /><br />The document concludes with a case study that illustrates how SBIRT can be applied in clinical practice. It also provides resources for finding treatment referrals and information on the PCSS Mentoring Program and Discussion Forum, which offer support and guidance to healthcare professionals in the field of addiction medicine.
Keywords
SBIRT
substance use disorders
primary care settings
healthcare professionals
screening tools
brief intervention
referral to treatment
illicit drug use
tobacco use
drug overdose deaths