Healthcare practitioners have the important responsibility of looking after their patients' general health and welfare. In this role, they must be vigilant in identifying a host of potential health problems. It is critical, therefore, to focus resources and efforts on expanding the continuum of care health practitioners provide for their patients. 

With SBIRT, substance abuse screening is incorporated into mainstream healthcare settings, such as college health clinics, hospitals, trauma centers, and dental clinics, as well as into tribal and military healthcare settings. Practitioners screen patients to assess substance use, then, based on the screening results, provide the appropriate intervention. 

 

SCREENING TOOLS & GUIDELINES

Alcohol Use Disorders Identification Test (AUDIT) 

The Alcohol Use Disorders Identification Test (AUDIT) is one of the most accurate alcohol screen tests available. The test, consisting of 10 multiple choice questions, identifies the preliminary signs of hazardous drinking and mild dependence.


Read more about AUDIT here
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Drug Abuse Screening Test (DAST - 10)

The Drug Abuse Screening Test (DAST-10) consists of 10 yes or no questions. The test takes approximately 5 minutes to administer and may be given in either a self-report or interview format.


Additional Screening Tools 

The Alcohol, Smoking and Substance Involvement Screening Test (ASSIST) can be used to detect and manage substance use and related problems in primary and general medical care settings.

The Center for Adolescent Substance Abuse Research Screening Tool (CRAFFT)
is recommended by the American Academy of Pediatrics' Committee on Substance Abuse for use with children under the age of 21. It consists of a series of 6 questions developed to screen adolescents for high risk alcohol and other drug use disorders simultaneously.

Brief Opioid Overdose Knowledge (BOOK): A Questionnaire to Assess Overdose Knowledge in Individuals Who Use Illicit or Prescribed Opioids

 

Guidelines

The Alcohol Use Disorder Identification Test, Adapted for Use in the United States: A Guide for Primary Care Practitioners

Brief Treatment Guidelines

Alcohol Screening and Brief Intervention for Youth: A Practitioner's Guide

Guidelines for CARE
will provide a picture of what it means to be equipped to meet the needs of an individual or family with a military background or affiliation.

Medication-Assisted Treatment for Alchohol Use Disorder Guide

Pocket Guide to Addiction Assessment and Treatment

CDC Guidelines for Prescribing Opioids for Chronic Pain

THC and CBDHigh CBD content reduces the potency of the THC in cannabis

Hospital SBIRT: The Reasons - Are you trying to make the case for the use of Screening, Brief Intervention and Referral to Treatment in a hospital setting? Maybe we can help.

Search and Rescue - Empowering Prescribers to Identify Opioid Drug Abuse 


FLOW CHARTS

Given the time and personnel challenges in most healthcare settings, workflow, the process by which clients interact with healthcare personnel to obtain services is critical. To implement SBIRT into any healthcare setting successfully, providers need guidelines detailing how the workflow should look. 

SAMHSA-HRSA Center for Integrated Health Solutions provides tools, including workflow charts and diagrams, needed to implement SBIRT in various settings and for various health problems.

You can also obtain information from the Centers for Disease Control (CDC) booklets: