The first component of the SBIRT process is screening, which provides a quick and simple method of identifying patients who use substances at at-risk levels, as well as those who are already experiencing substance use-related issues.
- Brief Screen - The pre-screening form should be administered to all adult patients. It rules out patients who are at low or no-risk using one pre-screening question for alcohol and one pre-screening question for drugs.
- AUDIT - The Alcohol Use Disorders Identification Test (AUDIT) is a simple method of screening for excessive drinking and brief assessment. It can help identify excessive drinking as the cause of a presenting illness. It also provides a framework for intervention to help drinkers reduce or cease alcohol consumption and thereby avoid the harmful consequences of their drinking. Side one contains the screening questions and side two contains instructions on scoring and interpreting the AUDIT.
- DAST - The Drug Abuse Screening Test (DAST) should be administered to adult patients who screen positive on the pre-screening for drug use. Side one contains the screening questions and side two contains instructions on scoring and interpreting the DAST.
- CRAFFT – 2.0 - The CRAFFT is a screening tool for alcohol and drug use that is intended for patients under the age of 21. The screening tool consists of a series of six questions intended to identify adolescents who may have simultaneous risky alcohol and other drug use disorders. It is a short, effective tool meant to assess whether a longer conversation about the context of use, frequency, and other risks and consequences of alcohol and other drug use is warranted.
- NIAAA Alcohol Screening and Brief Intervention for Youth: A Practitioner's Guide - This screening tool is intended for use with patients ages 9 to 18 and screens only for alcohol use.
- For additional Screening tools in the following languages - English, Chinese (Mandarin), Japanese, Korean, Russian, Spanish and Vietnamese visit the Oregon Health and Sceince University website.
ADDITIONAL SCREENING RESOURCES:
- The University of Missouri-Kansas City (UMKC) - additional clinician and patient resources, SBIRT online course and training videos
- The Substance Abuse and Mental Health Services Administration (SAMHSA) - information on coding for reimbursement and up to date data on mental health
- The Center for Integrated Health Solutions (CIHS) - resources on integrating primary and behavioral health services
ADDITIONAL SBIRT TRAINING:
MULTIDISCIPLINARY RESOURCES ON ADDICTION TREATMENT & RECOVERY:
Brief Intervention Tools: