SBIRT Toolkit

For Clients

Medicines to Treat Alcohol Use Disorders
This brochure for adults with alcohol use disorders was compiled by the Agency for Healthcare Research and Quality in 2016. It includes information about medications.

Rethinking Drinking
By the NIAAA, Rethinking Drinking offers valuable, research-based information. The packet is split into two parts, “How much is too much?” and “Thinking about a change?”

How to Prevent Alcohol-Related Problems
This booklet is not only for people who have drinking problems, it is also for people who are drinking enough to be at risk of developing future health problems.

Self-Help Strategies for Cutting Down or Stopping Substance Use: A Guide
Compiled by the World Health Organization in 2010.

Harmful Interactions: Mixing Alcohol with Medicines
By the NIAAA, this pamphlet lists medications that can cause harm when taken with alcohol and describes the effects that can result. The list gives both common brand names and generics or active ingredient.

Seeking Drug Abuse Treatment: Know What To Ask
A research-based guide by the National Institute on Drug Abuse (NIDA) designed for consumers and their families.

Medication-Assisted Treatment for Opioid Addiction: Facts for Friends and Family
A plain-language guide to medications for opioid use disorders by SAMHSA, designed for consumers and their families.

“Information about Your Health” Brochures
A series of plain-language tri-fold brochure for patients about substance use and health. Created by IRETA. The seven brochures each cover a different class of substances; opioids, amphetamines, marijuana, cocaine, benzodiazepines, alcohol, or tobacco.

For Practitioners

Free SBIRT App for Practitioners
The app is designed for use by physicians, other health workers, and mental health professionals and can be used with patients and clients 12 years and older.

OHN SBIRT App by Open Cancer Network
A free app designed by UCSF that walks you through the SBIRT process from start to finish. Includes sample dialogue and a checklist.

Helping Patients With Alcohol Problems: A HEALTH PRACTITIONER’S GUIDE
This guide is written for primary care practitioners—physicians, nurses, nurse practitioners, physician assistants, and others who see patients for general healthcare. It has been produced, with guidance from health practitioners and clinical researchers, by the National Institute on Alcohol Abuse and Alcoholism (NIAAA), a component of the National Institutes of Health.

Guide for Youth Screening and Brief Intervention
Information from NIAAA specific to adolescents.

Adolescent Screening, Brief Intervention, and Referral to Treatment for Alcohol and Other Drug Use: Using the CRAFFT Screening Tool
Information on the CRAFFT, the screening tool recommended for use with adolescents.

CRAFFT Screening Questions – English and Spanish
The validated adolescent screening tool.

Alcohol Screening and Brief Intervention for Youth: A Practitioner’s Guide
A two-question instrument developed by NIAAA in 2012 for use in primary care settings.

Identifying and Responding to Substance Use among Adolescents and Young Adults
A Compendium of Resources for Medical Practice.

Screening to Brief Intervention
A CRAFFT questionnaire to use during practice.

For Organizations

Digital Tool: SBIRT Reimbursement Map
A state-by-state guide to commercial and public reimbursement rates for SBIRT services. This map is no longer updated as of October 2017.

Applying the Substance Abuse Confidentiality Regulations to Health Information Exchange – FAQ
Created by the Legal Action Center on patient confidentiality, referral to treatment, electronic health records, and the Affordable Care Act.

AMERSA Strategic Plan for Interdisciplinary Faculty Development: Arming the Nation’s Health Professional Workforce for a New Approach to Substance Use Disorders
An analysis of the cross-disciplinary competencies needed to identify, treat or refer patients with substance use problems, and discipline-specific competencies.

An SBIRT Implementation and Process Change Manual for Practitioners
A very good general toolkit for implementing SBIRT within any agency.

TAP 33: Systems-Level Implementation of SBIRT
SAMHSA’s 2013 implementation guide, which covers challenges, barriers, cost, and sustainability.

Emergency Nurses Association SBIRT Toolkit
Toolkit for implementation designed for emergency room nurses.

Reducing Patient At-Risk Drinking
A blend of clinical practice and implementation guidance, specific to ER settings

Substance Use Education for Nurses: SBIRT
This free curriculum was originally designed to train undergraduate nursing students, but is a useful teaching program for both students and professionals in a variety of healthcare fields

Screening

Substance Use Screening & Assessment Instruments Database
A resource intended to help clinicians and researchers find instruments used for screening and assessment of substance use and substance use disorders

The HealthTeamWorks SBIRT Guideline – Screening Protocol
Overview and step-by-step guide to screening (2011).

The HealthTeam Works SBIRT Guideline – Marijuana Supplement
Includes information regarding why screening for marijuana is important, recommendations for SBIRT, basic facts and effects, key points for pregnancy and adolescents, discussion points for parents and common myths and DSM criteria (2013).

The Alcohol Use Disorders Identification Test (AUDIT)
The AUDIT was developed by the World Health Organization (WHO) as a simple method of screening for excessive drinking and to assist in brief assessment.

The Alcohol Use Disorders Identification Test, Adapted for Use in the United States (US AUDIT)
A variation on the AUDIT (above) in a guide with additional information about U.S. lower-risk drinking guidelines.

The Drug Abuse Screening Test (DAST-10)
A 10-item, yes/no self-report instrument that has been condensed from the 28-item DAST

Alcohol, Smoking and Substance Involvement Screening Test (ASSIST) and Condensed ASSIST
Developed for the World Health Organization (WHO) by an international group of substance abuse researchers to detect and manage substance use and related problems in primary and general medical care settings.

NIDA Drug Screening Tools
Clinicians’ screening tools for drug use in general medical settings from NIDA

NIAAA Pocket Screening Guide (Alcohol)
This pocket guide is condensed from the 34-page NIAAA guide, Helping Patients Who Drink Too Much: A Clinician’s Guide.

Brief Interventions

Video: Motivational Interviewing, A Good Example
MINT trainer Alan Lyme demonstrates a brief intervention using sound MI techniques

Video: Motivational Interivewing, A Bad Example
MINT trainer Alan Lyme demonstrates a brief intervention using ineffective communication

Brief Intervention for Hazardous and Harmful Drinking
This manual is written to help primary care workers – physicians, nurses, community health workers, and others – to deal with persons whose alcohol consumption has become hazardous or harmful to their health. Also available in Spanish and Japanese.

Drink Chart & Readiness Ruler
For discussing alcohol use

Motivational Interviewing Toolkit
A collection of guides, resources, and learning tools to supplement formal MI training.

2015 National Directory of Drug and Alcohol Abuse Treatment Centers

Buprenorphine Physician and Treatment Locator

SAMHSA Treatment Locator