Screening, Brief Intervention, and Referral to Treatment (SBIRT) Model
Screening, Brief Intervention, and Referral to Treatment (SBIRT) is an evidence-based approach and
framework to identify and deliver early intervention and treatment to people with substance use
disorders, like opioid use disorder (OUD). The three major
components of SBIRT are:
- Screening to quickly assess the severity of substance use and identify the
appropriate level of treatment.
- Brief intervention to focus on increasing insight and awareness regarding
substance use and motivation toward behavioral change.
- Referral to treatment to provide those identified as needing more extensive
treatment with access to specialty care.
Using SBIRT, rural programs can quickly identify individuals who meet the criteria for OUD and refer
them to treatment programs.
SBIRT is most commonly used in the primary care setting to help identify patients in need of
treatment for OUD and other substance use disorders. An annual exam or an acute care visit can
present an opportunity to implement SBIRT and initiate medication for opioid use disorder (MOUD)
treatment. SBIRT can also be implemented in emergency departments, and remotely through telehealth.
For more information on SBIRT, see Screening, Brief
Intervention, and Referral to Treatment (SBIRT) in the Rural Prevention and Treatment of
Substance Use Disorders Toolkit.
SBIRT is a formal process rural programs can use to screen individuals who are at risk for OUD and other
substance use disorders. The provider must do a structured assessment to assess whether an individual has OUD.
There are several
screening and assessment tools for SBIRT rural programs can use, including:
Programs implementing formal SBIRT processes should seek reimbursement coverage for screening and
brief intervention services. SBIRT
reimbursement is available through Medicare, Medicaid, and commercial insurers.
Program Clearinghouse Examples
Resources to Learn More
Implementing SBIRT in Rural Clinics: A
Free webinar describing SBIRT practice and how to work collaboratively to implement a cost-effective
program in rural settings. Covers a series of implementation steps and discusses the opportunities
and barriers for developing SBIRT in rural clinics.
Organization(s): NAADAC, the Association for Addiction Professionals
Substance Use Disorder Treatment and Primary Care
Discusses how states can strengthen their primary care systems to improve care for individuals with
alcohol and opioid use disorder. Particular emphasis is on the delivery of SBIRT to improve access to
substance use disorder (SUD) treatment services and the use of medication-assisted treatment for
opioid use disorder. Offers examples of state payment and delivery system reforms and identifies
state policy considerations for SBIRT implementation.
Author(s): Townley, C. & Dorr, H.
Organization(s): National Academy for State Health Policy
33: Systems-Level Implementation of Screening, Brief Intervention, and Referral to Treatment (SBIRT)
Describes the basics of implementing SBIRT programs for individuals living with or at risk for
substance use disorders including organizational readiness, staffing, procedures, evaluation, and
funding and reimbursement.
Organization(s): Substance Abuse and Mental Health Services Administration (SAMHSA)