SBIRT is a comprehensive, integrated, public health approach to the delivery of early intervention and treatment services for persons with substance use disorders, as well as those who are at risk of developing these disorders. Primary care centers, hospital emergency rooms, trauma centers, and other community settings provide opportunities for early intervention with at-risk substance users before more severe consequences occur.

SBIRT is broadly recommended by multiple federal agencies, the U.S. Preventive Services Task Force (USPSTF), and all of the primary care physician groups. In fact, the National Commission on Prevention Priorities ranked SBIRT among its top five priorities, ahead of 20 other effective services including colorectal cancer screening, hypertension screening and treatment, and influenza immunization. (Solberg et al 2008)

SBIRT UPDATES

Reuters Health: Former addicts may be at lower risk of new addictions
People who manage to get clean after being addicted to drugs are at lower risk of becoming addicted to something else in the future than people who never overcame the first substance use disorder, acc. […]

AHRQ: Little Evidence for Opioids in Managing Long-term Chronic Pain
Patients taking opioid medications for chronic pain over the long-term have an increased risk of serious dose-dependent harms, according to a review of the evidence on long-term opioid use by the Agen. […]

Medscape Medical News: AMA Calls for More User-Friendly EHRs
Citing a RAND Corporation study showing that the majority of physicians are dissatisfied with their electronic health record (EHR) systems, the American Medical Association (AMA) has called for a majo. […]

SBIRT has been implemented in North Carolina in a variety of medical settings including family medicine and internal medicine clinics, pediatric offices, emergency departments, and inpatient hospital units. Other SBIRT projects have included community and school based settings. SBIRT NC, a statewide resource for information, resources, and coordination, is a joint effort of the Governor's Institute (GI), the NC Division of Mental Health, Development Disabilities, and Substance Abuse Services (DMHDDSAS), SAMHSA/CSAT, the NC Center of Excellence for Integrated Care, and Community Care of North Carolina. The GI's SBIRT activities are funded by the Centers for Substance Abuse Treatment, under the Substance Abuse and Mental Health Services Administration.
Funded wholly or in part by the federal Substance Abuse Prevention and Treatment Block Grant Fund (CFDA #93.959) as a project of the
NC Division of Mental Health, Developmental Disabilities & Substance Abuse Services.