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

Medscape Medical News (Psychiatry): Ketamine May Curb Suicidal Thoughts
Ketamine, an injectable anesthetic that has been shown to exert a rapid but short-lived antidepressant effect, may reduce suicidal ideation independently of a reduction in depressive symptoms, new res. […]

Gambling Disorder: Assessment and Treatment Strategies
Most people with a gambling disorder don’t seek professional treatment but a majority are in treatment for co-occurring addictive and psychological disorders. It is, therefore, vital for all mental. […]

Medscape Medical News (Neurology): Medical Marijuana Laws Linked to Fewer Opioid Deaths
US states with laws that establish access to medical cannabis have lower rates of mortality due to opioid overdoses, according to a new study. This finding suggests that some patients who used to get. […]

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.