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Screening, Brief Intervention, and Referral to Treatment (SBIRT) in North Carolina May 15, 2013. What is SBIRT?. SBIRT is a comprehensive, integrated, health approach to the delivery of early intervention and treatment services for: Persons with substance use disorders
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Screening, Brief Intervention, and Referral to Treatment(SBIRT) in North CarolinaMay 15, 2013
What is SBIRT? • SBIRT is a comprehensive, integrated, health approach to the delivery of early intervention and treatment services for: • Persons with substance use disorders • Those who are at risk of developing these disorders • Primary care, mental health, ER and other community settings provide opportunities for intervention with at-risk substance users Before more severe consequences occur and while it is easier and less time consuming to intervene
Goals of SBIRT Help people to identify and modify high-risk behaviors, often using their own resources Increase access to care for persons with substance use disorders and those at risk of substance use disorders Implement these interventions with minimal interference with routine office procedures
SBIRT: Core Clinical Components Screening: Very brief screening that identifies substance related problems Brief Intervention: Raises awareness of risks and motivates patients to acknowledge & address problem: 1- 2 sessions of 5-8 minutes each Referral to Treatment: Referral of those with more serious addictions to specialized treatment services.
NC SBIRT Collaborative Agreement (2011-2016) Substance Abuse and Mental Health Services Administration (SAMHSA) NC Division of Mental Health, Developmental Disabilities, and Substance Abuse Services (Division) Northwest Community Care Network (CCNC) Community Care of the Sandhills (CCNC) Governor’s Institute on Substance Abuse (GI) Daymark Recovery Services Partnership for a Drug Free NC Sandhills Center LME-MCO CenterPoint Human Services LME-MCO
NC SBIRT Project Performance April 2012-April 2013: NC SBIRT project has screened over 6,000 patients for substance use across six participating primary care practices.
NC SBIRT Practices Community Care Center (Winston-Salem) Wake Forest Family and Community Medicine (Winston-Salem) Family Medicine Practice of Dr. Karen Smith (Raeford) Wake Forest Family Medicine-Foothills (Mt. Airy) Peace Haven Family Medicine (Winston-Salem) Pembroke Family Practice Center (Pembroke) Southern Pines Women’s Center (Pinehurst)- June 2013 Robeson County FQHC- August 2013
Training Available for Non-Grantee Providers • Trainers: • Dr. James Finch, MD Governor’s Institute Director of Physician Education Medical Director, Changes By Choice • Dr. AshwinPatkar, MD, MRCPsych Associate Professor of Psychiatry, Duke University Medical Director, Duke Addictions Program • Sessions for MDs, PEs, nurses, practice administration • Separate in-depth training available for Behavioral Health providers
RESOURCES at www.sbirtnc.org Screening forms (English/Spanish) Brief Intervention pocket cards Slide modules Instructional videos Referral resources Reimbursement information CME opportunities