SBIRT


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Integrating Primary ​Medical Care and Behavioral Health Services

What is SBIRT?

SBIRT (Screening, Brief Intervention, and Referral to Treatment) is an evidence-based comprehensive, integrated public health approach to the delivery of providing early intervention and treatment services to patients who have risky alcohol or drug use.

The SBIRT grant was awarded to Maryland for five years, within that time, the Maryland Behavioral Health Administration’s plan is to implement and expand SBIRT into 53 Community Primary Care Centers and two hospitals in 15 jurisdictions across Maryland with the expectation of screening at least 90,000 individuals.

Importance of SBIRT

The problem of alcohol and drug misuse is widespread in Maryland. By initiating a conversation and providing information, health care providers can normalize the conversation and help patients identify risky use early and make choices that lead to better health.

SBIRT can reduce:

  • Healthcare costs: Studies show cost savings of $3.81 to $5.60 for every $1.00 invested in SBIRT services. 
  • Emergency department visits, Non-fatal injuries, Hospitalizations, Arrests, and Motor vehicle crashes. 
  • Severity of drug and alcohol use: Studies show that substance use screening and intervention help people recognize and change unhealthy patterns of use.
  • Risk of physical trauma and percentage of patients who go without specialized substance use treatment. 

Given SBIRT’s demonstrated cost and health savings, federal agencies such as the Substance Abuse and Mental Health Services Administration (SAMHSA), Veterans Administration, Department of Defense and the White House Office of National Drug Control Policy, as well as managed care providers and major medical associations, have recommended SBIRT’s routine use.

 

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The Maryland SBIRT Project: Change the Conversation for Better Health

The Maryland SBIRT trains health care providers in community health centers and hospitals throughout Maryland to initiate conversations with patients about alcohol and drug use, and if necessary, refer patients for further assessment or treatment. A brief conversation can make a big difference and lead to better health.

Goals and Objectives

Maryland SBIRT aims to reduce:

  • Drug overdose deaths,
  • Health disparity oucomes among minorities,
  • Health care costs in Maryland. 

 http://www.marylandsbirt.org/​


Related Links


SBIRT News

Upcoming Training


 "Reducing Unhealthy Alcohol and Drug Use among Patients in Office-Based Physician Practices"

 Date/Time:  Wednesday, September 21, 2016 from 4:00 pm - 8:00 pm.  

Location:  Chesapeake College on Maryland's Eastern Shore, approximately 25 miles east of the Chesapeake Bay Bridge.  

Cost:  Free to attend, however, registration is required.  Other medical and behavioral healthcare providers are also invited to register.  

NOTE:  Educational credits will be offered.  Please contact Erica Horney at Mid-Shore Mental Health Systems, Inc. via email, ehorney@msmhs.org or by calling 410-770-4801 to reserve your space.


Maryland SBIRT press release

What’s Your Score?: Screening Tools & Understanding Your Score

Audit C: http://www.integration.samhsa.gov/images/res/tool_auditc.pdf

NIDA Quick Screen: https://www.drugabuse.gov/publications/resource-guide-screening-drug-use-in-general-medical-settings/nida-quick-screen

SBIRT Research

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2760304/

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3801194/

SBIRT Resources

For more information on the importance of SBIRT, go to http://www.integration.samsha.gov/sbirt_issue_brief.pdf​

http://attcnetwork.org/regional-centers/content.aspx?rc=pacificsouthwest&content=STCUSTOM7

https://www.ena.org/practice-research/practice/safety/injury%20prevention/sbirt/Pages/Default.aspx

http://ireta.org/improve-practice/health-and-human-service-professionals/screening-brief-intervention-and-referral-to-treatment/

https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/downloads/SBIRT_Factsheet_ICN904084.pdf

Reimbursement for SBIRT Services

http://www.samhsa.gov/sbirt/coding-reimbursement

Enrollment Center locations (1st year)

 www.cciweb.org

www.hchmd.org

www.owensvillepc.com

www.holycrosshealth.org

SBIRT Printed Materials



If you have any questions about the project, please contact Karol Harmon, SBIRT Coordinator, Office of Prevention and Wellness Services, Division of Population-based Health, BHA at karol.harmon@maryland.gov or Bonnie Campbell, SBIRT Project Director at bonnie.campbell@BHSBaltimore.org or (410) 637-1900, ext. 7790.