Screening, Brief Intervention, and Referral to Treatment (SBIRT): Toward a Public Health Approach to the Management of Substance Abuse
Abstract
Screening, Brief Intervention, and Referral to Treatment (SBIRT) is a comprehensive and integrated approach to the delivery of early intervention and treatment services through universal screening for persons with substance use disorders and those at risk. This paper describes research on the components of SBIRT conducted during the past 25 years, including the development of screening tests, clinical trials of brief interventions and implementation research. Beginning in the 1980s, concerted efforts were made in the US and at the World Health Organization to provide an evidence base for alcohol screening and brief intervention in primary health care settings. With the development of reliable and accurate screening tests for alcohol, more than a hundred clinical trials were conducted to evaluate the efficacy and cost effectiveness of alcohol screening and brief intervention in primary care, emergency departments and trauma centers. With the accumulation of positive evidence, implementation research on alcohol SBI was begun in the 1990s, followed by trials of similar methods for other substances (e.g., illicit drugs, tobacco, prescription drugs) and by national demonstration programs in the US and other countries. The results of these efforts demonstrate the cumulative benefit of translational research on health care delivery systems and substance abuse policy. That SBIRT yields short-term improvements in individuals’ health is irrefutable; long-term effects on population health have not yet been demonstrated, but simulation models suggest that the benefits could be substantial.
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A Technical Assistance Framework to Facilitate the Delivery of Integra...
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Core Components of Interventions for Prevention of Alcoholism in Adult...
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Inefficacité des formations didactiques comme outil d’intégration de s...
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Screening, Brief Intervention, and Referral to Treatment for Adolescen...
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Impact of a Multicomponent Screening, Brief Intervention, and Referral...
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Cultural adaptation of a brief motivational intervention for heavy dri...
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Development of a text message intervention aimed at reducing alcohol-r...
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Patterns of domestic violence and alcohol consumption among women and ...
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Evaluating whether direct-to-consumer marketing can increase demand fo...
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Feasibility of a computer-assisted alcohol screening, brief interventi...
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Telephone consultations for the management of alcohol-related disorder...
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Statewide Administration of the CRAFFT Screening Tool: Highlighting th...
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Alcohol-induced hypertension: an important healthcare target in Belgiu...
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Feasibility and Preliminary Responses to a Screening and Brief Interve...
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Removing reimbursement barriers to increase the use of screening, brie...
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Project QUIT (Quit Using Drugs Intervention Trial): a randomized contr...
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Evaluating Shortened Versions of the AUDIT as Screeners for Alcohol Us...
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Chronic Disease and Chemical Dependency Treatment in Primary Care Pati...
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Emergency Department–Based Brief Intervention to Reduce Risky Driving...
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Ethical Issues Raised by Epigenetic Testing for Alcohol, Tobacco, and ...
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The remote brief intervention and referral to treatment model: Develop...
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Alcohol Dependence and Mortality: Implications for Treatment — Authors...
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Emergency Physician Utilization of Alcohol/Substance Screening, Brief ...
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Impact of a Brief Intervention for Substance Use on Acquisition of Sex...
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When cure becomes an illness—abuse of addictive prescription medicines
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Evaluating Feasible and Referable Behavioral Counseling Interventions
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Adapting Screening, Brief Intervention, and Referral to Treatment for ...
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Specialty substance use disorder services following brief alcohol inte...
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A systematic review of behavioural interventions to reduce preoperativ...
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Potential Radiating Effects of Misusing Substances Among Medical Patie...
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A Longitudinal Study of State Strategies and Policies to Accelerate Ev...
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Adding urine and saliva toxicology to SBIRT for drug screening of new ...
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Effect of Depression on Risky Drinking and Response to a Screening, Br...
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Screening and Brief Intervention for Alcohol Misuse in Older Adults: T...
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A Brief Patient Self-administered Substance Use Screening Tool for Pri...
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Brief Family-Based Intervention for Substance Abusing Adolescents
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Alcohol and Other Drug Use Screenings by Nurse Practitioners: Policy I...
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Validity of the Paddington Alcohol Test in an Australian Emergency Dep...
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South Texas Residency Screening, Brief Intervention, and Referral to T...
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Facilitators and Barriers to Implementing Screening, Brief Interventio...
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Using Interactive Web-Based Screening, Brief Intervention and Referral...
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Factors Influencing Smoking Cessation Counselling: A Qualitative Study...
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Time-Site Survey of Substance Use, Sexual Behaviours and HIV-Testing P...
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Interprofessional training on brief intervention for older adults
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Detection and Deterrence of Substance Use Disorders and Drug Diversion...
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Interviewing and Counseling Patients with Known or Suspected Substance...
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Factors Associated With Provision of Addiction Treatment Information b...
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Patient and Program Factors that Bridge the Detoxification-Treatment G...
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People with Alcohol Use Disorders in Specialized Care in Eight Differe...
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Brief intervention for medication-overuse headache in primary care. Th...
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Screening, Brief Intervention, and Referral to Treatment (SBIRT): An I...
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Pilot Testing of an Online Training for Criminal Justice Professionals...
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Cannabis: The never-ending, nefarious nepenthe of the 21st century: Wh...
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Probability and predictors of treatment-seeking for substance use diso...
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Comparing the Motivational Interviewing Integrity in Two Prevalent Mod...
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An Inpatient Treatment and Discharge Planning Protocol for Alcohol Dep...
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The impact of alcohol use severity on anxiety treatment outcomes in a ...
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Lessons learned for follow-up phone booster counseling calls with subs...
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Delay to first treatment contact for alcohol use disorder
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Portraying mental illness and drug addiction as treatable health condi...
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Addiction Treatments
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Psychosocial interventions for cannabis abuse and/or dependence among ...
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Alcohol Screening in People With Cognitive Impairment: An Exploratory ...
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Acceptability of a Computerized Brief Intervention for Alcohol among A...
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An Assessment of SBIRT Prescreening and Screening Outcomes by Medical ...
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Care of the Patient Who Misuses Drugs
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Integrated Care and Specialty Behavioral Health Care in the Patient-Ce...
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Perinatal Addictions: Intrauterine Exposures
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Brief Intervention for Illicit Drug Users
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Screening for Nicotine and Drug Use Disorders
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Treatment Systems for Population Management of Substance Use Disorders...
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Behavioral Health and Disasters: Looking to the Future
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Using process indicators to optimize service completion of an ED drug ...
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Preventing Alcohol-Exposed Pregnancy Among an American Indian/Alaska N...
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An Evidence Roadmap for Implementation of Integrated Behavioral Health...
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Recommendations for International Gambling Harm-Minimisation Guideline...
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Use of psychoactive substances in persons with spinal cord injury: A l...
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Integration of substance use disorder services with primary care: heal...
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Feasibility of a brief intervention for medication-overuse headache in...
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Perceptions of adult trauma patients on the acceptability of text mess...
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HealthCall for the smartphone: technology enhancement of brief interve...
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Randomized clinical trial of the effects of screening and brief interv...
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Effectiveness of brief interventions as part of the Screening, Brief I...
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From policy to practice: implementing frontline community health servi...
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Identifying Patients With Problematic Drug Use in the Emergency Depart...
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Utilization of Pastoral Care Services for a Screening, Brief Intervent...
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Web-based training for primary care providers on screening, brief inte...
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Advising depression patients to reduce alcohol and drug use: Factors a...
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Associations Between Drug Use and Motorcycle Helmet Use in Fatal Crash...
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Connecting patients to services: Screening, brief intervention and ref...
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Web-based screening and brief intervention for student marijuana use i...
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Effect of a primary care based brief intervention trial among risky dr...
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Implementing the Alcohol, Smoking, Substance Involvement Screening Tes...
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Lost in translation? Moving contingency management and cognitive behav...
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The Cost-Effectiveness of Psychotherapy for the Major Psychiatric Diag...
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From Efficacy to Effectiveness and Beyond: What Next for Brief Interve...
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Intimate Partner Violence and Reproductive Health Among Methamphetamin...
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Regularly drinking alcohol before sex in the United States: Effects of...
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Assessing the relationship between medical residents' perceived barrie...
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Drinking Motives Among HIV Primary Care Patients
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Test–retest reliability of a self-administered Alcohol, Smoking and Su...
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Identification and Management of Prescription Drug Abuse in Pregnancy
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How CAGE, RAPS4-QF, and AUDIT Can Help Practitioners for Patients Admi...
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Prevention and Screening, Brief Intervention, and Referral to Treatmen...
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Risk Factors for Subsequent Impaired Driving by Injured Passengers
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Barriers to Drug Use Behavior Change Among Primary Care Patients in Ur...
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Theoretical exploration of Tennessee community pharmacists' perception...
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The early history of ideas on brief interventions for alcohol
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Brief school-based interventions and behavioural outcomes for substanc...
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Commitment strength, alcohol dependence and HealthCall participation: ...
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Referral for substance abuse treatment and depression improvement amon...
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Global Cancer Prevention
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Using the AUDIT-PC to Predict Alcohol Withdrawal in Hospitalized Patie...
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A Randomized Clinical Trial of Alcohol Care Management Delivered in De...
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Detection of Populations At-Risk or Addicted
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Individual interventions to treat obesity
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References
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References
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Alcohol and substance screening and brief intervention for detainees k...
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Translating SBIRT to public school settings: An initial test of feasib...
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How Patients Understand the Term “Nonmedical Use” of Prescription Drug...
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Alcohol and Substance Abuse in Solid-Organ Transplant Recipients
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Internet and computer based interventions for cannabis use: A meta-ana...
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Associations between heavy episodic drinking and alcohol related injur...
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Brief intervention and decrease of alcohol consumption among women: a ...
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Brief FASD prevention intervention: physicians’ skills demonstrated in...
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Screening, brief intervention, and referral to treatment (SBIRT) for o...
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Feasibility of a computer-assisted alcohol SBIRT program in an urban e...
-
Randomized controlled trial to evaluate screening and brief interventi...
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A Promising Approach For Emergency Departments To Care For Patients Wi...
-
Test-retest reliability of PsyCheck: a mental health screening tool fo...
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Treating Substance Use Disorders in the Criminal Justice System
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Team-Based Learning Exercise Efficiently Teaches Brief Intervention Sk...
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A pilot study of Screening, Brief Intervention, and Referral for Treat...
-
Screening, Brief Intervention, and Referral to Treatment: Overview of ...
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A Randomized Trial of Two e-Learning Strategies for Teaching Substance...
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A randomized clinical trial of the Health Evaluation and Referral Assi...
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Reducing heavy drinking in HIV primary care: a randomized trial of bri...
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Prevalence of Hospitalized Live Births Affected by Alcohol and Drugs a...
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Psychosocial correlates of hazardous alcohol use among undergraduates ...
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Treating the “Unhealthy Alcohol User” on Medical Wards
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Effects of Screening, Brief Intervention, and Referral to Treatment (S...
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Attitudes, Skills and Knowledge Change in Child and Adolescent Mental ...
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A randomized clinical trial comparing the efficacy of two active condi...
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Standardized Screening Measures for Alcohol and Other Drug Problems: C...
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Motivational interviewing to reduce hazardous drinking and drug use am...
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Treatment Utilization and Unmet Treatment Need Among Hispanics Followi...
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A Review of Existing Treatments for Substance abuse among the Elderly ...
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Introduction and Overview of Integrated Behavioral Health in Primary C...
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Screening Measures in Integrated Behavioral Health and Primary Care Se...
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Implementing Clinical Interventions in Integrated Behavioral Health Se...
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The State of the Evidence for Integrated Behavioral Health in Primary ...
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Screening and Brief Alcohol Intervention for Adolescents and Young Adu...
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Feasibility and impact of brief interventions for frequent cannabis us...
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Implementation of a Screening, Brief Intervention, and Referral to Tre...
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Developing a Standard Approach to Examine Infant Mortality: Findings f...
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Emergency Physicians' and Nurses' Attitudes towards Alcohol-Intoxicate...
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Integration of substance use treatment and medical care: A special iss...
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Using “warm handoffs” to link hospitalized smokers with tobacco treatm...
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12-month follow-up of an exploratory ‘brief intervention’ for high-fre...
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Effectiveness of early interventions for substance-using adolescents: ...
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Substance abuse treatment client experience in an employed population:...
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Study design to examine the potential role of assessment reactivity in...
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Building the first step: a review of low-intensity interventions for s...
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Testing the effects of brief intervention in primary care for problem ...
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Risk of future trauma based on alcohol screening scores: A two-year pr...
-
Effectiveness of brief interventions as part of the screening, brief i...
-
Attitudes and Beliefs towards Patients with Hazardous Alcohol Use: A S...
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Increasing the use of alcohol screening and brief intervention in New ...
-
Integrating Substance Use Disorder Services with Primary Care: The Exp...
-
Integrating Screening, Brief Intervention, and Referral to Treatment (...
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A Review of Evidence-Based Approaches for Reduction of Alcohol Consump...
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Could an advance practice nurse improve detection of alcohol misuse in...
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Commentary on Seppänen and Colleagues (2012): Institutionalization of ...
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Sex Differences in Alcohol Misuse and Estimated Blood Alcohol Concentr...
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Pennsylvania SBIRT Medical and Residency Training: Developing, Impleme...
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Using Needs Assessment to Develop Curricula for Screening, Brief Inter...
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Using Standardized Patients to Evaluate Screening, Brief Intervention,...
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Baylor SBIRT Medical Residency Training Program: Model Description and...
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Opioid Addiction and Abuse in Primary Care Practice: A Comparison of M...
-
Integrating information on substance use disorders into electronic hea...
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Open wide! Dental settings are an untapped resource for substance misu...
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A Clarion Call for Nurse-Led SBIRT Across the Continuum of Care
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Implementation Effectiveness of an Alcohol-Screening and Intervention ...
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Clinical Treatment of Substance Abusers: Past, Present and Future
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Use of an Administrative Data Set to Determine Optimal Scheduling of a...
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Clinical Implications of Drug Abuse Epidemiology
-
Computer-Facilitated Substance Use Screening and Brief Advice for Teen...
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A randomized controlled trial of a brief intervention for illicit drug...
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Developing and Implementing a Multispecialty Graduate Medical Educatio...
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Moderation Management: A Mutual-Help Organization for Problem Drinkers...
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Alcohol consumption patterns among parents of hospitalized children: f...
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SBIRT: A Key to Integrate Prevention and Treatment of Substance Abuse ...
-
Characteristics and predictors of health problems from use among high-...
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Brief Motivational Interventions to Change Problematic Substance Use
-
The Cost of Screening and Brief Intervention in Employee Assistance Pr...
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Drug policy and the public good: evidence for effective interventions
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Searching For Answers: Proper Prescribing of Controlled Prescription D...
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Racial and Ethnic Differences in Substance Abuse Treatment Initiation ...
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The potential cost-effectiveness of general practitioner delivered bri...
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References
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Substance Use Screening, Brief Intervention, and Referral to Treatment...
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Detection, Advice, and Referral to Services (DARTS) Procedures Among C...
-
Intervening with Women in Jail around Alcohol and Substance Abuse Duri...
-
Decreasing Women's Alcohol Use During Pregnancy
-
Ten Take Home Lessons from the First 10 Years of the CTN and 10 Recomm...
-
Implementing Brief Interventions in Health Care: Lessons Learned from ...
-
Telephone consultations for the management of alcohol-related disorder...
-
Substance Use Prevalence and Screening Instrument Comparisons in Urban...
-
Recognition of Suicide Risk, Crisis Helplines, and Psychosocial Interv...
-
Instruments to Detect Alcohol and Other Drug Misuse in the Emergency D...
-
A Content Analysis of Brief Alcohol Screening Inventories
-
SUBSTANCE, NOT SEMANTICS, IS THE ISSUE: COMMENTS ON THE PROPOSED ADDIC...
-
Subdiagnostic Alcohol Use by Depressed Men and Women Seeking Outpatien...
-
Suicide prevention in military organizations
-
Adolescent Substance Abuse and Treatment Acceptability
-
Brief Interventions for Alcohol Misuse
-
Building Capacity in Smoking Cessation Counseling Among Health Care Pr...
-
Update in Addiction Medicine for the Generalist
-
Progress in HIV Reduction and Prevention Among Injection and Noninject...
-
The association between intimate partner violence, alcohol and depress...
-
Conducting economic evaluations of screening and brief intervention fo...
-
Telephonic screening and brief intervention for alcohol misuse among w...
-
Computer-assisted Therapy in Psychiatry: Be Brave—It’s a New World
-
Screening and Brief Intervention for Substance Misuse Among Patients W...
-
Mechanisms of change in control group drinking in clinical trials of b...
-
Community-Level HIV/STI Interventions and Their Impact on Alcohol Use ...
-
Isoniazid-associated Hepatitis and Antiretroviral Drugs during Tubercu...
-
The Baby Boomer Effect: Changing Patterns of Substance Abuse Among Adu...
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National Survey of Emergency Department Alcohol Screening and Interven...
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Fulfilling the Mission of Academic Medicine: Training Residents in the...
-
Characteristics and comorbidity of drug and alcohol-related emergency ...
-
Treatment of addiction in the elderly
-
Update on Harm-Reduction Policy and Intervention Research
-
Repérage précoce et intervention brève auprès des personnes insuffisam...
-
Integrated Management of Physician-delivered Alcohol Care for Tubercul...
-
Brief Interventions for the Treatment of Alcohol or Other Drug Addicti...
-
Evaluation of the Washington State Screening, Brief Intervention, and ...
-
Brief alcohol intervention to prevent drinking during pregnancy: an ov...
-
Including a Screening and Brief Alcohol Intervention Program in the Ca...
-
Three-month Follow-up of Brief Computerized and Therapist Intervention...
-
SBIRT in Emergency Care Settings: Are We Ready to Take it to Scale?
-
Alcohol, Tobacco, and Other Drugs: Future Directions for Screening and...
-
Address the gaps in tobacco cessation training and services: Developin...
-
Prevenção do uso de álcool na atenção primária em municípios do estado...
-
Alcohol/Other Drug Problems Screening and Intervention by Rehabilitati...
-
Cost-Effectiveness of an Opportunistic Screening Programme and Brief I...
-
Cannabis Use in Canada: The Need for a ‘Public Health’ Approach
-
Psychiatric Consultation and Substance Use Disorders
-
Screening, brief interventions, referral to treatment (SBIRT) for illi...
-
Before You Slip into the Night, You'll Want Something to Drink: Explor...
-
Screening, Intervention, and Referral in Primary Care: A Continuing Ch...
-
Brief intervention, three decades on...
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Assessing Health Care Organizations’ Ability to Implement Screening, B...
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