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What if the screen is positive?
A positive screen for at-risk drinking should trigger a more detailed conversation with the patient regarding drinking habits
Below is an example adapted from The National Institute on Alcohol Abuse and Alcoholism
The full resource can be found at:
Screening, Brief Intervention, Referral to Treatment (SBIRT)
Screening, Brief Intervention, and Referral to Treatment (SBIRT) was developed by The Center for Substance Abuse Treatment as an evidence-based method for identifying at-risk alcohol and substance use
Screening is performed using a validated, standardized screening tool
Brief intervention is initiated for patients who screen positive based on the tool
Can consist of a 3-5 minute conversation or more in-depth counseling
Referral to treatment consists of providing the patient with additional treatment resources
Multiple randomized controlled trials have demonstrated the efficacy of integration of SBIRT into primary care settings in reducing alcohol use
Additional information can be found at
What resources are available for referral to treatment?
National Drug and Alcohol Treatment Referral Routing Service
Substance Abuse Treatment Facility Locator
Additional resources for alcohol use disorders, screening, and treatment referral can be found under the resources section
Helping Patients Who Drink Too Much.
Retrieved January 15, 2014 from The National Institute on Alcohol Abuse and Alcoholism Web site:
SBIRT: Screening, Brief Intervention, and Referral to Treatment. Retrieved January 15, 2014 from The Substance Abuse and Mental Health Services Administration Web site:
Center for Substance Abuse Treatment. Substance Abuse Treatment: Addressing the Specific Needs of Women. Treatment Improvement Protocol Series 2009: 09-4226.
Moyer, A. et al (2002).
Brief Interventions for Alcohol Problems; A Meta-analytic Review of Controlled Investigations in Treatment Seeking and Non-treatment Seeking Populations. Addiction 97. 279-292.
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