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SBIRT Training

Clinical Skills Training for Substance Use Problems

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Price: $49

SBIRT Core Training Activity

Screening, Brief Interventions, and Referral to Treatment (V2)
NYS OASAS Credit Approved!

4 hr(s)CME/CE
Goal: The learner will be able to appropriately screen for and identify substance abuse, plan and implement a tailored brief intervention, and will apply the SBI approach to substance abuse problems by individualizing these clinical skills to different patients.

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Activity Steps

Activity Content
Post-Assessments
Certificate

NYS OASAS Credit Approved!  See Other Credit Options

This activity is designed to change: Competence, Performance, Patient Outcome.   4 hr(s)

Overview

Professional Practice Gaps

Educational Objectives:

After completing this activity participants will be able to:

  • Select and utilize tobacco, alcohol, and drug use screening tools with patients.
  • Perform brief interventions for tobacco and substance use problems with patients.
  • To utilize basic motivational interviewing techniques to motivate people having substance use problems to change behaviors in order to improve health.
  • Refer patients to the appropriate type of substance abuse treatment center and/or specialist
  • Follow-up with and reassess patients who receive treatment for substance abuse or tobacco use
  • Apply the SBIRT approach to substance use problems at a comprehensive and integrated level by individualizing screening, brief interventions, and referral for different patients.

Modules in this Training Activity

Activity Content

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Pages Status
1

SBIRT Core Training Activity Pre-Assessments
  • SBIRT Core Training Activity Pre-Survey

2

SBIRT: Screening for Hazardous Substance Use
  • Clinical Encounters: Nathan Rennie Case Simulation
  • Screening Module Content

3

SBIRT: Brief Interventions and Other Treatments
  • Clinical Encounters: John Davis Case Simulation
  • Brief Interventions Module Content

4

SBIRT: Referral to Treatment & Follow-Up Care
  • Clinical Encounters: Tommy Wilson Case Simulation
  • Referral Module Content

5

SBIRT: In Practice
  • Clinical Encounters: Alan Baker Case Simulation
  • In Practice Module Content

Training Activity References

Audience and Accreditation

Audience: Primary care providers and counselors

Type Est. Time Released Expires
NBCC 4 hr(s) 3/1/23 2/28/24
NYS OASAS 4 hr(s) 3/31/20 4/1/23
DCBN 4 hr(s) 4/5/21 4/4/23
FBM 4 hr(s) 4/5/21 4/4/23
FAPA 4 hr(s) 4/5/21 4/4/23
AMA PRA Category 1 Credit(s)™ 4hr(s) 4/5/21 4/4/24
FBN 4 hr(s) 4/5/21 4/4/23

Accreditation Statement: Clinical Tools, Inc. is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

State Medical Board of Ohio Accreditation Statement: Clinical Tools, Inc. is recognized by the State Medical Board of Ohio as an accredited provider of continuing medical education for physicians.

NYS OASAS Credit Statement: Clinical Tools, Inc. designates this enduring material for a maximum of 4 hour(s) of NYS OASAS credit. Providers and other health professionals should claim only the credit commensurate with the extent of their participation in the activity.

DCBN Credit Statement: Clinical Tools, Inc. designates this enduring material for a maximum of 4 hour(s) of DCBN credit. Clinical Tools, Inc. is an approved provider by the District of Columbia Board of Nursing and is registered with CE Broker, Provider #50-1942.

FBM Credit Statement: Clinical Tools, Inc. designates this enduring material for a maximum of 4 hour(s) of FBM credit. Providers and other health professionals should claim only the credit commensurate with the extent of their participation in the activity.

FBN Credit Statement: Clinical Tools, Inc. designates this enduring material for a maximum of 4 hour(s) of FBN credit. Providers and other health professionals should claim only the credit commensurate with the extent of their participation in the activity.

FAPA Credit Statement: Clinical Tools, Inc. designates this enduring material for a maximum of 4 hour(s) of FAPA credit. Providers and other health professionals should claim only the credit commensurate with the extent of their participation in the activity.

Arkansas State Board of Nursing Accreditation Statement: Clinical Tools, Inc. is recognized by the Arkansas State Board of Nursing as an accredited provider of continuing medical education for nurses.

AMA PRA Category 1 Credit™ Designation Statement: Clinical Tools, Inc. designates this enduring material for a maximum of 4 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

NBCC Credit Statement: Clinical Tools, Inc. designates this enduring material for a maximum of 4 clock hour(s) of NBCC credit. Clinical Tools, Inc. has been approved by NBCC as an Approved Continuing Education Provider, ACEP No. 6161. Activities that do not qualify for NBCC credit are clearly identified. Clinical Tools is solely responsible for all aspects of the activity.

A letter of completion for 4 hours is available for non-physicians.

A score of 70% on the post-test is required to complete the activity.

Participation Requirements     

Funding

Initial development of this activity was supported by a contract from the National Institute on Drug Abuse (#HHSN271200800038C).

Authors

As an ACCME accredited provider of continuing medical education, Clinical Tools, Inc.requires everyone who is in a position to control the content of an educational activity to disclose all relevant financial relationships with any commercial interest to the provider. The ACCME defines ‘relevant’ financial relationships as financial relationships in any amount occurring within the past 12 months that create a conflict of interest. Any conflicts of interest are resolved prior to the delivery of the educational activity to the learner. CTI does not permit individuals with financial conflicts of interest to participate in any stage of activity development.

T Bradley Tanner, MD (President, Clinical Tools, Inc.)
Disclosure: Has no relevant financial relationship(s) with ineligible companies to disclose. Dr. Tanner is the owner of Clinical Tools.
Read Bio
T. Bradley Tanner, MD is president of Clinical Tools and responsible for the vision of the company. He has received funding via grants and contracts from NIDA, NIAAA, NIMH, NCI, AHRQ, CDC, the Dept of Defense, and NASA to develop medical and health education projects. Dr. Tanner served as principal investigator on 2 NIDA grants to develop the DATA-2000 qualifying buprenorphine training program and clinical practice tools on Bup.ClinicalEncounters.com. He also has a strong background in technology and oversees the development and delivery of all Clinical Tools websites. Dr. Tanner is also a board-certified psychiatrist with experience in inpatient, outpatient, and emergency health settings. He currently treats patients and educates medical students and residents via his role as a Clinical Associate Professor of Psychiatry at the University of North Carolina at Chapel Hill.
Karen Rossie, DDS, PhD (Research Scientist, Clinical Tools, Inc. )
Disclosure: Has no relevant financial relationship(s) with ineligible companies to disclose.
Read Bio
Karen Rossie, DDS, PhD, directs projects at Clinical Tools. She majored in biology at Cleveland State University and studied dentistry at Case Western Reserve University followed by completing a Masters in pathology at Ohio State University, and later, a PhD in Psychology from the Institute of Transpersonal Psychology. She taught and practiced oral pathology and oral medicine for 15 years at the Ohio State University and the University of Pittsburgh, doing research in autoimmune disease, bone marrow transplantation, oral cancer, salivary gland disease, candidiasis, and diabetes. She has used this diverse background to lead or contribute to CTI projects related to tobacco cessation, opioid abuse treatment, anxiety, dementia care, alcohol use disorder, screening and brief interventions for substance abuse, obesity, and pain and addiction.

Reviewers

Steve Applegate, MEd, MEd (President, Applegate Consulting, )
Disclosure: Has no relevant financial relationship(s) with ineligible companies to disclose.
Read Bio
Mr. Applegate has experience in substance use counseling, state initiatives impacting substance use, and professional training. His prior positions include director of higher education and instructional design at the North Carolina Governor’s Institute on Alcohol and Substance Abuse, project director of the North Carolina Initiative of the Mid-Atlantic Addiction Technology Transfer Center, and program director of the Addiction Sciences Center (an outpatient substance abuse treatment center at the University of Virginia Health Sciences Center). Mr. Applegate works as an on-site consultant and travels to the Clinical Tools (CTI) office on a monthly basis from his office in Richmond, VA. Mr. Applegate helped design the CTI Instructional Manual and works to continue to revise it as we expand our Instructional Design methodology. Mr. Applegate has extensive experience in online education and training, especially in the area of substance abuse. He often pushes the envelope of technology and brainstorms with Clinical Tools how we can utilize new technology in our products. He helped guide the development of the curriculum plan and assessments in Phase I of the current project.

Most Recent Reviews

CTI Content Review: 2/28/2023
CTI Editorial Review: 3/2/2023

Funding Information Development of this website was funded entirely by grant #R44DA12066 and contract #HHSN271200655304C from the National Institute on Drug Abuse (NIDA) at the National Institutes of Health. The website contents are solely the responsibility of the authors and do not necessarily represent the official views of NIDA. Ongoing development and maintenance is funded by the training fee and Clinical Tools, Inc. No commercial support is received.
Clinical Tools is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

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Unless otherwise noted, individuals pictured are models and are used for illustrative purposes only.
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  • Storie M. SBIRT Brief Intervention for Preparation Stage, High Risk Client. Colorado SBIRT. Youtube. 2011. Available at: https://www.youtube.com/watch?v=SfFF7jcm3tA Accessed on: 2015-05-19.
  • Storie Misti. SBIRT AUDIT Screening. SBIRT Colorado. Youtube. 2011. Available at: https://www.youtube.com/watch?v=RHcalohcunU Accessed on: 2015-05-19.
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  • The National Center on Addiction and Substance Abuse at Columbia University (CASA). An SBIRT Implementation and Process Change Manual for Practitioners. CASA. 2012. Available at: https://www.centeronaddiction.org/sites/default/files/files/An-SBIRT-implementation-and-process-change-manual-for-practitioners.pdfAccessed on: 2014-09-30.
  • Timko C, DeBenedetti A. A randomized controlled trial of intensive referral to 12-step self-help groups: one-year outcomes. Drug and Alcohol Dependence. 2007; 90(2-3): 270-279. Available at: https://www.ncbi.nlm.nih.gov/pubmed/17524574 Accessed on: 2013-10-24.
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  • U.S. Department of Health and Human Services.. The Health Consequences of Smoking—50 Years of Progress: A Report of the Surgeon General. . Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention . 2014. Available at: https://www.cdc.gov/tobacco/data_statistics/sgr/50th-anniversary/index.htm Accessed on: 2014-04-28.
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Professional Practice Gaps

Evidence suggests low implementation rates for screening, brief intervention, and referral to treatment (SBIRT) for patients with substance use problems in a primary care setting (CDC, 2017) despite evidence of efficacy (Knapp et al., 2019; Agerwala & McCance-Katz, 2012; Pilowsky & Wu, 2012). Approximately 20 to 25% of primary care patients are likely to have a current substance use or health-related problem (Pilowsky & Wu, 2012). Inadequate training is the most frequently reported barrier to practicing SBIRT (Le et al., 2015). Primary care referrals are also infrequent. Two-thirds of patients who screened positive for unhealthy drug use at a VA center in one study did not receive a referral or a return appointment to address the problem (Hodgkin et al., 2020).

Medical schools and post-graduate residency education do not typically prepare medical students and residents for implementing SBIRT (Saitz, 2013).

Due to insufficient SBIRT training, primary care providers not only lack confidence in assessing unhealthy substance use, but also express uncertainty in their ability to perform brief interventions and confusion regarding handling referrals for substance use patients who need a higher level of care than they can provide (Saitz, 2013).

Primary care providers screen fewer than a third to a half of their patients for substance use problems (Sahker et al., 2017; McNealy, 2018). Brief interventions happen even less often (NCMH, 2018). Fewer than 75% of patients who screened positively received a brief intervention.

 

Practice Gap References

  • Agerwala SM, McCance-Katz EF. Integrating screening, brief intervention, and referral to treatment (SBIRT) into clinical practice settings: A brief review. Journal of Psychoactive Drugs. 2012; 44: 307-317. Available at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3801194/ Accessed on: 2017-07-26.
  • American Public Health Association. Alcohol Screening and Brief Intervention: A guide for public health practitioners. Substance Abuse and Mental Health Services Administration. 2008. Available at: https://www.integration.samhsa.gov/clinical-practice/alcohol_screening_and_brief_interventions_a_guide_for_public_health_practitioners.pdf Accessed on: 2017-07-26.
  • Compton P. Urine toxicology screening: a case study. Emerging Solutions in Pain. 2009.
  • Knapp MM, McCabe D. Screening and interventions for substance use in primary care. Nurse Practitioner. 44(8):p 48-55, August 2019. doi: 10.1097/01.NPR.0000574672.26862.24. Available at: https://journals.lww.com/tnpj/Abstract/2019/08000/Screening_and_interventions_for_substance_use_in.11.aspx
  • Le KB, Johnson AJ, Seale JP, Woodall H, Clark DC, Parish DC, Miller DP. Primary care residents lack comfort and experience with alcohol screening and brief intervention: A multi-site survey. Journal of General Internal Medicine. 2015; 30: 790-796. Available at: https://www.ncbi.nlm.nih.gov/pubmed/25666210 Accessed on: 2015-06-19.
  • Madras BK, Compton WM, Avula D, et al. Screening, brief interventions, referral to treatment (SBIRT) for illicit drug and alcohol use at multiple healthcare sites. Drug Alcohol Depend. 2009; 99: 280-295. Available at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2760304/ Accessed on: 2011-03-24.
  • McNeely J, Kumar PC, Rieckmann T, et al. Barriers and facilitators affecting the implementation of substance use screening in primary care clinics: a qualitative study of patients, providers, and staff. Addiction Science & Clinical Practice. 2018;13(1):8. doi:10.1186/s13722-018-0110-8
  • National Council for Behavioral Health. Implementing Care for Alcohol & Other Drug Use Medical Settings. An extension of SBIRT. SBIRT Change Guide 1.0. February 2018.
  • Pilowsky DJ, Wu LT. Screening for alcohol and drug use disorders among adults in primary care: a review. Substance Abuse and Rehabilitation. 2012; 3: 25-34. Available at: https://www.dovepress.com/screening-for-alcohol-and-drug-use-disorders-among-adults-in-primary-c-peer-reviewed-article-SAR Accessed on: 2014-04-28.
  • Pringle JL, Kowalchuk A, Meyers JA, Seale JP. Equipping residents to address alcohol and drug abuse: The national SBIRT residency training project. Journal of Graduate Medical Education. 2012; 4: 58-63. Available at: https://www.ncbi.nlm.nih.gov/pubmed/23451308 Accessed on: 2017-07-27.
  • Roche AM, Freeman T. Brief interventions: good in theory but weak in practice. Drug and Alcohol Review. 2004; 23(1): 11-18. Available at: https://www.ncbi.nlm.nih.gov/pubmed/14965883 Accessed on: 2013-10-24.
  • Ruiz P, Strain EC, Lowinson JH. Lowinson and Ruiz’s substance abuse: A comprehensive textbook. Wolters Kluwer Health/Lippincott Williams & Wilkins. 2011. Available at: https://www.amazon.com/Lowinson-Ruizs-Substance-Abuse-Comprehensive/dp/1605472778 Accessed on: 2017-07-26.
  • Sahker E, Arndt S. Alcohol use screening and intervention by American primary care providers. International Journal of Drug Policy. 2017;41:29-33. doi:10.1016/j.drugpo.2016.11.013
  • Saitz R. Addressing Unhealthy Alcohol Use in Primary Care. Springer. 2013. Available at: https://www.amazon.com/Addressing-Unhealthy-Alcohol-Primary-Care/dp/146144778X Accessed on: 2017-07-26.
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