Tools for Implementing SBIRT in Primary Care Practices
CCSME as a consultant to Maine Quality Counts is offering training and support on implementing substance abuse screening and on SBIRT specifically. All Maine Health Home practices are required to implement substance abuse screening this year and although they are not are not required to utilize the SBIRT approach specifically, but are encouraged to explore this model as a practical and evidence-based approach to addressing substance abuse screening and intervention in primary care.
Screening, Brief Intervention, and Referral to Specialty Treatment (SBIRT) is a clinical guideline for chronic disease management. SBIRT may be a recognizable construct in primary care as an approach providers use to address many conditions such as diabetes, COPD, and depression. In this instance, the process of SBIRT is being applied to substance use.
SBIRT is helpful in identifying risk in a given population. SBIRT assists patients in the reduction of their risk when their relationship with substances (like drugs and alcohol) increases the likelihood of worsening their co-morbid conditions and/or increasing their cost of care. SBIRT is the global model for PCMH and HH initiatives. In this regard, substance abuse screening, brief intervention and referral to specialty treatment is no different than the approach to clinical process and population health already being employed in primary care practices across Maine's PCMH Pilot.
The was established as a 12-month collaborative for PCMH/HH practices interested in learning more about the SBIRT model and gaining training, coaching, and support on how to implement this model in their practice. Please contact CCSME for more information.