How SBIRT Works

S — Screening

A quick questionnaire administered in healthcare settings (emergency rooms, primary care, hospitals) to identify patients with risky substance use. Common tools include:

• AUDIT: Alcohol Use Disorders Identification Test
• DAST: Drug Abuse Screening Test
• CAGE: Four yes/no questions about drinking patterns

BI — Brief Intervention

For patients whose screening indicates risky use, a 5-15 minute conversation using motivational interviewing techniques. The goal is to raise awareness and motivation to change — not to diagnose or lecture.

RT — Referral to Treatment

For patients whose screening indicates a substance use disorder, a direct referral to specialized treatment. This is where resources like Red Door Recovery Network become essential — helping connect patients to the right level of care.

Why SBIRT Matters

• Early identification: Catches substance use problems before they become severe
• Cost-effective: SBIRT reduces emergency room visits, hospitalizations, and criminal justice costs
• Evidence-based: SAMHSA and the US Preventive Services Task Force both recommend routine screening
• Reduces stigma: When screening is routine, it normalizes conversations about substance use

For Healthcare Providers

If you are a provider looking to implement SBIRT, SAMHSA offers free training and resources. Learn about certification opportunities through Red Door Recovery Network.