SBIRT: Screening, Brief Intervention, and Referral to Treatment in Primary Care.

Abstract

Screening, Brief Intervention, and Referral to Treatment (SBIRT) is an evidence-based, scalable public health intervention designed to identify and address alcohol, prescription, and illicit drug use in primary care. By combining validated screening tools, brief behavioral interventions, and referral to treatment, SBIRT reduces risky substance use, prevents progression to substance use disorders, and improves health outcomes. Evidence supports its effectiveness in adults, adolescents, and older adults, with additional benefits including cost savings through reduced health care utilization, criminal justice involvement, and productivity losses. Implementation requires integration into workflows, staff training, and interprofessional collaboration.