Why are alcohol and substance use screenings and intervention so important? Substance misuse and abuse often result in poor health outcomes and substantial costs. It can lead to increased illness, hospitalizations, motor vehicle injuries and premature deaths. One study estimates substance use cost society $193 billion in 2011.1 Over 21 million Americans have a substance use disorder. But only 1 in 10 gets the treatment they need.2
Screening, Brief Intervention, and Referral to Treatment (SBIRT) is an evidenced-based practice. It helps identify, reduce and prevent problematic use, abuse and dependence on alcohol and drugs.3,4
SBIRT is ideal for primary care settings. It enables health care staff to screen and assist people who may not be seeking help, but whose drinking or drug use may complicate their health, work or family. SBIRT aims to prevent the unhealthy consequences of alcohol and drug use. It can help those who:
The practice helps to reduce:
SBIRT aims to help primary care physicians, health care and mental health professionals. It offers:
1National Drug Intelligence Center (2011) The Economic Impact of Illicit Drug Use on American Society. Washington D.C.: United States Department of Justice.
2https://addiction.surgeongeneral.gov/surgeon-generals-report.pdf
3Bien, T. H., Miller, W. R., & Tonigan, J. S. (1993). Brief intervention for alcohol problems: A review. Addiction, 88, 315–335.
4Madras BK, Compton WM, Avula D et al. Screening, brief interventions, referral to treatment (SBIRT) for illicit drug and alcohol use at multiple healthcare sites: Comparison at intake and six months later. Drug and Alcohol Dependence 2009; 280-295.
5Quanbeck A, Lang K, Enami K, & Brown RL. (2010). A cost-benefit analysis of Wisconsin's screening, brief intervention, and referral to treatment program: adding the employer's perspective. State Medical Society of Wisconsin, Feb; 109(1):9-14.
6Gentilello, L.M., Ebel, B.E., Wickizer, T.M., Salkever, D.S. & Rivara, F.P. (2005). Alcohol intervention for trauma patients treated in emergency department and hospitals: a cost benefit analysis. Annals of Surgery, 241 (4), 541-550.
This information is provided for informational purposes only and is not intended to direct treatment decisions or offer medical advice. Aetna does not provide health care services and cannot guarantee any results or outcomes. All patient care and related decisions are the sole responsibility of the treating provider.
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