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An SHIRT Approach to Pain and Addiction J. Paul Scale, MD, Daniel P. Alford, MD, MPH, and H.E. Woodall, MD Southeastern Consortium on Substance Abuse Training September 1, 2015 1 J. Paul Scale, MD,
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How to fill out an SBIRT approach:

01
Screening: Begin by conducting a brief screening to identify individuals who may be at risk for substance abuse. This can be done using standardized screening tools such as the AUDIT or DAST questionnaires. Ask questions about frequency of substance use, quantity consumed, and any negative consequences experienced.
02
Brief Intervention: If the screening indicates potential substance abuse, proceed with a brief intervention. This involves providing personalized feedback to the individual about their substance use patterns and potential risks. Use motivational interviewing techniques to encourage behavior change and explore the individual's readiness to change.
03
Referral to Treatment: If the brief intervention reveals a significant substance abuse problem, refer the individual to specialized treatment services. This may include outpatient counseling, support groups, or inpatient rehabilitation centers. Collaborate with the individual to find the most appropriate and accessible treatment options.

Who needs an SBIRT approach to:

01
Primary Care Physicians: SBIRT can be incorporated into routine primary care settings to identify and address substance abuse issues among patients. It allows physicians to proactively intervene and provide support to individuals who may otherwise go unnoticed.
02
Behavioral Health Professionals: SBIRT is crucial for behavioral health professionals working in substance abuse treatment centers or mental health clinics. It helps in identifying co-occurring substance abuse disorders among patients seeking treatment for other mental health conditions.
03
Emergency Department Staff: The fast-paced nature of emergency departments often prevents thorough assessments of substance abuse issues. Implementing an SBIRT approach allows emergency department staff to quickly screen and intervene with individuals who may be at risk or in need of immediate treatment.
In conclusion, filling out an SBIRT approach involves conducting screenings, providing brief interventions, and referring individuals to appropriate treatment services as needed. It is a valuable tool for primary care physicians, behavioral health professionals, and emergency department staff to identify and support individuals struggling with substance abuse.
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An SBIRT approach refers to Screening, Brief Intervention, and Referral to Treatment, a comprehensive approach to identify and intervene with individuals who are at risk for or have substance use disorders.
Healthcare professionals, such as doctors, nurses, and social workers, are required to use the SBIRT approach when working with patients who may have substance use issues.
To fill out an SBIRT approach, healthcare professionals use standardized screening tools to assess patients' substance use, provide brief interventions if necessary, and refer patients to treatment services as needed.
The purpose of an SBIRT approach is to identify individuals with substance use issues early, provide interventions to reduce or eliminate substance use, and connect individuals to appropriate treatment services.
An SBIRT approach may include details on the screening results, interventions provided, and referrals made to treatment services for individuals with substance use issues.
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