TAP 33: Systems-Level Implementation of Screening, Brief Intervention, and Referral to Treatment Copy

Defining Screening, Brief Intervention, Brief Treatment, and Referral to Treatment.

Over the past decade, substance abuse services policy has tended toward a more unified, integrated system that combines prevention and treatment.

Providers and researchers increasingly recognize that prevention entails more than discouraging use—it can include any effort to prevent negative consequences (e.g., auto crashes, health problems, unemployment, homelessness) that result from harmful drug or alcohol use, as well as attempts to prevent hazardous use from progressing to dependence.

Effective intervention efforts need to be helpful to a wide spectrum of people, from those who occasionally misuse alcohol or drugs to those who are severely dependent.

A primary aspect of screening, brief intervention, brief treatment, and referral to treatment (SBIRT) is the integration and coordination of screening and treatment components into a system of services that provides a needed intersection between specialty treatment and prevention (Exhibit 2-1).

SBIRT at the Intersection of Prevention and Treatment

Note: Go to the Materials Tab to download your copy of TAP 33 to learn more about SBIRT or visit the SAMHSA website at www.samsha.org.

DUI programs are described as prevention and intervention.

Prevention of another DUI episode and Intervention to address high risk behavior that may contribute to another DUI episode. 

The DUI counselor plays a major role in the quality of the DUI treatment experience through their use of counseling skills, intervention techniques, and providing referrals appropriate to the individual.

The DUI program company supports these efforts by providing:

  • A structured environment that follows regulations, 
  • On-going staff training, 
  • The tools needed for quality education and group sessions (curriculum/technology).