Back to Annual Meeting

Back to Annual Meeting

Abstract #156276

• Slides (pdf) or Handout

Thomas Stegbauer, MBA¹, Reed Forman, MSW¹, Erich Kleinschmidt, LICSW¹, Edward Singleton, PhD², Jamie Burgess, MPH², and Thomas M. Brady, MPH, PhD³. (1) Center for Substance Abuse Treatment, Substance Abuse and Mental Health Services Administration, 1 Choke Cherry Road, 5-1099, Rockville, MD 20850, (2) Community Prevention & Treatment Research, The MayaTech Corporation, 1100 Wayne Avenue, Suite 900, Silver Spring, MD 20910, (3) Center for Community Prevention and Treatment Research, The MayaTech Corporation, 1100 Wayne Avenue, Suite 900, Silver Spring, MD 20910, 301 587-1600, bradyt2@nida.nih.gov

Screening, Brief Intervention, Referral, and Treatment (SBIRT) is an integrated, public health approach to the delivery of early intervention services for persons with substance use disorders, as well as those who are at risk of developing these disorders. This paper presents the first round of treatment outcomes for seven SBIRT grantees located in Alaska, California, Illinois, New Mexico, Pennsylvania, Texas and Washington. Method: The analysis studied National Outcome Measures (NOMS) at intake and six-month follow-up. The reporting measures included abstinence, criminal justice, and employment/education. Data are based on 251,892 intakes in FY 2004 and 2005. Findings: Of intakes, 80 percent received screening only services and 15 percent received Brief Intervention (BI) services. Of those individuals who reported greater drug/alcohol use severity, 2 percent received Brief Treatment (BT) services and 3 percent were referred to specialty treatment services. The percentage of BI clients who reported that they did not use alcohol or illicit drugs increased from 13 percent at intake to 35 percent at 6-month follow-up. Those receiving BT services improved their criminal justice status 2 percent and their employment/education status 16 percent. Of SBIRT clients who received BI, BT and referral to treatment services, 85 percent completed specialty treatment. Discussion: SBIRT clients report significant decreases in substance use six months after treatment entry. For those who report the highest level of use, participation in SBIRT programs is associated with positive treatment outcomes. More research is needed in the treatment effectiveness of SBIRT programs, particularly for those who use illicit drugs.

Learning Objectives:

• Describe the key components of SAMHSA's Screening, Brief Intervention, Referral and Treatment (SBIRT) Cooperative Agreements.
• Identity at least four of SAMHSA's National Outcome Measures (NOMS) relevant to CSAT's discretionary grant programs.
• Estimate the impact of SBIRT programs on individuals screened for substance use disorders in select states six months after their initial screening.

Keywords: Substance Abuse, Primary Care

Related Web page: sbirt.samhsa.gov

Presenting author's disclosure statement:

Any relevant financial relationships? No
Any institutionally-contracted trials related to this submission?

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

• Slides (pdf) or Handout