Screening, Brief Intervention, and Referral to Treatment (SBIRT) is a comprehensive, integrated, public health approach to the delivery of early intervention and treatment services. Research has demonstrated that the SBIRT model has been quite effective in emergency rooms, primary health clinics, campus health centers, and other healthcare settings. Healthcare professionals in these settings, in particular, have used SBIRT to quickly screen patients’ risks of substance use problems, briefly intervene, explore patient’s motivation to change their behavior, and refer patients who need more extensive treatment.  SBIRT has been instrumental in reducing alcohol and illicit drug use, arrests, and emotional problems. This motivational interview technique has also been shown to help increase housing stability, employment status, and overall health.

It is used for: 

  • Persons with substance use disorders
  • Those who use at moderate and higher levels of risk 
  • As a prevention and education model for everyone else 

For more information, please visit 

Understanding SBIRT: Foundations, Implementation, and Clinical Practice, February 26 - 27, 2020

Physicians, Nurses, Social Workers, Case Managers, Emergency Department Staff, and Paramedics from Bon Secours were invited to attend two sessions of the training, one on the campus of EVMS and the other at William and Mary. Special thanks to presenter Alan Lyme, LISW, ICADC, ICCS, MAC, Director of Training for the Pheonix Center in Greenville, South Carolina for providing his expertise to this informative program. 


1. Describe the purpose of integrating SBIRT into emergency departments, primary care, and other services

2. Demonstrate the ability to conduct an SBIRT interview

3. Identify the program administration implications of SBIRT 

4. Explain the four processes of Motivational Interviewing and how they flow in an SBIRT interaction


Resources and Training Materials 


For more information regarding training opportunities, please contact the Brock Institute at 757-446-6027 or