Screening, Brief Intervention, and Referral to Treatment for Substance Use
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This book provides an introduction for psychologists to screening, brief intervention, and referral to treatment (SBIRT), an evidence-based approach to identifying and treating substance use across a variety of behavioral health care settings and patient populations. SBIRT has proven to be an efficient, cost effective way to identify harmful substance use and related problems and motivate patients to change their behavior.
Chapters present overviews of screening tools and approaches to brief intervention appropriate for diverse target populations; concrete steps for implementing SBIRT in a range of practice settings; and recommendations for training, advocacy, and policy. Psychologists who learn and implement SBIRT will be better equipped to meet the needs of their patients and help address the public health problem of substance use in this country.
The aim of this book is to change the paradigm from “zero tolerance,” and related punishment of drug users to a more proactive, open-minded, and effective interaction that shows better success in reducing harmful substance use.
Contributors
Preface and Overview
Introduction
I. SBIRT Tools and Techniques
- Approaches to Comprehensive Screening for Alcohol Misuse in Primary Healthcare
- Screening and Intervention for Tobacco Use
- Motivational Interviewing and SBIRT
- Approaches to Brief Interventions
II. SBIRT in Diverse Healthcare Settings and With Diverse Populations
- SBIRT in Medical and Integrated Care Settings
- SBIRT in College and University Settings: Unique Challenges and Opportunities
- SBIRT for Adolescents: Strategies, Opportunities, and Challenges
- SBIRT for Racial and Ethnic Minority Populations: State of the Science and Implications for Adaptation
- SBIRT for Older Adults: Lessons Learned from the Florida BRITE Project
III. New Frontiers in SBIRT
- Using Technology for Training in and the Delivery of SBIRT
- SBIRT for Cannabis Use: Improving Clinical Competencies for a Changing Cultural Landscape
- Integrating SBIRT Training into Graduate Programs for Mental Health Service Providers
- The Role of Public Policy in Advancing SBIRT Implementation and Dissemination
Index
About the Editors
M. Dolores Cimini, PhD, is a licensed psychologist and director of behavioral health promotion and applied research at the University at Albany, State University of New York.
Dr. Cimini has led research-to-practice translation projects for three decades with more than $9 million in grant support. She created the STEPS Comprehensive Alcohol Screening and Brief Intervention Program, which has earned multiple awards for best practices and innovation in behavioral healthcare.
Dr. Cimini is past chair of APA’s Board for the Advancement of Psychology in the Public Interest.
She lives in Albany, New York.
Jessica L. Martin, PhD, is associate professor in the department of educational and counseling psychology at the University at Albany, State University of New York.
In addition to conducting research on substance use training for psychologists and dissemination and implementation of substance use preventive interventions, Dr. Martin investigates social, cultural, and contextual risk and protective factors associated with health-related behaviors among college students. She chairs the Education and Training Committee for APA Division 50 (Society of Addiction Psychology), and is a member of several journal editorial boards.
She lives in Albany, New York.

