Screening, Brief Intervention, and Referral to Treatment

H. Wesley Clark, MD, JD, MPH, CAS, FASAM, former Director of the Center for Substance Abuse Treatment at SAMHSA.

In response to a JAMA article about SBIRT, Dr. H. Wesley Clark, then Director of CSAT at SAMHSA, wrote an article expounding on the benefits of Screening, Brief Intervention and Referral to Treatment. 

Here is a brief exerpt from the article:

"For many, learning the consequences of their “at risk” behavior or abuse can provide the wake-up call they need to either stop using or seek appropriate treatment.   For those individuals with more severe and complex substance use disorders, brief intervention will most likely not be sufficient to change their behaviors.   For this group it is important that a treatment referral is made – and this is where the confusion surrounding the role of SBIRT surfaces. "  To read the entire article, click here.

The World of SBIRT information about the JAMA article and Dr. Clark's response, click here.




A report entitled, An Analysis of National Funding Trends for SBI Services was prepared that looked at the status of the Screening and Brief Intervention (SBI) and the Health and Behavior Assessment (HBAI) Medicaid codes of each state. This report indicates that the activation of the codes on Missouri’s Medicaid schedule would return between $3.25 and $5.25 for each dollar spent.