MOSBIRT is a substance abuse prevention project that will screen up to 200,000 Missourians in various medical settings for risky substance use behaviors. Those at risk are offered 1 to 6 brief evidence based sessions to reduce those risks. With this early intervention, individual trajectories can be altered preventing future substance abuse and dependence.
MOSBIRT is funded by a five year $12.3 million grant from the Substance Abuse and Mental Health Services Administration. Written by the Missouri Institute of Mental Health in collaboration with the Missouri Department of Mental Health, the grant supports the development and testing of a computer supported evidence based system and its use by trained health coaches in emergency departments and family medicine clinics in Springfield, Columbia, and St. Louis Missouri.
MOSBIRT is a Screening, Brief Intervention, and Referral to Treatment (SBIRT) program. In it individuals seeking medical care are screened for risky substance use behaviors. On average, 80% of those screened will have no significant risks, 12% will receive a single brief education session, and 3% will receive six health coaching sessions, and 5% will need referral for substance abuse services.
There is an emerging body of research and clinical experience that supports the use of SBIRT as a set of effective interventions for persons at risk. These programs have been shown to significantly reduce ongoing medical costs, reduce the use of alcohol and drugs, and increase levels of abstinence.
The MOSBIRT project continues across Missouri after the end of federal funding in eSBIRT. See eSBIRT.org for more information.