Missouri Screening, Brief Intervention, Referral and Treatment: Grant Highlights 2008-2013

Missouri Screening, Brief Intervention, Referral and Treatment: Grant Highlights 2008-2013 - Document

Principal Investigator: Hile, Matthew

Document Description

Author: Rita E Adkins, MPA

Screening, Brief Intervention and Referral to Treatment (SBIRT) was developed as a public health model to provide universal screening for risky substance use in health care setting. Those at risk are offered early interventional services from trained health coaches designed to help patients make behavioral changes that can lead to a healthier lifestyle. The Missouri SBIRT program, MOSBIRT, emphasizes prevention, early detection, and early intervention of risky substance use. The program teaches providers and patients to view risky substance use from a health perspective, and provides individualized information based on the patient’s needs. MOSBIRT began in 2009 and has been successfully implemented at health care facilities in Springfield, Columbia, and St. Louis. In 2012, MOSBIRT was extended to all of Missouri’s Health Homes (18 Federally Qualified Health Centers and 6 Hospital Affiliated Clinics) with over 60 new locations in all. Results from the original sites on the project are presented here, supplemented by data from the expansion sites. A random sample of patients that screened positive for at‐risk alcohol and substance use were administered a six month follow‐up interview, and the outcomes from the study are also included in this report.

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