SBIRT is an evidence-based model for addressing substance use, yet organizations often struggle to implement it effectively. 

Screening, Brief Intervention, and Referral to Treatment (SBIRT) is an evidence-based substance use prevention and early intervention model that incorporates universal screening to identify risk and brief intervention to reduce use and prevent more severe consequences. Referrals to substance use disorder treatment are provided when warranted. 

Though research has shown promising results in medical settings, organizations often struggle to implement it in real-world conditions including what to do following training, how to integrate these services into their existing workflow, and how to tailor their approach for different populations. In addition, the existing model does not account for how to reach those who do not typically seek traditional medical care, leaving a significant proportion of the population without services that could benefit their health and well-being. 

We developed a manual to guide a variety of medical, educational, and community-based organizations to implement SBIRT with diverse communities.

The New York State Office of Addiction Services and Supports (OASAS) contracted with NORC to develop a manual that extends beyond medical settings to guide educational and community-based organizations in implementing SBIRT in several diverse communities with higher rates of substance use. With the recent push to build training capacity in New York, this manual moves organizations beyond skills development to real world implementation. The manual also acknowledges the need to implement SBIRT in the community to reach those who do not typically seek traditional medical care and provides targeted guidance based on the setting and communities served.