"I participated in the Kognito simulation training for SBIRT. I thought that the simulation was quite insightful and easy to navigate. The scenarios were realistic in content and I felt comfortable with the demonstration enough to see that I could incorporate this type of screening into my work environment. Working in the emergency department I see a lot of patients who use alcohol and other drugs on a regular basis. Many of these patients are brought in by the local police department or by ambulance after using their substance of choice and for making further poor decisions while intoxicated. Everyone who drinks is not an alcoholic and everyone who has used drugs is not a drug addict, but with screening such as SBIRT at my disposal I have a better chance of identifying those patients with risky alcohol and drug use at an earlier point in the process.  If we can help at risk patients before their behaviors become dependent in nature and require more extensive treatment we can also cut down the costs of their overall healthcare related to substance use."