Medical/Behavioral Health Professionals SBIRT Resources

Recommendations to the Federal Government for Promoting the National Dissemination of Evidence-Based, Cost-Saving Behavioral Screening and Intervention (BSI)

- Wisconsin Initiative to Promote Healthy Lifestyles

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Adolescents

Adolescent Brief Intervention: "Jacob"

- SBIRT Oregon

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SBIRT for Alcohol/Drugs with Adolescents

- SBIRT Institute

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SBIRT for Alcohol Use: College Student

- SBIRT Institute

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Brief Intervention: Adolescent with Prescription Opioid Use Disorder

- Sharon Cirone

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SBIRT in Pediatrics: Teen Alcohol Use Case - Good Doctor example - PART I: Screening

- University of Maryland, Baltimore County (UMBC)

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SBIRT in Pediatrics: Teen Alcohol Use Case - Good Doctor example - PART II: Brief Intervention

- University of Maryland, Baltimore County (UMBC)

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SBIRT in Pediatrics: Teen Alcohol Use Case - Bad Doctor example

- University of Maryland, Baltimore County (UMBC)

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SBIRT for Social Work – Juvenile Justice Program: Supervision with Social Work Student

- University of Maryland School of Social Work

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SBIRT for Social Work – Juvenile Justice Program: Social Work Student’s Session for Supervision

- University of Maryland School of Social Work

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SBIRT for Adolescents

- Institute for Research, Education & Training in Addictions (IRETA)

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Seeding and Implementing Systems Change Efforts to Improve the Lives of Youth

- Institute for Research, Education & Training in Addictions (IRETA)

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SBIRT for Youth Learning Community: Featuring Amy Pepin

- National SBIRT ATTC

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SBIRT for Youth Learning Community – Featuring Geoff Miller

- National SBIRT ATTC

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SBIRT for Youth Learning Community – Featuring Dr. O.

- National SBIRT ATTC

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SBIRT for Youth Learning Community: Administering and Interpreting Adolescent-Specific Screening Instruments and Results

- National SBIRT ATTC

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Adolescent SBIRT Curriculum

- SBIRT Education by NORC by the University of Chicago

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Youth and Adolescent Brief Intervention Bilingual Adolescent Algorithm

- BNI-ART Institute

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Adolescent SBIRT Implementation Checklist

- Mosaic Group

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Adolescent Screening, Brief Intervention, and Referral to Treatment for Alcohol and Other Drug Use: Using the CRAFFT Screening Tool

- Massachusetts Department of Public Health Bureau of Substance Abuse Services

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Addiction, Mental Health and Social Work Counselors

Rethinking Drinking

- National Institute of Alcohol Abuse and Alcoholism (NIAAA)

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Helping Patients Who Drink Too Much: A Clinician's Guide

- National Institute of Alcohol Abuse and Alcoholism (NIAAA)

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Alcohol Screening and Brief Intervention: A Guide for Public Health Practitioners

- American Public Health Association

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Practitioner Education in Substance Use and Misuse: Competency-Based Resources

- Council on Social Work Education (CSWE)

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Alcohol Screening and Brief Intervention Core Curriculum

- Boston University

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SBIRT for Health and Behavioral Health Professionals

- University of Missouri-Kansas City

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Anchor 5

College and University Campuses

NHTSA's Screening and Brief Intervention Toolkit for College and University Campuses

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- National Highway Traffic Safety Administration

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EHRs and Reimbursement

Whats Your Take on EHRs and SBIRT - Featuring Les Sperling, CEO of the Central Kansas Foundation

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- National SBIRT ATTC

Whats Your Take on EHRs and SBIRT - Featuring John McAteer from NYC Dept of Health and Mental Hygiene

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- National SBIRT ATTC

Whats Your Take on EHRs and SBIRT – Featuring Jim Winkle from SBIRT Oregon

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- National SBIRT ATTC

Presentation by Joseph Hurley, the Revenue Cycle Manager from Oregon Health and Sciences Family Medicine

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- SBIRT Education by NORC at the University of Chicago

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Emergency Departments

Alcohol Screening, Brief Intervention, and Referral to Treatment (SBIRT) - Part 1

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- Emergency Nurses Association

Alcohol Screening, Brief Intervention, and Referral to Treatment (SBIRT) - Part 2

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- Emergency Nurses Association

SBIRT Pocket Card, Adults

- SBIRT Colorado

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Alcohol Screening and Brief Counseling - Essential Steps

- SBIRT Colorado

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Alcohol and Substance Use Screening, Brief Intervention, and Referral to Treatment (SBIRT) Guidelines

- SBIRT Colorado

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Marijuana Guidance Supplement

- SBIRT Colorado

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Lower Risk Drink Limits Poster; English and Spanish version

- SBIRT Colorado

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We Ask Everyone Alcohol Exam Room Poster; English and Spanish version

- SBIRT Colorado

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Anchor 8

Faith-Based Settings

SBIRT for Education & Faith-Based Settings

- Geneva Sanford, MSW, LSW, LICDC-CS

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Federally-Qualified Health Centers (FQHCs)

NIDA Drug Facts

- National Institute on Drug Abuse (NIDA)

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Hospitals

SBIRT Pocket Card, Adults

- SBIRT Colorado

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Alcohol and Substance Use Screening, Brief Intervention, and Referral to Treatment (SBIRT) Guideline

- SBIRT Colorado

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Alcohol Screening and Brief Counseling - Essential Steps

- SBIRT Colorado

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Marijuana Clinical Guidance

- SBIRT Colorado

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Lower Risk Drink Limits Poster; English and Spanish version

- SBIRT Colorado

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We Ask Everyone Alcohol Exam Room Poster; English and Spanish version

- SBIRT Colorado

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Anchor 11

Joint Commission SBIRT Measures

SBIRT Measures SUB1

- Joint Commission

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SBIRT Measures SUB2

- Joint Commission

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SBIRT Measures SUB3

- Joint Commission

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SBIRT Measures SUB4

- Joint Commission

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Anchor 12

Motivational Interviewing (MI) Skills

TIP 35 Enhancing Motivation for Change in Substance Abuse Treatment

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- Substance Abuse and Mental Health Services Administration (SAMHSA)

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Nursing

Nurse Leaders Advocate for Role in Screening, Intervention and Referral

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- Celia Vimont

Effectiveness of a Nurse-led Alcohol Liaison Service in a Secondary Care Medical Unit

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- Ryder, S.D., et al.

Hospitalized patients? acceptability of nurse-delivered Screening, Brief Intervention, and Referral to Treatment (SBIRT)

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- Broyles LM, Rosenberger EM, Hanusa BH, Kraemer KL, Gordon AJ.

A qualitative study of anticipated barriers and facilitators to the implementation of nurse-delivered alcohol screening, brief intervention, and referral to treatment for hospitalized patients in a Veterans Affairs medical center

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- Broyles, LM, Rodriguez, KL, Kraemer, KL, Sevick, MA, Price, PA and Gordon AJ

A Clarion Call for Nurse-Led SBIRT Across the

Continuum

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- Deborah S. Finnell

Nurses Face Challenges in Implementing Alcohol Screening, Intervention, and Referral

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- Celia Vimont

Addiction Training for Undergraduate Nurses using Screening, Brief Intervention, and Referral to Treatment

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- Burns, et al.

Other articles that feature active roles for nurses in hospital SBIRT (of note, ALL are from outside the US):

Owens L, Butcher G, Gilmore I et al. A randomised controlled trial of extended brief intervention for alcohol dependent patients in an acute hospital setting (ADPAC). BMC Public Health, 2011;11:528.

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Groves P, Pick S, Davis P, Cloudesley RCR, Forsythe M, Pilling S. Routine alcohol screening and brief interventions in general hospital in-patient wards: acceptability and barriers. Drugs: Education, Prevention, and Policy 2011;17(1):55-71.

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Fahy P, Croton G, Voogt S. Embedding routine alcohol screening and brief interventions in a rural general hospital. Drug and Alcohol Review 2011;30:47-54.

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Sullivan LE, Tetrault JM, Braithwaite RS, Turner BJ, Fiellin DA. A meta-analysis of the efficacy of nonphysician brief interventions for unhealthy alcohol use: implications for the patient-centered medical home. Am J Addict 2011;20(4):343-356.

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Ryder SD, Aithal GP, Holmes M, Burrows M, Wright NR. Effectiveness of a nurse-led alcohol liaison service in a secondary care medical unit. Clin Med 2010;10(5):435-440.

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Lock CA, Kaner EF. Implementation of brief alcohol interventions by nurses in primary care: do non-clinical factors influence practice? Fam Pract 2004;21(3):270-275.

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Lock CA, Kaner E, Heather N et al. Effectiveness of nurse-led brief alcohol intervention: a cluster randomized controlled trial. J Adv Nurs 2006;54(4):426-439.

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Lock CA, Kaner E, Lamont S, Bond S. A qualitative study of nurses' attitudes and practices regarding brief alcohol intervention in primary health care. J Adv Nurs 2002;39(4):333-342.

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Littlejohn C, Holloway A. Nursing interventions for preventing alcohol-related harm. Br J Nurs 2008;17(1):53-59.

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Holloway A, Watson H, Starr G. How do we increase problem drinkers' self-efficacy? A nurse-led brief intervention putting theory into practice. Journal of Substance Use 2006;11(6):375-386.

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Holloway A, Watson HE. Screening for hazardous/harmful alcohol consumption amongst general hospital in-patients: establishing concurrent validity of the Alcohol Use Disorders Identification Test in the UK. Journal of Substance Use 2005;5:263-271.

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Holloway AS, Watson HE, Arthur AJ, Starr G, McFadyen AK, McIntosh J. The effect of brief interventions on alcohol consumption among heavy drinkers in a general hospital setting. Addiction 2007;102(11):1762-1770.

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Griffiths RD, Stone A, Tran DT, Fernandez RS, Ford K. Drink a little; take a few drugs: do nurses have knowledge to identify and manage in-patients at risk of drugs and alcohol? Drug Alcohol Rev 2007;26(5):545-552.

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Tran D, Stone A, Fernandez R, Griffiths R, Johnson M. Changes in general nurses' knowledge of alcohol and substance use and misuse after education. Perspect Psychiatr Care 2009;45(2):128-139.

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Tran DT, Stone AMFRS, Griffiths RD, Johnson M. Does implementation of clinical practice guidelines change nurses' screening for alcohol and other substance use? Contemp Nurse 2009;33(1):13-19.

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Opioids

Opioid Dependency: Facts & Figures

- International Nurses Society on Addictions (INTNSA)

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An Upstream Intervention to Address the Heroin and Prescription Opioid Epidemic

- Institute for Research, Education & Training in Addictions (IRETA)

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Primary Care

SBIRT Core Training Program: Screening, Brief Interventions, and Referral to Treatment

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- American Society of Addiction Medicine (ASAM) and Clinical Tools, Inc. (CTI)

AUDIT: Guidelines for Use in Primary Health Care

- World Health Organization (WHO)

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ASSIST (Alcohol, Smoking and Substance Involvement Screening Test): Manual for Use in Primary Care

- World Health Organization (WHO)

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Brief Intervention for Hazardous and Harmful Drinking: A Manual for Use in Primary Care

- World Health Organization (WHO)

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Treatment Improvement Protocol (TIP), TIP 24: A Guide to SA Services for Primary Care Clinicians

- Substance Abuse and Mental Health Services Administration (SAMHSA)

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The Alcohol Use Disorder Identification Test, Adapted for Use in the United States: A Guide for Primary Care Practitioners

- Substance Abuse and Mental Health Services Administration (SAMHSA)

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Research Studies

Field CA, Baird J, Saitz R, Caetano R, Monti PM, 2010, The missed evidence for brief intervention in emergency departments, trauma care centers and inpatient hospital settings; What should we do? Alcohol Clin Exp Res. 34: 004-2010.

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Proudfoot, H. and Teesson, M. (2009). The association of alcohol dependence with general practice attendance. Drug and Alcohol Review, 28: 154?159.

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Saitz, R., Freedner, N., Palfai, T. P., Horton, N. J. and Samet, J. H. (2006), The Severity of Unhealthy Alcohol Use in Hospitalized Medical Patients. Journal of General Internal Medicine, 21: 381?385.

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Williams, E. C., Palfai, T., Cheng, D. M., Samet, J. H., Bradley, K. A., Koepsell, T. D., Wickizer, T. M., Heagerty, P. J. and Saitz, R. (2010), Physical Health and Drinking Among Medical Inpatients With Unhealthy Alcohol Use: A Prospective Study. Alcoholism: Clinical and Experimental Research, 34: 1257?1265.

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Chen CH, Chen WJ, Cheng A, Prevalence and identification of alcohol use disorders among nonpsychiatric inpatients in one general hospital, General Hospital Psychiatry, Volume 26, Issue 3, May-June 2004, Pages 219-225.

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Gossop, M., Neto, D., Radovanovic, M., Batra, A., Toteva, S., Musalek, M., Skutle, A. and Goos, C. (2007), CLINICAL STUDY: Physical health problems among patients seeking treatment for alcohol use disorders: a study in six European cities. Addiction Biology, 12: 190?196. doi: 10.1111/j.1369-1600.2007.00066.x

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Ulrich, Rumpf,Bischof, Hapke, Hanke, and Meyer (2012). Excess Mortality of Alcohol-Dependent Individuals After 14 Years and Mortality Predictors Based on Treatment Participation and Severity of Alcohol Dependence. Alcoholism: Clinical and Experimental Research.

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Cobain K, Owens L. L, Kolamunnage-Dona R, Fitzgerald R, Gilmore I, Pirmohamed M: Brief Interventions in dependent drinkers: A comparative prospective analysis in two hospitals. Alcohol Alcohol 2011.

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Conigrave KM, Saunders JB, Reznik RB (1995), Predictive capacity of the AUDIT questionnaire for alcohol-related harm. Addiction, 90: 1479?1485.

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Lau K, Freyer-Adam J, Gaertner B, Rumpfr HF et al. 2010. Motivation to change risky drinking and motivation to seek help for alcohol risk drinking among general horsetail inpatients with problem drinking and alcohol-related diseases. Gen Hosp Psychiatry. 32, 86-93.

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McQueen J, Howe TE, Allan L, Mains D, Hardy V. Brief interventions for heavy alcohol users admitted to general hospital wards. Cochrane Database Syst Rev. 2011 Aug 10;(8):CD005191.

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Chick J, Lloyd G, Crombie E: Counseling problem drinkers in medical wards: a controlled study. Br Med J (Clin Res Ed) 1985, 290(6473):965-967.

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Clark, S. , B. J., Smart, A., House, R., Douglas, I., Burnham, E. L. and Moss, M. (2011), Severity of Acute Illness is Associated with Baseline Readiness to Change in Medical Intensive Care Unit Patients with Unhealthy Alcohol Use. Alcoholism: Clinical and Experimental Research.

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Freyer-Adam J, Coder B, Baumeister S et al. Brief alcohol intervention for general hospital inpatients: A randomized controlled trial, Drug and Alcohol Dependence, Volume 93, Issue 3, 1 March 2008, Pages 233-243.

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McManus S, Hipkins J, Haddad P, Guthrie E, Creed F: Implementing an effective intervention for problem drinkers on medical wards. Gen Hosp Psychiatry 2003, 25(5):332-337.

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Burns, H.K., Puskar, K., Flaherty, M.T., Mitchell, A.M., Hagle, H., Braxter, B., Fioravanti, M., Gotham, H.J., Kane, I., Talcott, K.S., Terhorst, L., Woomer, G.R. (2012). Addiction training for undergraduate nurses using screening, brief intervention, and referral to treatment. Journal of Nursing Education and Practice, 2(4), 167-177, doi: 10.5430/jnep.v2n4p167.

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Puskar, K., Gotham, H., Terhorst, L., Hagle, H., Mitchell, A.M., Braxter, B., Fioravanti, M, Kane, I., Talcott, K.S., Woomer, G.R., Burns, H.K. (2012). Effects of SBIRT Education and Training on Nursing Students? Attitudes Toward Working with Patients Who Use Alcohol and Drugs. Substance Abuse. doi: 10.1080/08897077.2012.15621

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Terhorst, L., Gotham, H.,J., Puskar, K.R., Mitchell, A.M., Talcott, K., Braxter, B., Hagle, H., Fioravanti, M., Woomer, G.R. (2013). Confirming the factor structure of the alcohol and alcohol problems questionnaire (AAPPQ) in a sample of baccalaureate nursing students. Research in Nursing and Health, 36(4), 412-22, doi: 10.1002/nur.21537

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Emmen MJ, Schippers GM, Blejenberg G, Wollensheim H (2004), Effectiveness of opportunistic brief interventions for problem drinking in a general hospital setting: systematic review. BMJ, 328. 318

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Roche AM. Freeman T. Skinner N. From data to evidence, to action: findings from a systematic review of hospital screening studies for high risk alcohol consumption. Drug & Alcohol Dependence. 83(1):1-14, 2006 Jun 9.

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Field, CA, and Caetano, R. The effectiveness of brief intervention among injured patients with alcohol dependence: Who benefits from brief interventions?. Drug and Alcohol Dependence. 111: 13-20.

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Guth S, Lindberg SA, Badger G et al. Brief Intervention in Alcohol-Dependent Versus Nondependent Individuals J. Stud. Alcohol Drugs 69: 243-250, 2008.

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Gentilello LM, Ebel BE, Wickizer TM et al (2005) Alcohol Interventions for Trauma Patients Treated in Emergency Departments and Hospitals: A Cost Benefit Analysis. Annals of Surgery. 241(4):541-550.

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Rubinsky AD, Sumn H et al, AUDIT-C alcohol screening results and postoperative inpatient heatlh care use. J Am College Surg. 214(3), March 2012.

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Spies C, Nordmann A, Brummer G, et al. Intensive care unit stay is prolonged in chronic alcoholic men following tumor resection of the upper digestive tract. Acta Anaesthesiol Scand 1996;40: 649?56.

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Spies CD, Rommelspacher H. Alcohol withdrawal in the surgical patient: prevention and treatment. Anesth Analg 1999; 88(4): 946-954.

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Alexander Y. Walley, MD, MSc, Michael Paasche-Orlow, MD, MA, MPH, Eugene C. Lee, BA,Shaula Forsythe, AM, MPH, Veerappa K. Chetty, PhD, Suzanne Mitchell, MD, and Brian W. Jack, MD. Acute Care Hospital Utilization Among Medical Inpatients Discharged with a Substance Use Disorder Diagnosis. Journal of Addiction Medicine. 2012; 6: 50-56.

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Douglas Zatzick, MD, Gregory Jurkovich, MD, Joan Russo, PhD, Peter Roy-Byrne, MD, Wayne Katon, MD, Amy Wagner, PhD, Chris Dunn, PhD, Edwina Uehara, PhD, David Wisner, MD, and Frederick Rivara, MD, MPH (2004). Posttraumatic Distress, Alcohol Disorders, and Recurrent Trauma Across Level 1 Trauma Centers. The Journal of Trauma Injury, Infection, and Critical Care, 57(2), 360-366.

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Craig A. Field, Raul Caetano, T. R. Harris, Ralph Frankowski3 & Bahman Roudsari (2009). Ethnic differences in drinking outcomes following a brief alcohol intervention in the trauma care setting. Addiction, 105, 62?73.

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Craig A. Field and Raul Caetanoc. (2010). The effectiveness of brief intervention among injured patients with alcohol dependence: Who benefits from brief interventions? Drug and Alcohol Dependence 111 (2010) 13?20.

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Jason A. London, MD, MPH, Christopher W. Dunn, PhD, and Garth H. Utter, MD, MSc. (2011). Alcohol-Related Brief Interventions as a Criterion for American College of Surgeons Level I Trauma Center Verification: How Best to Train the Interventionists? The Journal of Trauma Injury, Infection, and Critical Care, 70(4), 931-938.

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Per Nilsen, (M.D.), Janette Baird, (Ph.D.), Michael J. Mello, (M.D., M.P.H.), Ted Nirenberg, (Ph.D.), Robert Woolard, (M.D.), Preben Bendtsen, (M.D.), Richard Longabaugh, (Ed.D.). (2007). A systematic review of emergency care brief alcohol interventions for injury patients. Journal of Substance Abuse Treatment, 35, 184?201.

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Carl A. Soderstrom, MD, Carlo C. DiClemente, PhD, Patricia C. Dischinger, PhD, J. Richard Hebel, PhD, David R. McDuff, MD, Kimberly Mitchell Auman, MS, and Joseph A. Kufera, MA. (2007). A Controlled Trial of Brief Intervention Versus Brief Advice for At-Risk Drinking Trauma Center Patients. The Journal of Trauma Injury, Infection, and Critical Care, 62:1102?1112.

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Barbara Turner, M.D. and A. Thomas McLellan, Ph.D. (2012). Substance Use Disorders and Primary Health Care: Addressing the Gap

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Regina Makdissi and Scott H Stewart (2013). Care for hospitalized patients with unhealthy alcohol use: a narrative review. Addiction Science & Clinical Practice, 8:11.

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Training and Technical Assistance (TA)

Implementing Screening and Brief Intervention in Emergency Departments

Alcohol Screening and Brief Intervention (ASBI): Program Implementation and Operations Manual

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Yale School of Medicine Screening Brief Intervention and Referral to Treatment

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Yale School of Medicine Screening for Alcohol Problems

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Evaluation of the Washington State Screening, Brief Intervention, and Referral to Treatment Project Cost Outcomes for Medicaid Patients Screened in Hospital Emergency Departments? by Estee, et. al. Medical Care, Volume 48, Number 1, January 2010

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Targeting Screening and Treatment to High Risk, High Cost Inpatients

"Early data from project engage: a program to identify and transition medically hospitalized patients into addictions treatment" by Pecoraro Anna, Horton Terry, Ewen Edward, Becher Julie, Wright A. Patricia, Silverman Basha, McGraw Patty, Woody E. George, Addiction Science & Clinical Practice. 2012, 7:20.

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Project Engage PowerPoint Presentation April 3, 2012 by Basha Silverman and Terry Horton

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Hospital Readmissions among Medicaid Beneficiaries with Disabilities: Identifying Targets of Opportunity? by Todd Gilmer, PhD, University of California San Diego, and Allison Hamblin, Center for Health Care Strategies, Inc.; December 2010 (p. 6)

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Acute Care Hospital Utilization Among Medical Inpatients Discharged with a Substance Use Disorder Diagnosis by Walley et. al; J Addict Med, Volume 6: No. 1, March 2012

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Implementing the Joint Commission's Inpatient SBIRT Measures (SUB 1, 2, 3, 4)

Joint Commission Substance Use (SUB) Measure Set

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SBIRT Coming to Hospitals Via Joint Commission article by Eric Goplerud - May 28, 2012

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The Joint Commission?s New Tobacco-Cessation Measures - Will Hospitals Do the Right Thing? by Michael C. Fiore, Eric Goplerud, and Steven A. Schroeder in The New England Journal of Medicine

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The Business and Clinical Case for SBIRT

SBIRT: The Right Thing for Everyone PowerPoint Presentation

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Evidence for Funding screening, Brief Intervention, and Referral to Treatment (SBIRT) within Pennsylvania Emergency Department by University of Pittsburgh School of Pharmacy

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PRISM Systematic Reviews by the Treatment Research Institute regarding alcohol use on some common medical conditions (e.g., diabetes, heart disease, hypertension)

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Screening, brief interventions, referral to treatment (SBIRT) for illicit drug and alcohol use at multiple healthcare sites: Comparison at intake and six months (Madras et al. 2009)

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