SBIRT Training
Tiffany Lee-Parker, PhD
Denise Bowen, MA, PA-C
Stephen E. Craig, PhD
SBIRT Training:
2nd Class Overview
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Discuss AUDIT
Discuss SBIRT Proficiency Checklist
Old Video – Use Checklist
Roleplay – Use SBIRT in Groups of 3
New Video – Use Checklist
Discuss 30 day follow up survey/Certificate
Videotaped role plays and feedback sessions
Take posttest and satisfaction surveys
Review the AUDIT
• In your roleplays today, you will be
provided a completed AUDIT by your
mock client.
• You must interpret the results and use
the results in your implementation of
SBIRT.
• Let’s look at the AUDIT in more detail.
AUDIT
An intervention based on “motivational interviewing” strategies
• Screening: Universal screening for quickly assessing use and
severity of alcohol; illicit drugs; and prescription drug use,
misuse, and abuse
• Brief Intervention: Brief motivational and awareness-raising
intervention given to risky or problematic substance users
• Referral to Treatment: Referrals to specialty care for
clients/patients with substance use disorders
Treatment may consist of brief treatment or specialty AOD (alcohol
and other drugs) treatment.
SBIRT Proficiency Checklist
You will be using this checklist in your
roleplays today.
Let’s review the form in more detail.
Health Impacts
What health concerns are
associated with substance
use?
Health Impacts of
Problematic Substance Use
• Hypertension, heart disease
• Liver disease, gastritis, pancreatitis
• Depression, anxiety, sleep dysfunction
• Risk for breast, colon, esophageal, head, and neck
cancers
• HIV/AIDS, other STIs, and other infectious diseases
• Trauma, disability
VIDEO
• Watch this video and use the checklist to
rate the counselor’s use of SBIRT skills
• We will discuss the results as a class
SBIRT Video Link - Alcohol Use
Note:
[email protected]
SBir7sB1Rt
VIDEO- Review Checklist
ROLEPLAY
• In groups of 3, you will take turns using SBIRT as a
therapist, acting as a client, and rating the use of
SBIRT as an observer.
• Each roleplay will be 10 minutes in length, with 5
minutes of feedback from the observer.
• As the observer, you will assess the use of SBIRT
with the checklist.
• Introduction of role play
ROLEPLAY
• SCENARIO AND DESCRIPTION OF CLIENT
Matt is a 35 year old Caucasian male who was recently referred to your office by his
probation officer. A few months ago, Matt was arrested after police discovered him
passed out in a parking lot next to his vehicle. Upon questioning, Matt became
aggressive with the officer and was subsequently arrested, charged, and convicted for
public intoxication and resisting arrest. One of the conditions of his probation is that
he attend 10 counseling sessions with a licensed mental health professional. Matt is
adamant that he does not have a substance use problem and reluctantly agrees to
complete counseling sessions instead of incarceration. Upon intake, Matt indicated
that he only drinks a six-pack of beer 2-3 days per week and may “have a few cocktails
on the weekend.” His AUDIT score (see instrument) is a 17.
For the role play, one of you will play the role of Matt, one of you will play the role of
counselor, and one of you will play the role of observer/rater. The counselor is tasked
with working their way through the screening, brief intervention, and referral to
treatment protocol in a 10-minute role play. The observer will use the proficiency
checklist to assess those elements of SBIRT that are observed or not observed. A 5minute feedback time will allow the observer to share the results with the counselor.
Video – Counseling Setting
• Now, we will view another video.
– You will have the checklist to complete with a
partner while video is playing.
– We will discuss the results as a class.
– Motivational Interviewing Video
Video – CECP Student Example
Thank You
• Any questions or comments?
• 30 day follow-up survey on your training and
certificate of training.
• Complete post-test and satisfaction surveys.
• The students who will be participating in the
research study, please schedule your feedback
session with Drew Clay.