Screening is a short process, often self-administered, but standardized check for any signs of substance use or misuse. If the screen identifies risk beyond a minimum threshold, the provider discusses the screen with the patient and may conduct further assessment.
- Audit (Downloadable PDF of Audit)
- DAST (Downloadable of DAST)
- PHQ-9 (Downloadable version of PHQ-9)
Brief Intervention (BI) is a technique used to initiate change for risky behavior for substance use disorder. Providers are trained in Motivational Interviewing to effectively deliver successful brief interviews or 15-30 minutes of brief counseling. BI’s are not intended to treatment people with serious substance dependence, but rather to treat problematic or risky substance use. Brief Interventions are essential to the successful SBIRT Implementation (SAMHSA, 2017).
Brief Treatment and Referral to Treatment
Brief Treatment (BT) involves up to 6 sessions to help patients identify and develop needed skils and resources to change and offered to patients whose score indicates harmful alcohol or/and other drug use. BT can be motivational or cognitive approaches that can include a standardize assessment. When a provider determines a referral is needed based on clinical necessity, an appropriate referral is made to the SBIRT Care Coordination at the Hawaiian Substance Abuse Coalition (HSAC). Patients whose screening score indicate severe dependency or high risk are to be referred to the HSAC HI SBIRT Referral Coordination Services for care coordination purposes.
Service Recommendations Based on Screening Scores
*Kane-(noun) Male in Hawaiian
*Wahine-(noun) Female in Hawaiian
|AUDIT||DAST-10||PHQ-9||LEVEL OF RISK||TREATMENT PROVIDED|
|0-7 FOR Kane
0-6 FOR Wahine
|3-5||0-4||Low||Education and Reinforcement|
|8-15 for Kane
7-15 for Wahine
|3-5||5-9||Hazardous Use||Brief Intervention|
|16-19||6-8||10-14||Harmful Use||Brief Treatment|
|>20||9-10||>15||Possible Dependence||Referral To Treatment|