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8.2 Brief Intervention
Brief intervention is performed during the first session following a positive screen or a finding of at least a moderate risk for substance or alcohol abuse. Brief intervention, directed to the client, involves motivational discussion focused on raising the client's awareness of their substance use and its consequences, and motivated them toward behavioral change. Successful brief intervention encompasses support of the client's empowerment to make behavioral changes. A client found to have a moderate risk for substance or alcohol abuse should be referred for brief treatment of up to 3 sessions. Upon determination that the client has a severe risk for substance or alcohol abuse, the client should also be referred for more extensive treatment to the appropriate chemical dependency treatment center or outpatient behavioral health provider. If the client is currently under the care of a behavioral health provider, the client must be referred back to that provider.
SBIRT documentation for the first session must include:
• The client has an alcohol or drug-related traumatic injury or condition.
•Positive screening by a standardized screening tool.
•Laboratory results such as blood alcohol content, toxicology screen, or other measures showing at least a moderate risk for alcohol or substance abuse.
•The name, address, and phone number of the provider to which the client is referred, if a referral is made.
The provider who performed the screening must document that a follow-up appointment was made for a subsequent session.
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