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2012 Texas Medicaid Provider Procedures Manual

Behavioral Health, Rehabilitation, and Case Management Services Handbook : 7. Screening, Brief Intervention, and Referral to Treatment (SBIRT) : 7.2 Brief Intervention

Brief intervention is performed during the first session in the ED or inpatient hospital setting following a positive screen or a finding of at least a moderate risk for substance or alcohol abuse. Brief intervention is directed to the client and involves motivational discussion that is focused on raising the client’s awareness of his or her substance use and its consequences. The session is also focused on motivating the client toward behavioral change.
Successful brief intervention encompasses support of the client’s empowerment to make behavioral changes. A client who is found to have a moderate risk for substance or alcohol abuse should be referred for brief treatment of up to three 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 provider who performed the screening must document that a follow-up appointment was made for a subsequent session.

Texas Medicaid & Healthcare Partnership
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