Addiction+Medicine

SBIRT (Screening, Brief Intervention and Referral to Treatment) toc Screening, brief intervention, and referral to treatment - - for harmful alcohol and drug use It can also be applied to mood disorders.

**Tools**
[|OHSU:]SBIRT forms in multiple languages, including initial screen (Alcohol, drugs, and depression) with follow-up for alcohol (AUDIT) and drugs (DAST) [|Patient self screening tools]

SBIRT Training Modules
[|UCLA Integrated Substance Abuse Program] Training Links for SBIRT, contracted by the State of California to do SBIRT trainings around the state. They have a list on on-line training opportunities. [|OHSU]: Online video, powerpoint, and group discussion resources. Takes about 2 hours [|BU]: An excellent multimedia curriculum from Boston University with embedded videos demonstrating motivational interviewing adapted to primary care. [|NIAAA:] 4 excellent video cases that demonstrate the recommendations of the Clinician's Guide (below). Each case is about 10 minutes.

**References and resources**

 * [|Helping Patients Who Drink Too Much,]** A Clinician's Guide, 2005 ed., US Department of Health and Human Services, NIH Publication No. 05-3769

**CCHS Referrals**
For patients who are or may be candidates for **buprenorphine** (Suboxone) treatment, please call the Martinez specialty care coordinator at 925 370 5988 (voice mail). Please leave the patient's name, MR#, telephone number and a brief statement about the nature of the referral. Also, fax a MR 191-8 to 925 370 5529. (To be considered for buprenorphine, a patient must want to no longer be interested in using opioids to get high, be psychiatrically stable, and allow urine toxicology testing.)
 * Martinez Addiction Medicine Clinic (Med Pain Consult):**

At this time, Ken Saffier, MD, is only taking **chronic pain management referrals** from residents. If you are a resident, please follow the above for these referrals and leave the days and times you will be in your FMC for the next 2 rotations and the best means of contacting you. If you are a staff physician or nurse practitioner with a chronic pain management referral, feel free to contact Ken Saffier to discuss your patient and the alternatives for obtaining a consultation within and outside of our system.


 * [|Find a program]** for your patients (by ZIP code)

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