WE ASK EVERYONE.

Resources

Prescreen Form
Prescreen Form
These 3 questions are used to prescreen patients to determine if a full screen is necessary. Question 1 screens for alcohol use (taken from the AUDIT-10); Question 2 screens for i ...
Prescreen Form
Alcohol Use Disorder Identification Test-10 (AUDIT-10)
The AUDIT is an alcohol screening tool developed by the World Health Organization (WHO). This screening is comprised of 10 screening questions that scores patients into 4 levels ...
Prescreen Form
Drug Abuse Screening Test-10 (DAST-10)
The DAST-10 is a 10 question screening tool used to measure a patient’s drug use patterns. This questionnaire aims to measure the consequences experienced due to drug use. This ...
Prescreen Form
Patient Health Questionnaire (PHQ-9)
The PHQ-9 contains 9 items that can be used to screen patients for depression. Download the PDF: English | Spanish ...
Prescreen Form
Screening Booklet
The Indiana SBIRT team created this pocket-sized booklet to screen for drug and alcohol use. Included are the Alcohol Screening Questionnaire (AUDIT) and the Drug Abuse Screening ...
Prescreen Form
CRAFFT
The CRAFFT screening tool is used to identify substance use and associated behaviors in youth and adolescents. This screening is reliable and valid, and is recommended by the Ame ...
Prescreen Form
NIAAA Adolescent Alcohol Screening
Created by the National Institute on Alcohol Abuse and Alcoholism (NIAAA), in collaboration with the American Academy of Pediatrics, clinical researchers, and health practitioner ...
Brief Intervention Step-by-step
The resource demonstrates the four steps of an SBIRT conversation, along with an example dialogue. Download the PDF: Step-by-step ...
SBIRTback
Readiness Ruler
This pocket-sized card was created to assist physicians in screening patients for risky alcohol levels and providing brief intervention when necessary. The front contains informa ...
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Drug Effects Brochures
Indiana SBIRT created brochures listing the health effects of various substances. These brochures can be distributed by healthcare or behavioral healthcare providers with speaking ...
Business Card
The front of this business card includes a QR code that is linked to the IndianaSBIRT website, while the back shows low risk drinking limits. Download the PDF: English | Spani ...
SAMHSA Brief Treatment Guide
This guide was created by the Substance Abuse and Mental Health Services Administration (SAMHSA) and provides an overview of brief treatment, along with tools and techniques for p ...
Link to Treatment Finder
Use this link provided by the Substance Abuse and Mental Health Services Administration (SAMHSA) to find a treatment center located near you. https://findtreatment.samhsa.gov/ ...
Marketing Fact Sheet
This fact sheet was designed to educate healthcare organizations about the SBIRT process. Included is a brief description of SBIRT, facts on being an evidence based program, and ...
Provider-Info-Sheet
Provider Information Sheet
Getting support from healthcare providers at health centers is essential for smooth implementation of SBIRT. This information sheet is given to doctors, nurses, and other healthc ...
SBIRT Brochure
This brochure was developed to promote SBIRT as an approach that strengthens integrated care in healthcare organizations. Download the PDF: SBIRT Brochure ...
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"We Ask Everyone" SBIRT Poster
The "We Ask Everyone" poster introduces patients to SBIRT and explains that everyone will be asked questions about their substance use. No one is being singled out. The poster in ...
SBIRT Implementation Webinar
This webinar covers how the SBIRT procedure can be integrated into a primary care clinic's normal patient flow. It introduces the key components of the SBIRT procedure: prescreen ...
SBIRT Readiness Assessment
One of the initial steps toward the integration of primary and behavioral health care in any organization is to identify the important components of integrated care and then dete ...
Implementation Planning Worksheet
This worksheet was designed to be used by health centers in the SBIRT planning process. This worksheet can assist in organizational decision making, covering the key components o ...
Implementation Decisions Worksheet
The implementation worksheet is a tool for organizing process flow notes. The flowchart page shows how each step leads into the next and can be useful for visually communicating ...
Billing Codes Chart
This chart contains information on the billing codes available for SBIRT services. Download the PDF: Billing Codes ...
CDC Implementation Guide
The Centers for Disease Control and Prevention (CDC) with the National Center on Birth Defects and Developmental Disabilities created this step-by-step guide for implementing scr ...
SBIRT DASH
SBIRT Dash is a software package that monitors and evaluates the operation of screening, brief intervention, and referral to treatment (SBIRT) services in healthcare organization ...
Fidelity Instruments
PROJECT ED HEALTH- BNI Adherence & Competence Checklist This fidelity checklist was developed by the Yale School of Medicine and is designed to be completed by a reviewer (obse ...
SBIRT Library
The SBIRT web library holds over 100 free online videos, articles, and other publications related to SBIRT. Indiana residents may borrow DVDs, use books on site, and connect to ...
SBIRT Publications
Below is a list of articles that have been published by the Indiana SBIRT team. Reho, K., Agley, J., DeSalle, M., & Gassman, R.A. (2016). Are we there yet? A brief report on Sc ...
SBIRT in the Media
SBIRT in the media Access the SBIRT in the Media ...
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IU School of Public Health Bloomington         IPRC: Indiana Prevention Resource Center         SAMHSA