Screening, Brief Intervention, and Referral to Treatment (SBIRT) for Substance Use Disorders in Primary Care Settings

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Presenter: Jeanne Manubay, MD, New York State Psychiatric Institute, Columbia University

Fee:  No Cost

Target Audience: Intended for primary care physicians, nurse practitioners, and healthcare teams who treat patients with opioid use disorder (OUD).

Credit Designations AvailableInterprofessional Continuing Education credit, AMA PRA Category 1 Credits™, and Nursing Contact Hours.

Module Description: Given the high prevalence of substance use disorders among primary care patients, as well as the continuing epidemic of opioid use disorders, it is important to routinely screen your patients for substance use disorders.  This module describes the SBIRT model (Screening, Brief Intervention, Referral to Treatment), an evidence-based practice that has shown significant success in varied clinic settings at reducing alcohol and illicit substance use.  Validated, structured screening tools are provided and the components of how to implement brief interventions with your patients are described.  The module also discusses approved treatments for substance use disorders, as well as guidelines for when to refer your patient for other options.

Core Competencies as a result of participating in this activity:

Interpersonal Skills and Communication
Medical Knowledge
Patient Care

Educational Objectives: 

At the conclusion of this activity, learners should be able to:

  • Identify appropriate screening tools to detect substance use 
  • Determine the severity of substance use disorders to help guide treatment 
  • Review the components of a brief intervention
  • Describe how to provide follow-up appointments and referrals as needed

Method of participating in the learning process:  

In order to receive maximum credit, learners must: 

1. Review the materials provided in this module.
2. Earn a minimum cumulative score of 80% on the post-test. 
3. Complete an evaluation to assess satisfaction and plans for individual and/or team practice change.
4. Follow instructions at the end of the course regarding how to retrieve a certificate.* 

*Credit will not be awarded unless all components of the program are completed.  Partial credit will not be awarded.

Accreditation and Certification of this activity:  

imageJoint Accreditation Statement

In support of improving patient care, American Academy of Addiction Psychiatry is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC) to provide continuing education for the healthcare team.

Release date: July 24, 2019            Date of ExpirationJuly 24, 2022

Physician Designation Statement

American Academy of Addiction Psychiatry designates this enduring material for a maximum of 1 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.  

Nursing Designation Statement

American Academy of Addiction Psychiatry is an approved provider of nursing continuing education through AAAP’s Joint Accreditation provider #4008192. This program is approved for up to 1 Nursing Contact Hours.

imageJoint Accreditation Designation Statement

This activity was planned by and for the healthcare team, and learners will receive 1 Interprofessional Continuing Education credits for learning and change.


AAAP's interprofessional continuing education program aims to provide educational information that is balanced, independent, objective and free of bias and based on evidence. During the planning process, anyone that is involved in the content is required to disclose to AAAP and our learners any real or potential conflict of interest related to the educational activity. The following individuals have no relevant financial relationships with an ACCME defined commercial interest to disclose: Thomas Penders, MD, Michael Goedde, MD, Nitigna Desai, MD, Karen Oliver, PhD, John Renner, Jr, MD, Kevin Sevarino, MD, PhD, Colleen LaBelle, MSN, RN-BC, CARN, Kathryn Cates-Wessel, Miriam Giles, Carol Johnson, Jennifer Lundstrom, and Justina Pereira.  PCSS Clinical Expert Committee members and content reviewers Adam Bisaga, MD and Laura Leahy, DrNP, APRN, FAANP, have nothing relevant to the content of this module to disclose. Content Developer Jeanne Manubay, MD, has nothing to disclose.  

Faculty have been advised that any recommendations involving clinical medicine must be based on evidence that is accepted within the profession of medicine as adequate justification for their indications and contraindications in the care of patients. All scientific research referred to, reported, or used in the presentation must conform to the generally accepted standards of experimental design, data collection, and analysis. Learners are advised that this activity may contain references to unlabeled uses of US FDA-approved products or to products not approved by the FDA for use in the United States. In these instances, participants will be made aware of such usage and discussions regarding either non–FDA-approved or investigational use of products/devices.

ADA Accommodation Statement 

AAAP encourage persons with disabilities to participate in our programs and activities. If you anticipate needing any type of accommodation or have questions about this activity, please email

Privacy and Confidentiality Policy 

AAAP values your privacy and confidentiality of the information you choose to share with us. Personal information collected from evaluations will not be shared with third parties. 

Disclaimer: The views, opinions, and content expressed herein do not necessarily reflect the views or policies of AAAP, CSAT, SAMHSA, or HHS. No official support of or endorsement by AAAP, CSAT, SAMHSA, or HHS for these opinions or for particular instruments, software, or resources is intended or should be inferred.

Support for the Program: 

Funding for this initiative was made possible (in part) by grant no. 5U79TI026556 from SAMHSA. The views expressed in written conference materials or publications and by speakers and moderators do not necessarily reflect the official policies of the Department of Health and Human Services; nor does mention of trade names, commercial practices, or organizations imply endorsement by the U.S. Government.


Online Module Pre Test
5 Questions  |  1 attempt  |  0/5 points to pass
5 Questions  |  1 attempt  |  0/5 points to pass Please answer the following pre-test questions to the best of your ability. These will serve only as a brief assessment of prior knowledge before accessing the training. A passing score is not required in order to advance in the course.
Presentation Slides
Open to download resource.
Open to download resource. Review the presentation slides and return to this webpage in order to proceed in the course.
After reviewing the presentation slides for this training, you will be asked to attest that you have viewed the content in its entirety. By attesting to the acknowledgement statement you will advance to the post-test.
Online Module Post Test
5 Questions  |  Unlimited attempts  |  4/5 points to pass
5 Questions  |  Unlimited attempts  |  4/5 points to pass Please answer the following questions to the best of your ability. NOTE: In order to receive your CME Certificate/Certificate of Completion, you must earn a score of 4 out of 5 on this post-test. Upon passing the post-test, you will be directed to complete an evaluation.
Please answer the following evaluation questions to the best of your ability. NOTE: Upon completion, you will receive a verification code on the last page of the survey. Return to this page and enter the verification code in its designated component below to claim your Certificate.
Verification Code
Enter code to continue.
Enter code to continue. Enter the verification code provided at the end of the evaluation to access your CME Credit Certificate/Certificate of Completion for this course.
I am an MD or DO and would like a CME Credit Certificate
1.00 (one) credit  |  Certificate available
1.00 (one) credit  |  Certificate available Certificate for AMA PRA Category 1 Credits™
I am an RN or NP and would like a Nursing Contact Hour Certificate
1.00 (one) Nursing credit  |  Certificate available
1.00 (one) Nursing credit  |  Certificate available Certificate for Contact Hour(s)
I would like an Interprofessional Continuing Education Credit Certificate
1.00 (one) IPCE credit  |  Certificate available
1.00 (one) IPCE credit  |  Certificate available Certificate for Interprofessional Continuing Education (IPCE) credit(s)