AuthorsAs an ACCME accredited provider of continuing medical education, Clinical Tools, Inc.requires everyone who is in a position to control the content of an educational activity to disclose all relevant financial relationships with any commercial interest to the provider. The ACCME defines 'relevant' financial relationships as financial relationships in any amount occurring within the past 12 months that create a conflict of interest. Any conflicts of interest are resolved prior to the delivery of the educational activity to the learner.
Audience and Accreditation
Physicians & primary care providers
|AMA PRA Category 1 Credit(s)™||1.5hr(s)||4/6/17||3/4/18|
Goal: The learner will be able to accurately screen for and identify hazardous substance use, direct patients with substance use problems to an appropriate level of care, and create and implement a brief intervention and education tailored to patients with substance use problems.
Compton P. Urine toxicology screening: a case study. Emerging Solutions in Pain. 2009.
D'Amico EJ, Paddock SM, Burnam A, Kung FY. Identification of and guidance for problem drinking by general medical providers: results from a national survey. Med Care. 2005; 43(3):229-236.
Friedmann PD, McCullough D, Saitz R. Screening and Intervention for Illicit Drug Abuse. A National Survey of Primary Care Physicians and Psychiatrists. Arch Intern Med. 2001;161(2):248-251.
Madras BK, Compton WM, Avula D, et al. Screening, brief interventions, referral to treatment (SBIRT) for illicit drug and alcohol use at multiple healthcare sites. Drug Alcohol Depend. 2009; 99: 280-295. Available at: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2760304/ Accessed on: 2011-03-24.
Mersy DJ. Recognition of alcohol and substance abuse. American Family Physician. 2003; 67: 1529-1532.
Roche AM, Freeman T. Brief interventions: good in theory but weak in practice. Drug and Alcohol Review. 2004; 23: 11-18.
The National Center on Addiction and Substance Abuse (CASA). Missed Opportunity: National Survey of Primary Care Physicians and Patients on Substance Abuse. 2000. Columbia University. Available at: http://www.centeronaddiction.org/addiction-research/reports/national-survey-primary-care-physicians-patients-substance-abuse
Seale JP, Shellenberger S, Velzsquez MM, Boltri JM, Okosun I, Guyinn M, Vinson D, Cornelius M, Johnson JA. Impact of vital signs screening and clinician prompting on alcohol and tobacco screening and intervention rates: a pre-post intervention comparison. BMC Fam Pract. 2010; 11:18.
Substance Abuse and Mental Health Services Administration (SAMHSA). A Guide to Substance Abuse Services for Primary Care Clinicians: Concise Desk Reference. 2008. Treatment Improvement Protocol (TIP) Series #24.
U.S. Preventive Services Task Force Grade Definitions After May 2007. May 2008. http://www.uspreventiveservicestaskforce.org/Page/Name/grade-definitions
Educational Objectives:After completing this activity participants will be able to:
Employ motivational interviewing techniques to develop rapport with the patient
Interpret appropriate screening tools and intervention techniques for hazardous substance use problems based on patient history and characteristics
Implement a brief intervention that is tailored to the patient and the severity of the substance use problem
Triage patients to the appropriate level of care within your practice
Provide the patient with education and resources needed
Modules in this Training Activity
Basics of SBIRT in Primary Care (for providers in Oklahoma)
Practice Gap References:
Most Recent ReviewsCTI Content Review: Thu, 1/5/2017
CTI Editorial Review: Mon, 1/9/2017
Activity Credit: Obtaining credit for participation in this activity requires that you complete the pre-assessments, work through the modules (including all in-module interactive activities), complete the post-assessments with a 70% score on the post-test, and then request credit. At the end of the activity, you will be instructed on how to print out a certificate for your records.
Time Requirement: Keep track of the amount of time it takes you to complete this activity. You will be required to spend a set amount of time in order to claim credit. You should claim credit only for the time actually spent in the activity.
Technical Requirement: To participate in this activity, you will need a computer, an Internet connection, and a Web browser. This activity requires Chrome, Firefox, and IE7 or higher.