SBIRT (Screening, Brief Intervention, and Referral to Treatment)

Young adult being interviewed

Screening, Brief Intervention, and Referral to Treatment (SBIRT) is an evidence-based practice used to identify, reduce, and prevent problematic use, abuse, and dependence on alcohol and illicit drugs. The SBIRT model was incited by an Institute of Medicine recommendation that called for community-based screening for health risk behaviors, including substance use.


Screening — a healthcare professional assesses a patient for risky substance use behaviors using standardized screening tools. Screening can occur in any healthcare setting

Brief Intervention — a healthcare professional engages a patient showing risky substance use behaviors in a short conversation, providing feedback and advice

Referral to Treatment — a healthcare professional provides a referral to brief therapy or additional treatment to patients who screen in need of additional services

Adolescent SBIRT Resources and Tools


NIH/NIAAA Alcohol Screening and Brief Intervention for Youth Guide

NIH/NIAAA Youth Pocket Guide (for use with full guide)

SAMHSA TAP 33 (Implementation of Screening, Brief Intervention and Referral to Treatment) 

SAMHSA TIP 31 (Screening and Assessing Adolescents for Substance Use Disorders)

National Standards for Culturally and Linguistically Appropriate Services (CLAS) in Health and Health Care


Screening Tools

CRAFFT Clinician-Administered 

CRAFFT Self-Administered

Mountain Plains PTTC Adolescent Pocket Card (Using CRAFFT Screening Tool)

SBIRT Colorado Adolescent Pocket Card (Can be used with any screening tool)

SBIRT - SBHC - Adolescent SBIRT Algorithm for Secondhand Smoke Exposure and Use of Tobacco and Vape Products (August, 2019) (Using CRAFFT Screening Tool)


Brief Intervention Tools

NIH/NIAAA Brief Negotiated Interview Steps

BNI-ART Institute Bilingual Youth and Adolescent Brief Negotiated Interview Questions

 "FLO" - SBIRT DASA Manual  (See Pages 11-16), (May, 2010)


Referral to Treatment Tools

Department of Health and Human Service's Substance Abuse and Mental Health Services Administration website for help looking for substance abuse treatment;

SAMHSA-HRSA Center for Integrated Health Solutions - SBIRT Referral to Treatment 

SAMHSA Behavioral Health Treatment Services Locator

Family Resource Center Treatment Resource

Partnership for Drug-Free Kids - Suggesting Treatment


Adult SBIRT Resources and Tools

SBIRT Colorado - Clinical Tools and Resources for Older Adults, Adults, Women