70.4 UTILIZING SCREENING, BRIEF INTERVENTION, AND REFERRAL TO EVALUATION FOR SUBSTANCE USE (SBIRE) IN THE ADOLESCENT OUTPATIENT MENTAL HEALTH SETTING

Abstract

Screening, Brief Intervention, and Referral to Treatment (SBIRT) is an evidence-based method to identify patients with substance use disorders and help refer them to treatment. SBIRT can be carried out in a variety of ambulatory and primary care outpatient settings. Referral to treatment, the last arm, is designed to allow clinicians to connect patients to services that can appropriately help them. However, it is often difficult to use and underutilized in these settings. Screening, Brief Intervention, and Referral for Brief Consultative Evaluation (SBIRE) may be a more effective approach to help connect patients with treatment. In this program, the audience will understand current gaps in clinical care in the outpatient setting and review how SBIRE can be applied to help patients receive appropriate care. Scott Krakower, DO, will review current approaches and limitations to managing patients with dual diagnosis in an outpatient child and adolescent psychiatry clinic. He will also briefly discuss ways in which the SBIRE model may be adapted for implementation in this setting to enhance substance treatment engagement among youth referrals. Dr. Krakower will specifically identify training, procedures, and components of existing clinical operations that would need to be modified or adapted to improve substance screening and treatment engagement in an outpatient child and adolescent mental health clinic. SBIRE is a practical and effective approach that can be adapted in pediatric outpatient mental health clinical settings to identify and engage substance-involved youth in earlier or more timely treatment intervention.