SBIRT Change Package Tools and Resources

Use the tools and resources below to support testing and implementing changes to improve the delivery of Screening, Brief Intervention and Referral to Treatment (SBIRT) as a sustainable system of care for adolescents in your practice.

Quality Improvement Tools

• QI Office System Tools
• Sample PDSA Cycle Worksheet
• Control Plan Example (for Sustainability Planning)
• Data Collection Instrument for SBIRT Measures

Key Driver Tools and Resources

• Key Driver 1: Establishment of relationships with community partners
  • Bright Futures: Tips to Link Your Practice to Community Resources
• Key Driver 2: Implementation of policies and procedures to assure confidentiality
  
  
• Key Driver 3: Development of strategies for substance use prevention
  • Anticipatory Guidance / Educational Resources
    • Healthychildren.org: Substance Use
    • Healthychildren.org: Emotional Wellness
    • Healthychildren.org: Tobacco
• Key Driver 4: Utilization of validated substance use screening tools
  • Substance Use Screening and Assessment Tools Used with Adolescents
  • Brief Screens
    • S2BI (Screening to Brief Intervention)
    • BSTAD (Brief Screener for Tobacco, Alcohol, and Other Drugs)
    • NIAAA Youth Alcohol Screen (National Institute on Alcohol Abuse and Alcoholism)
  • Brief Assessment Guides
    • CRAFFT (Care, Relax, Alone, Friends/Family, Forget, Trouble)
    • GAIN (Global Appraisal of Individual Needs)
    • AUDIT (Alcohol Use Disorders Identification Test)
  • EQIPP Substance Use Frequency and Risk Level (download)
• Key Driver 5: Facilitation of successful referral for treatment
  • Referral and Feedback Form
  • Training to Treat Opioid Use Disorder in Adolescents
• Key Driver 6: Enhancement of skills in brief intervention for substance use concerns
  • Substance Use Spectrum and Goals for BI
  • Videos on Motivational Interviewing

American Academy of Pediatrics (AAP) Substance Use Resources

• AAP: Policies
  • AAP Policy Statement: Substance Use Screening, Brief Intervention and Referral to Treatment
  • AAP Clinical Report: Substance Use Screening, Brief Intervention and Referral to Treatment
  • AAP Policy Statement: Unique Needs of the Adolescent
• AAP: Adolescent Health Care Campaign Toolkit (The Importance of Confidential Preventive Services: Working Together to Improve Teen Health)
• AAP: Coding Fact Sheets
  • Substance Use
  • Tobacco

AAP Julius B. Richmond Center of Excellence (Tobacco Resources)

• Clinical Resources
• Education
• Parents and Families

Additional Substance Use Resources*

*Websites mentioned for informational purposes and do not imply an endorsement by the AAP.

• Centers for Disease Control and Prevention (CDC)
  • High-Risk Substance Use Among Youth
• Massachusetts Department of Public Health
  • Quick Guide S2BI: Adolescent SBIRT
  • Adolescent SBIRT Toolkit for Providers
• National Institute on Drug Abuse (NIDA)
  • Screening and Assessment Tools Chart
  • Screening for Substance Use in the Pediatric/Adolescent Medicine Setting
• NORC at the University of Chicago
  • Adolescent SBIRT
• Substance Abuse and Mental Health Services Administration (SAMHSA)
  • Talk. They Hear You. Mobile App