Screening, Brief Intervention and Referral to Treatment (SBIRT)

What is SBIRT? 

SBIRT is evidence based, integrated and comprehensive approach to the identification, intervention treatment/referral of substance (drug and alcohol) use, domestic violence, depression, and tobacco use. The program is specific to pregnant women to include 12 months postpartum. SBIRT is important in increasing the health outcomes of the mother and infant. 

What are the core clinical components of SBIRT?

  1. Screening – very brief to identify substance use, behavioral health issues and domestic violence
  2. Brief Intervention – raise awareness of risks and motivates the patient toward acknowledging there is a problem
  3. Referral – when a risk is identified referred for more intensive treatment 
  4. Treatment – cognitive behavioral work for member to acknowledge risks


Why is SBIRT important?

Research indicates SBIRT may:

  • Stem progression to independence
  • Improve medical conditions
  • Prevent medical conditions related to substance use, abuse and dependence
  • Decrease substance abuse related mortality
  • Alcohol alone is a factor in up to 70% of homicides, 40-50% of fatal MVA’s, 60% fatal burns and 40% fatal falls.


Who supports SBIRT?

In an effort to expand and enhance state substance use identification and treatment, the South Carolina Department of Health and Human Services has partnered with the South Carolina Department of Alcohol and Other Drug Abuse Services (DAODAS), the South Carolina Department of health and Environmental Control (DHEC) Quit Line, the South Carolina Department of Mental Health (DMH), and the seven Medicaid health plans to develop provider training to assist with the identification, intervention and referral of our pregnant Medicaid population who may benefit from further substance use treatment.

Below is a selection of materials for the SBIRT program, a part of SCDHHS’ Birth Outcomes Initiative , which works with hospitals and other partners to improve the health of mothers and babies in the Medicaid program.

SBIRT Materials
SBIRT Provider Presentation
Universal Screening Tool

Brief Intervention - Motivational Interviewing Technique Videos

Smoking and Depression
Opioid Use
Domestic Abuse
Alcohol Use

ACOG Opinion  Opioid Abuse, Dependence, and Addiction in Pregnancy
ACOG Opinion Motivational Interviewing

SBIRT data presentation 2015

Impact Of SBIRT Screening On Clinical Outcomes


DAODAS Materials

SBIRT DAODAS County Contacts 

Consent for the Release of Confidential Information


DHEC Materials

Handout 1-Quitline SBIRT Steps_Referral to Enrollment
Handout 2-SC Quitline 2As+R Online Training Flyer
DHEC Quitline Provider CME Course


SCDMH Materials
SCDMH Auth to Disclose PHI Form
Patient Health Questionnaire (PHQ-9)
SCDMH SBIRT Contact List

Report Fraud