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Culture of SBIRT

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Encouraging Motivation To Change form screenshot

SBIRT is an evidence-based practice used to identify, reduce, and prevent problematic use, abuse, and dependence of alcohol and illicit drugs. SBIRT relies heavily on Motivational Interviewing (MI) skills to engage patients. SBIRT is a public health strategy which utilizes the harm reduction model regarding change.

Motivational Interviewing (MI) is a specific way of having a conversation regarding change. The style of MI is that of a collaborative, non-judgmental, empathetic alliance between the provider/clinician and the patient. MI accepts ambivalence as a normal part of the change process. The patient's values and motivations are used to face ambivalency head on, create decisional balance, and ultimately, move past ambivalency into establishing patient-centered goals determined and motivated by the patient.

Key concepts related to MI are avoiding arguments, rolling with resistance, develop descrepancy, and support self-efficacy. More information related to MI can be found in the Training Resources section of this website under the Brief Intervention tab. Additional Motivational Interviewing Resources can be found under the Training Resources section of this website under the External Resources tab.