Screening, Brief Intervention, and Referral to Treatment (SBIRT) is an evidence-based, cost-effective strategy for addressing risky and problematic substance use. In an effort to address substance use in the highest need communities, the Rhode Island SBIRT (RI-SBIRT) project was developed to implement SBIRT in non-traditional healthcare settings more frequently utilized by low-income and minority populations. This included adding SBIRT services to Rhode Island’s new and existing Community Health Teams (CHTs).
In year three of implementation, over 50 sites participated in RI-SBIRT which resulted in 5459 individuals being screened. Of those individuals who screened positive for risky alcohol and/or drug use and agreed to participate in the program evaluation, 10% were randomly selected to be interviewed 6-months later.
This work is funded by a grant from the Substance Abuse and Mental Health Services Administration (SAMHSA) to the Department of Behavioral Healthcare, Developmental Disabilities and Hospitals (BHDDH) and will continue through September 2021. Additional funding was provided by Centers for Medicare & Medicaid Services (CMS) under the State Innovation Model (SIM) grant to the Executive Office of Health and Human Services (EOHHS).
The mission of the Care Transformation Collaborative of Rhode Island is to lead the transformation of primary care in Rhode Island in the context of an integrated health care system; and to improve the quality of care, the patient experience of care, the affordability of care, and the health of the populations we serve.