The BIG Hospital SBIRT Initiative

A Learning Collaborative to Expand SBIRT into Hospitals and Other Medical Settings

Special Populations: SBIRT and Marijuana Use & SBIRT and Child-bearing Age Women

Free webinar produced in partnership with NAADACNational SBIRT ATTCNORC, and The BIG Initiative


On-Demand Recording:

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Presentation Slides:

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Recently, Colorado has expanded its successful approach to two specific populations. Namely, health educators in SBIRT Colorado healthcare sites are screening for and providing brief interventions to 1) sexually active women of childbearing age who are not using effective contraception, with the goal of preventing substance-exposed pregnancies; and 2) patients misusing marijuana in a state with a voter-approved medical marijuana program (Colorado is one of 16 states with legalized medical marijuana). In this webinar, representatives from the SBIRT Colorado team, including the state director, program implementation staff, and an evaluator discussed reviewing what they have learned about their efforts to-date.

Presenters shared findings from their efforts to answer research questions from a projected 10,000 screens such as:  

  • How ready to change are women after receiving a brief intervention in response to their risky behaviors?
  • Does readiness to change depend upon the substances being used, the age of the patient, or other demographic factors? 
  • What percentage of patients screened in healthcare settings through the SBIRT program are using marijuana? 
  • How ready are patients to change their marijuana use after receiving a brief intervention in response to risky use? 
  • Does readiness to change depend upon whether patients have a state-issued medical marijuana card? 

Presenters also reviewed the larger program goals of SBIRT and discussed why Colorado has expanded its SBIRT program to these specific populations.

Brie Reimann, MPA, Director, Policy and Development, Peer Assistance Services, & Jen Shepherd, PhD, Evaluation Researcher and Project Manager, OMNI Institute