The BIG Hospital SBIRT Initiative

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




Overview of Screening, Assessment and Brief Intervention: A Nursing Response to the Full Spectrum of Substance Use

Produced in partnership with NAADACNational SBIRT ATTC, and NORC 

Description: This free webinar will provide an overview of alcohol SBIRT purpose and its three components (screening, brief intervention, and referral to treatment) with target patient population for each component.  We will discuss the clinical and public health rationale for addressing entire spectrum of alcohol use among patients.  We will examine SBIRT’s fit within the health care setting and its fit with nursing roles, responsibilities, and practice across settings and specialties.  We will describe various screening tools, administration, scoring and interpretation, and the assessment that follows.  The four main steps of a brief intervention will be presented with video examples provided from various clinical settings.  Participants will use a brief intervention evaluation tool to assess the quality and comprehensiveness of a brief intervention delivered in a video exemplar.
Learning Objectives:
  • Explain how and why screening, assessment, and brief intervention, and referral to treatment (SBIRT) is an appropriate set of clinical strategies for nurses, across all health care settings, to identify and manage substance use.
  • Differentiate screening, assessment, and brief intervention.
  • Articulate three stylistic strategies for incorporating screening, assessment, and brief intervention into routine nursing practice.
  • Analyze a simulated patient interview for key components and stylistic elements of a brief intervention.


Dr. Deb Finnell has been a registered nurse for over 4 decades, specializing in psychiatric / mental health nursing, prevention and treatment of substance use disorders. She has published on the role of the professional nurse in SBIRT provision, integrating content on the continuum of substance use into nursing curricula, development and testing of SBIRT implementation models – all with the goal of moving SBIRT into the mainstream of nursing practice.  Her current work focuses on integrating SBIRT-related content in the masters’ nursing curriculum at Johns Hopkins University.  She recently produced, and is currently testing a brief video intervention designed to bring the evidence about the neurobiological base of alcohol-use disorders directly to at-risk individuals.

Dr. Lauren Broyles is a doctorally-prepared nurse with advanced postdoctoral training in health services research. She is currently a health services researcher and VA Career Development Awardee with a program of research focused on improving the identification and management of alcohol misuse among hospitalized Veterans. Specifically, her research is evaluating the efficacy and implementation of nurse-delivered alcohol Screening, Brief Intervention, and Referral to Treatment (SBIRT) in inpatient and primary care settings. Dr. Broyles is also the Co-Director of the Pittsburgh site for the VA’s Office of Academic Affiliations Advanced Interprofessional Fellowship in Addictions Treatment, Assistant Professor at the University of Pittsburgh School of Medicine, Assistant Professor of Clinical and Translational Science at the University of Pittsburgh, and Assistant Professor at the School of Nursing. Additionally, she currently serves as Secretary for the interdisciplinary organization, the Association for Medical Education and Research in Substance Abuse (AMERSA), and as an Associate Editor for their peer-reviewed journal, Substance Abuse. Her clinical background is in substance abuse consultation-liaison services at the University of Maryland Medical System.

Moderator: Tracy McPherson, PhD, NORC at the University of Chicago 


CE Credit and Certificate: CE credit for this webinar has expired and is no longer available.