The BIG Hospital SBIRT Initiative

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

A Military Culture Approach to SBIRT for Veterans & Active Duty Personnel

Free webinar produced in partnership with NAADACNational SBIRT ATTCNORC, and SAMHSA


On-Demand Recording:

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Presentation Slides:

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Certificate of Attendance:

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Active duty military and veterans have increasingly been recognized as populations requiring specialized approaches for the treatment of mental health and substance use disorders. In this webinar, the presenters will, from a multidisciplinary perspective, describe the unique elements of military culture that can inform clinical practice, discuss data about substance use disorders in active duty and veteran populations, and review the ways that the SBIRT model has been and can be adapted to better serve these populations.
Learning Objectives:
Upon completion, participants will be able to: 
  • Describe the importance of military culture as it relates to substance use;
  • Understand the best practices to form a therapeutic alliance with veterans in the clinical context; and
  • Consider specific adaptations or formulations of SBIRT for military and veteran populations.

Niranjan Karnik, MD, PhD

Associate Professor in the Child & Adolescent Psychiatry Section and Department of Psychiatry at Rush Medical College

Dr. Karnik is also an adjunct faculty member in the Department of Community, Systems and Mental Health Nursing at the Rush College of Nursing. At Rush University, he is also Medical Director of the Road Home Program: Center for Veterans and their Families, and Director of the Rush University Life Course SBIRT Training Program. He concurrently serves as an Associate Faculty Member of the MacLean Center for Clinical Medical Ethics at the University of Chicago. His research focuses on community-based interventions for high-risk populations with psychiatric and substance use disorders. In the past, he has worked with refugee children on the Pakistan-Afghan border, street children in India, foster youth in Central Illinois, and incarcerated youth in California. He worked at a youth homeless shelter in San Francisco and is continuing this work with homeless youth in Chicago. The major focus of his research is on using mobile health technologies to bridge the needs of vulnerable youth and enable providers to deliver services to at-risk populations.

Tanya Friese, DNP, RN, CNL, USN(ret)

Nursing Education Manager for Interprofessional Continuing Education, Rush University

Dr. Friese served as a Hospital Corpsman during the first Gulf War. After service-connected disabilities resulted in her retirement from the Navy, she completed a bachelor’s degree in public health and a master’s and doctoral degree in nursing. Friese teaches in the Department of Community, Systems, and Mental Health Nursing at Rush University is the nursing education manager for interprofessional continuing education, and the educational coordinator for the Road Home Program at Rush. Her areas of expertise include veterans and their families, mental health, individuals with disabilities and people who identify as LGBTQ.

Nicholas Turner, LCSW, CADC

Mr. Turner received his Master of Arts in social work from the University of Chicago’s School of Social Service Administration. He has worked in various mental health and substance abuse settings with children, adolescents and adults. He also co-authored the book Mindfulness-Based Sobriety, a treatment guide for addiction recovery that was published by New Harbinger Publishing in January 2014. Turner is a licensed clinical social worker (LCSW), certified alcohol and drug counselor (CADC) and a member of the Association for Contextual Behavioral Science and the Motivational Interviewing Network of Trainers.


Tracy McPherson, PhD, Senior Research Scientist, NORC at the University of Chicago