title: SBIRT as a Vital Sign for Behavioral Health Identification, Diagnosis, and Referral in Community Health Care.
abstract: The purpose of this quasi-experimental design study was to examine the effectiveness of the behavioral health Screening, Brief Intervention, and Referral to Treatment (SBIRT) program at a community health center. The study group was twice as likely (25.3%) to have depression and substance abuse diagnosed compared with the control group (11.4%) (P <.001). Referral rates for the study group were more likely to occur (12.4%) compared with referral rates for the control group (1.0%) (P <.001); however, the kept appointment rates by patients for behavioral health problems referrals remained low for both groups. SBIRT was effectively utilized in a community health center, resulting in increased rates for diagnosis of behavioral health problems and referrals of patients.
authors.affiliation: Ohio North East Health Systems, Inc, Youngstown, Ohio rdwinnells@onehealthohio.org.
authors.forename: Ronald
authors.initials: R
authors.lastname: Dwinnells
mesh_terms: D003151:Community Health Centers / Q000706:statistics & numerical data*; D003863:Depression / Q000175:diagnosis*; D006801:Humans; D008403:Mass Screening / Q000379:methods*; D009820:Ohio; D011446:Prospective Studies; D011785:Quality Assurance, Health Care; D012017:Referral and Consultation / Q000592:standards*; D012646:Self Administration; D019966:Substance-Related Disorders / Q000175:diagnosis*
keywords: SBIRT; alcohol abuse; depression; integration; mass screening; primary health care; substance abuse