Part 2: Screening, Brief Intervention and Referral to Treatment Plus Recovery Management: A Proposed Model for Recovery-Oriented Primary Care.
Part 1 of this two-part series (The Theoretical Basis for Recovery-Oriented Management of Substance Use Disorders in the Primary Care) explored the theoretical foundations for evidence-based substance Screening, Brief Intervention and Referral to Treatment (SBIRT) services. The aim was to produce possible explanations for why traditional SBIRT works well for individuals with unhealthy alcohol use but not as well for individuals who have more serious substance use disorders, including drug use and alcohol/drug dependence. Building on that analysis, through meaningful application of recovery management (RM) concepts within an integrated primary care/behavioral health context, a new, theory-based, recovery-oriented framework for primary care SBIRT is now introduced in Part 2. The proposed SBIRT Plus Recovery Management (SBIRT + RM) model moves traditional SBIRT from its original, limited, and narrow focus only on substance detection, brief intervention, and referral to its rightful, structured placement within a comprehensive, multidimensional, recovery-oriented system of care clinical practice environment. SBIRT+RM describes relevant strategies for improving recovery outcomes for individuals identified through primary care substance screening and defines primary care provider roles and responsibilities for sustained recovery support and long-term recovery maintenance.
Katherine S. Fornili, MPH, RN, CARN, Department of Family and Community Nursing, University of Maryland School of Nursing, Baltimore.
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D019033:Delivery of Health Care, Integrated / Q000458:organization & administration*; D006801:Humans; D008403:Mass Screening; D008962:Models, Theoretical; D011320:Primary Health Care / Q000458:organization & administration*; D012017:Referral and Consultation; D015813:Substance Abuse Detection; D019966:Substance-Related Disorders / Q000451:nursing / Q000534:rehabilitation*; D014481:United States