Brief Intervention in Primary Care

Brief Intervention in Primary Care translates screening results into short, structured conversations that move patients from risk awareness to action. This page shows how to embed SBIRT into routine visits—selecting validated tools, normalizing questions, giving personalized feedback, and negotiating a specific next step within minutes. If you’re comparing options like a primary care addiction conference, you’ll find pragmatic scripts, timing tips, and handoff pathways that work even in high-throughput clinics. Because co-occurring anxiety, sleep problems, and pain often shape readiness, we align brief advice with symptom relief and safety planning so patients feel helped, not judged.

Implementation succeeds when workflows are simple and measurable. We outline roles for clinicians, nurses, MAs, and peer coaches; configure EMR prompts and smart phrases; and map “positive” screens to same-week follow-ups or community services. Micro-interventions (2–5 minutes) can trigger big shifts when paired with motivational language, decisional balance, and a concrete plan—cutting down, switching to safer patterns, or entering treatment. For stepped pathways that integrate primary care and behavioral health, see Integrated Behavioral Health, which complements this page with shared registries, warm handoffs, and outcome tracking.

Building SBIRT That Fits the Visit

Validated screening and normalization

  • Use single-item or brief tools to flag risk without stigma.
  • Introduce questions as routine health checks for everyone.

Feedback and goal negotiation

  • Reflect results in plain language and link to patient priorities.
  • Agree on a small, specific change and a date to review it.

 

Safety and comorbidity check

  • Ask about overdose risk, meds, and mental health red flags.
  • Create a short safety plan and document clear instructions.

Warm handoffs and follow-up

  • Book a same-week slot or peer callback before the patient leaves.
  • Send a summary via portal and prompt between-visit check-ins.

Implementation Playbook

School/work reintegration
Plan graded return with accommodations for exposures and breaks.

Equity and culturally sensitive care
Adapt materials to culture and body-image norms; counter stigma.

Measurement and outcomes
Track distress, avoidance, and function; use dashboards for QI.

Risk management
Maintain crisis plans and rapid access during high-risk periods.

Ethics with cosmetic procedures
Coordinate with surgical providers to prevent iatrogenic harm.

Family and partner work
Reduce reassurance and accommodation; teach supportive responses.

Group and brief formats
Offer skills groups and brief protocols to expand access.

Comorbidity pathways
Treat depression/anxiety concurrently without reinforcing avoidance.

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