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Mosaic Group’s SBIRT Toolkit

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Screening, Brief Intervention and Referral to Treatment (SBIRT) Primary Care Practice Toolkit

Substance use continues to affect individuals and families nationwide, often going unrecognized in routine healthcare. To help address this challenge, Mosaic Group developed the Screening, Brief Intervention, and Referral to Treatment (SBIRT) Primary Care Practice Toolkit to support integration of substance use screening and early intervention into primary care settings.

About this Toolkit

This toolkit offers practical, evidence-based guidance for primary care teams to identify, discuss, and address risky alcohol or substance use during routine visits. SBIRT promotes early intervention and strengthens the link between primary care and behavioral health. By embedding SBIRT into existing workflows, providers can enhance patient outcomes, improve care coordination, and promote whole-person health.

Download the full toolkit or the individual tools (below) based on your role in care—provider, office staff, or patient.

Note: This toolkit provides resources designed for specific audiences. Please ensure that only the tools intended for patient use are provided to patients.

Download the Full Toolkit

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Foundational Materials

This section includes resources that support implementation and sustainability of SBIRT in primary care. These tools help practices integrate SBIRT into daily workflows and maintain a consistent, team-based approach.

Screening, Brief Intervention and Referral to Treatment (SBIRT) Primary Care Practice Toolkit

What is SBIRT?

Getting Started with SBIRT

Integrating SBIRT into Primary Care: Whole-Health Approach

Optimizing Your EMR

Creating an SBIRT Workflow in eClinicalWorks (eCW)

Validated Screening Tools

This section provides validated, evidence-based screening instruments that support accurate and consistent clinical practice.

Alcohol Use Disorders Identification Test (AUDIT)

Alcohol Use Disorders Identification Test – Consumption (AUDIT-C)

Drug Abuse Screening Test (DAST)

CRAFFT 2.1: Alcohol & Drug Use (Ages 12–17)

Screening to Brief Intervention (S2BI) (Ages 12–17)

Short Michigan Alcoholism Test Geriatric Version (SMAST-G)

The Cannabis Use Disorder Identification Test—Revised
(CUDIT-R)

Putting SBIRT Into Practice

This section equips practices with tools and techniques to deliver effective brief interventions, facilitate referrals, and leverage data for continuous SBIRT improvement.