Interactive Cases: SBIRT in Action

Motivational interviewing is directive, encouraging and facilitating progress towards a goal, but respectful of individuals and their choices. In the case of alcohol screening and intervention, the goal is drinking within NIAAA guidelines. In these cases, we present a number of evidence-based strategies to accomplish this goal.

We have provided 8 cases for you to review. As you listen to these cases, refer to the scoring sheet for adults or scoring sheet for youth. Watch how the interviewer handles the components of the brief negotiation with the patient. How well did the interview follow the algorithm?

To download the adult scoring sheet click here and to download the adult algorithm click here
To download the youth scoring sheet click here and to download the youth algorithm click here

Note: We have made these videos downloadable. If you wish to download and use them we ask that you please credit the BNI ART Insitute.

1. Effective communication about alcohol and drugs. The Emergency Physician and the Problem Drinker: Motivating patients for change. Watch the case1A video of Doctor A / or Download Watch the case1B video of Doctor B / or Download

2. How can a simple conversation make a difference? A college student who presents to the ED requesting a pregnancy test after having unprotected sex following binge drinking. (Practitioner: Clara Safi, RNP) Watch the Case 2 video / or Download

3. Understanding where the patient is coming from, the obstacles that can prevent change, and negotiating an action plan to make changes. A salesperson with gastritis who drinks as part of social relations for her job. Hear Case 3 (click text to download or click the speaker image to hear it in this window) (please click the image on the right for images and text to accompany the audio)

4. Provider advice and negotiation with the dependent drinker. A patient-centered approach that allows the patient to name the problem and the solutions. A lonely older man who falls at a bar. (Practitioner: Gail D'Onofrio, MD) Watch the Case 4 video / or Download

5. Connecting drinking and reason for ER visit. A woman who has relapsed and developed a GI bleed. Watch the Case 5 video / or Download

6. The pros and cons in action…. A man who missed his son's soccer game because he was drinking. (courtesy of National Alcohol Screening Day (NASD);Practitioner: Ludy Young, Health, Promotion Advocate, Project ASSERT). The Emergency Physician and the Problem Drinker: Motivating patients for change. Watch the Case 6 video / or Download

7. Applying the algorithm…Getting to ‘yes’ with a heroin user. An intervention with a heroin user. Watch the Case 7 video / or Download

8. The BNI for Adolescents: Using decisional balance tools, CRAFFT, and negotiating an action plan. An Alcohol and Marijuana Youth intervention. See several clips of Case 8