SBIRT Quiz Spring 2022 with complete solution
Brief intervention steps
1. raise the subject
2. provide feedback
3. offer advice
4. enhance motivation
5. negotiate a plan
Raise the subject
Engage the patient by asking permission to talk about their substance abuse and
assess risks
Ex. Would you mind taking a few minutes to talk about your screening?
Provide feedback
-Point out the patients substance misuse and how it puts them at risk for health
problems
- explore connections b/w health problems and substance abuse
Offer advice
- reinforces patient autonomy but encourages thinking about change
-ex: I would like you to consider cutting down on your alcohol use
Enhance motivation
- 1. ask about the pros and cons of use
- ex: tell what you like about your drinking
now what's not so good about your drinking
-2. ask the patient to rate their readiness to change on a scale of 1-10
- ex: we've been talking about the risk and pros and cons of drinking. On a scale of 1-
10, how ready are you to make a change?
Negotiate a plan
- summarize the discussion
- even if patient doesn't want to address subject, reinforce positive action
-ex: we are talking about your health. this is your decision
Readiness Ruler
- help patients think about change in a concrete and specific way
- encourage the patient to talk about reasons for change
- ask patient why they didn't rate their readiness lower elicits talk about reasons to
change
Decisional balance
- patient considers the pros and cons of their current behavior and the pros and cons of
changing their behavior
- asking about pros and cons can foster internal motivation
Generate a commitment
- this should follow after patient begins to talk about change
- even if the first steps are small, formulate a plan to help translate thought into
commitment
- make goals that will raise awareness
- SMART goals
Brief intervention steps
1. raise the subject
2. provide feedback
3. offer advice
4. enhance motivation
5. negotiate a plan
Raise the subject
Engage the patient by asking permission to talk about their substance abuse and
assess risks
Ex. Would you mind taking a few minutes to talk about your screening?
Provide feedback
-Point out the patients substance misuse and how it puts them at risk for health
problems
- explore connections b/w health problems and substance abuse
Offer advice
- reinforces patient autonomy but encourages thinking about change
-ex: I would like you to consider cutting down on your alcohol use
Enhance motivation
- 1. ask about the pros and cons of use
- ex: tell what you like about your drinking
now what's not so good about your drinking
-2. ask the patient to rate their readiness to change on a scale of 1-10
- ex: we've been talking about the risk and pros and cons of drinking. On a scale of 1-
10, how ready are you to make a change?
Negotiate a plan
- summarize the discussion
- even if patient doesn't want to address subject, reinforce positive action
-ex: we are talking about your health. this is your decision
Readiness Ruler
- help patients think about change in a concrete and specific way
- encourage the patient to talk about reasons for change
- ask patient why they didn't rate their readiness lower elicits talk about reasons to
change
Decisional balance
- patient considers the pros and cons of their current behavior and the pros and cons of
changing their behavior
- asking about pros and cons can foster internal motivation
Generate a commitment
- this should follow after patient begins to talk about change
- even if the first steps are small, formulate a plan to help translate thought into
commitment
- make goals that will raise awareness
- SMART goals
