Screening Brief Intervention Referral to Treatment (SBIRT) for Tobacco Cessation in Healthcare Settings: Targeted Multidisciplinary Training for Medicaid Providers

The proposal expands and extends a number of prior and current research and evaluation projects from the University of Maryland Baltimore County. The organizations prior project, which ended several years ago, evaluated the feasibility and impact of training psychiatrists to implement the 5 A's with seriously mentally ill smokers (SMI) (Dixon et al., 2009). The second is their current project to create Screening Brief Intervention and Referral to Treatment (SBIRT) training and implementation protocols for medical residency programs for tobacco, alcohol, illegal drugs and nonprescription use of prescription medications. In both projects they have created screening and intervention training programs and materials. They have also developed implementation protocols that have produced successful implementation. In the evaluation of SMI clinic program, they demonstrated an impact on smoker motivation and cessation.