PRACTITIONERS, AND PHYSICIAN ASSISTANTS KNOWLEGE, TRAINING, AND SBIRT PRACTICE AMONG NEW YORK STATE PHYSICIANS, NURSE PRACTITIONERS, AND PHYSICIAN ASSISTANTS J. Yu1, PhD; B.R. Harris2, DrPH; S. DeStafeno2, MA; M. O’Grady3, PhD Background Results Screening Tools Used Most did not report using a tool that reliably identifies risky substance use (Chart 3): 78% reported asking patients directly about their use without using a screening tool 66% reported using the CAGE which identifies substance dependence, not risky use. Past research has indicated the cost-effectiveness of Screening, Brief Intervention, and Referral to Treatment (SBIRT) as an early intervention strategy in various healthcare and public health settings, including the primary care settings, to address risky use and substance use disorders. The Office of National Drug Control Policy has included SBIRT in its current drug control strategy New York State is promoting the statewide expansion and sustainability of SBIRT. This study examines the extent to which SBIRT is currently being integrated in primary care in New York State. Survey Responses The survey received 258 responses (Chart 1) Training of SBIRT Less than half of respondents had received training in how to (Chart 2): screen patients for substance use advise patients about risky substance use provide referrals to specialty treatment Gap in Knowledge Only 28% reported being somewhat or very familiar with the SBIRT model Most respondents did not use a screening tool required for Medicaid reimbursement Fifty-nine percent of respondents reported rarely or never billing for SBIRT. Conclusions Findings suggest need for increasing awareness of: The SBIRT model Federal and state recommendations for conducting SBIRT Requirements for billing and reimbursement by insurance plans for screening and intervention Results also have implications for other states that are making efforts to integrate SBIRT in primary care. Further research is required to study factors associated with levels of practice identified in this survey. Methods Between October and November 2013, an electronic survey was emailed to members of: The Medical Society of the State of New York (MSSNY) The Nurse Practitioner Association of New York (NPANY) New York State Society of Physician Assistants (NYSSPA) The survey focused on SBIRT knowledge, training, and practice among primary care professionals to obtain a better understanding of the future needs in the development of a statewide strategic plan for integration of SBIRT in the primary care setting. Practice of SBIRT 56% reported screening for substance use 45% reported conducting brief interventions, 47% reported providing referrals to specialty treatment Author Affiliations School of Social Welfare, University at Albany, State University of New York New York State Office of Alcoholism and Substance Abuse Services National Center on Addiction and Substance Abuse at Columbia University