1. 1 Washington State Department of Social & Health Services WASBIRT

2. 2 Washington State Department of Social & Health Services

3. 3

4. 4 WASBIRT (2003-2008) Key Findings →2.6 to 3.2 times increase in the odds of entering CD treatment within 90-days 1  BI only for Working-aged disabled = 2.6x-3.5x increase 1  BI only for GA ‐ U & TANF patients = 3.2x increase 1 →Average days of alcohol use decreased significantly (7.4 to 4.4 days) ( See chart) 2  BI = 40% reduction at 6-month follow-up 2  BI + BT and/or CD Tx = 69% reduction at 6-month follow-up 2 →Average days of binge drinking decreased significantly at 6-month follow-up 2  BI= 58% reduction in binge use 2  A BI + BT and/or CD Tx = 80% reduction in binge use 2 →Total abstinence from alcohol use increased significantly  BI = 56% increase in ETOH abstinence 2  BI + BT and/or CD Tx = 116% increase in ETOH abstinence 2 Key Findings →2.6 to 3.2 times increase in the odds of entering CD treatment within 90-days 1  BI only for Working-aged disabled = 2.6x-3.5x increase 1  BI only for GA ‐ U & TANF patients = 3.2x increase 1 →Average days of alcohol use decreased significantly (7.4 to 4.4 days) ( See chart) 2  BI = 40% reduction at 6-month follow-up 2  BI + BT and/or CD Tx = 69% reduction at 6-month follow-up 2 →Average days of binge drinking decreased significantly at 6-month follow-up 2  BI= 58% reduction in binge use 2  A BI + BT and/or CD Tx = 80% reduction in binge use 2 →Total abstinence from alcohol use increased significantly  BI = 56% increase in ETOH abstinence 2  BI + BT and/or CD Tx = 116% increase in ETOH abstinence 2

5. 5 Washington State Department of Social & Health Services WASBIRT.com

6. 6 vs. Very Brief 2-3 Questions Usually 10 Questions Scored by Professional Pre-ScreenFull Screen

7. 7 Washington State Department of Social & Health Services NIAAA – Alcohol (1)Do you sometimes drink beer, wine or other alcoholic beverages? (2)How times in the past year have you had … 4 or more drinks in a day? (for women) 5 or more drinks in a day? (for men) NIDA – Drug (1) (How many times in the past year have you used an illegal drug or used a prescription medication for nonmedical reasons?

8. 8 Washington State Department of Social & Health Services AUDIT DAST PHQ-9 GAD-7 CRAFFT

9. 9 Washington State Department of Social & Health Services

10. 10 Washington State Department of Social & Health Services Brief intervention is a technique used to initiate change Brief interventions are evidence-based practices Brief interventions are design to motivate individuals Brief Intervention Model: Brief Negotiated Interview Brief Intervention is a prevention approach

11. 11 Washington State Department of Social & Health Services

12. 12 Washington State Department of Social & Health Services