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MIRIAM: Weamp;#39;re gonna take a quick trip though screening, brief intervention, and referral to treatment. This is an approach that has been strongly championed by SAMHSA and is being pretty widely implemented in primary care settings. As a way of identifying folks who have risky substance use. They may not qualify for a full fledged substance use disorder but theyamp;#39;re drinking more than is recommended or using more in the way of other substances than is recommended and itamp;#39;s an attempt to intervene with them and help prevent them from continuing on progression to a substance use disorder. The definition of SBIRT is really involved in trying to take a comprehensive and integrated widespread approach to the delivery of early intervention and treatment services, and as I mentioned, itamp;#39;s really for people who are using at a level that confers some degree of risk. It can also pick up folks that have a full blown substance use disorder and help to engage them in tr