Modifying heathcare system alcohol interventions for the high-risk drinking environment: Theory in practice

Screening, Brief intervention, and Referral to Treatment (SBIRT) is a model program in the medical context, but it may be missing a large portion of the population with low access to healthcare services. Young adults have the lowest rates of insurance, low healthcare service utilization, and high rates of substance use. Theory driven Screening and Brief Intervention (SBI) conducted in high-risk drinking environments may reduce rates of alcohol related problems. The theoretical basis and implementation requirements for SBI in high-risk drinking settings are presented herein. This SBI has components of the original SBIRT program, including tailored advice, patron-driven commitment and goal setting, and encouragement.