The Birth of SBIRT”H”: Incorporating Harm Reduction Strategies into the SBIRT Model-View Presentation

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Video Summary

The session focused on SBIRT (Screening Brief Intervention and Referral to Treatment), a primary care intervention aimed at addressing drug overdose and substance use issues. Presented by experts, including Dr. Daryl Schroeder and Dr. Namrata Valia, the discussion revolved around harm reduction strategies such as needle exchange programs, naloxone rescue kits, and bridging clinics. Dr. Schroeder highlighted the history of harm reduction, citing the early 20th-century RolsTon Committee's advocacy of prescribing narcotics to opioid users. He emphasized the importance of understanding different addiction models and recognizing drug use as a complex, multifaceted issue requiring a non-judgmental approach. <br /><br />Dr. Valia explored expanding SBIRT to include harm reduction strategies, introducing the concept of "SBRTh" (SBIRT with harm reduction) to target individuals unwilling to cease substance use. This approach aims to prevent fatal outcomes by meeting patients where they are, without insisting on abstinence.<br /><br />Dr. Michael Weaver addressed ethical dilemmas and legal considerations, stressing respect for patient autonomy and shared decision-making to minimize harm. He provided practical guidance on employing harm reduction measures like naloxone distribution and needle exchange programs, despite potential legal barriers.<br /><br />Audience discussions raised questions about the broader community impact of harm reduction and integrating therapeutic interventions. Presenters underscored the need for continued education and dialogue to effectively incorporate harm reduction practices while maintaining ethical standards. Overall, the session sought to empower healthcare providers with tools to mitigate the opioid crisis and improve patient outcomes.

Keywords

SBIRT

harm reduction

drug overdose

substance use

needle exchange programs

naloxone rescue kits

bridging clinics

addiction models

SBRTh

patient autonomy

ethical dilemmas

opioid crisis

healthcare providers