SBIRT for Substance Use Disorders - Gateway Health · SBIRT for Substance Use Disorders (Screening, Brief Intervention, and Referral to Treatment) ... Health covers screening/assessment

1/17/2018 1

SBIRT for Substance Use Disorders

(Screening, Brief Intervention, and Referral to Treatment)

Provider Education, Billing, and Resource Reference Guide

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Program Overview

Screening, Brief Intervention, and Referral to Treatment (SBIRT) is designed to prevent members from

developing a substance use disorder, for early detection of a suspected substance use disorder, or to refer

members for treatment. These services are not intended to treat members already diagnosed with a substance

use disorder or those members already receiving substance use disorder treatment services. As of January 1,

2018 Gateway Health will begin compensating providers for completing SBIRT for Substance Abuse

screenings/assessment in physical healthcare settings. Gateway Health only reimburses providers for medically

necessary services furnished to eligible members. The purpose of this guide is to provide education and billing

guidance to providers to obtain reimbursement for SBIRT services. This guide will be updated periodically to

reflect changes. Gateway reserves the right to conduct post-payment medical record audits for validation

purposes and in accordance with state and federal accreditation, your provider agreement and regulatory

requirements.

Screening/Assessment

Pre-Screen (aka Brief Screen/Assessment): A pre-screen/assessment is defined by the Substance Abuse and

Mental Health Services Administration (SAMHSA) as "a rapid, proactive procedure to identify individuals who

may have a condition or be at risk for a condition before obvious manifestations occur." It involves short

questions relating to alcohol and drug use, and must be administered prior to beginning a full

screening/assessment. Pre-screens/assessments are considered part of routine medical management and

are not a separately reimbursable service. When the pre-screening/assessment results do not indicate any

need for a full screen/ assessment positive re-enforcement and education regarding prevention should still be

provided and discussed.

Full Screening/ Assessment: Full screens/ assessments are administered after a patient has answered positively

to the pre-screen/ assessments questions. Full screenings/assessments entail asking patients a validated series of

questions to assess the level of a patient’s substance use. Full screens/assessments are only covered for

members with positive brief screens/assessments and for members with signs, symptoms, and medical

conditions that suggest risky or problem alcohol or drug use. Full screenings/assessments should be used as

a primary method for educating members about the health effects of using alcohol and other drugs. Gateway

Health covers screening/assessment services in a wide variety of settings to increase the chance of identifying

individuals at risk for future substance abuse. Providers are required to use an evidence-based screening/

assessment tool to identify patients at risk for substance use problems. There are several evidence-based

screening/ assessment tools including:

The Alcohol Use Disorders Inventory Test (AUDIT)

The Drug Abuse Screening Test (DAST)

The Alcohol, Smoking, and Substance Involvement Screening Test (ASSIST)

The Car, Relax, Alone, Forget, Friends, Trouble Screening Test (CRAFFT), for adolescents

The Problem Oriented Screening Instrument for Teenagers (POSIT)

Links to these screening/assessment tools, as well as others, can be located at:

https://www.integration.samhsa.gov/clinical-practice/sbirt/screening

Brief Intervention

Brief interventions are interactions with patients that are intended to induce a change in a health-related

behavior. When a Substance Use Disorder is diagnosed and appropriately added to the billing claim, up to three

(3) follow-up contacts should be provided within the next 34 days (1 within 14 days and (2) additional within

the remaining 34 days) to assess and promote progress and to evaluate the need for additional services. Brief

interventions are typically used as a management strategy for patients with risky or problem alcohol or drug use

who are not dependent. Brief substance use intervention services are covered for members who, through the use

of an evidence-based screening/ assessment tool, are identified as at-risk for a substance use disorder(s). Brief

intervention may be single or multiple sessions to increase insight and awareness regarding substance use and

https://www.integration.samhsa.gov/clinical-practice/sbirt/screening

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motivation for changes in behavior. Alternatively, a brief intervention may also be used to increase motivation

and acceptance of a referral for substance use treatment. Intervention services may occur on the same date of

service as the screening/assessment or on a later date. Brief intervention is not covered prior to screening/

assessment.

Referral to Treatment

Patients who appear to be alcohol- or drug-dependent should be referred to alcohol and drug treatment

programs. Patients who screen positive for a Substance Use Disorder should initiate treatment within 14 days

of the substance use disorder identification/ diagnosis and engage in at least two (2) additional treatment

services within 34 days of the identification/ diagnosis of the substance use disorder.

Member Eligibility

The SBIRT benefit is available to members ages 12 and older who are enrolled in Gateway Health.

Eligible Providers

The following licensed providers are eligible to be reimbursed for SBIRT as long as they have a current

contract with Gateway for clinical services.

Physician

Psychiatrist (Medicare Only)

Physician Assistant (PA)

Nurse Practitioner (NP)

Clinical Nurse Specialist (CNP)

Clinical Psychologist (CP)- (Medicare Only)

Clinical Social Worker (LCSW)- (Medicare Only)

Clinical Nurse – Midwife

Billing Information

The procedure codes used to report SBIRT services for reimbursement are consistent among all provider types.

Gateway Health will reimburse for the following codes:

Procedure

Code

Description

G0396 Alcohol and/or substance (other than tobacco) abuse structured assessment (e.g., audit, dast), and

brief intervention 15 to 30 minutes

G0397 Alcohol and/or substance (other than tobacco) abuse structured assessment (e.g., audit, dast), and

intervention, greater than 30 minutes

Additional Information

1. Screening Brief Intervention Treatment is not designed to address smoking and tobacco cessation services

unless it is a co-occurring diagnosis with another substance such as drugs or alcohol. Tobacco-only services are

not a SBIRT billable benefit.

2. Screening Brief Intervention Treatment may be provided face-to-face with the member, through telehealth/

telemedicine, or telephonically.

3. A prior authorization request is not required.

4. SBIRT screenings/ assessments are reimbursable up to two a year per member.

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Training Requirements

In order to directly deliver screening, assessment and intervention services, providers are required to participate

in a training that provides information about the implementation of evidence-based protocols for screening,

brief interventions, and referrals to treatment.

Face-to-face trainings and consultations are available through various entities.

All providers are required to retain documentation confirming that staff providing SBIRT meet the training,

education, and supervision requirements. Providers billing Gateway Health for SBIRT screening and

assessment are required to maintain documentation of completion of an evidence based SBIRT training

program. Providers may be asked by Gateway Health to present evidence of this training if an audit occurs. If

appropriate documentation cannot be produced Gateway Health retains the right to void the claim payments.

SAMHSA Approved SBIRT Resources

Training Modality Options

Brief Description Continuing

Education Offered Link:

Pennsylvania Medical Society Training by PERU Center

SBIRT Course offered by PERU: Negotiating Problematic Substance Use with Patients in the Primary Care Setting

Free course/CME's offered to physicians

https://www.pamedsoc.org/learn-lead/topics/medications-pain-management-opioids/NegotiatingProblematicSubstanceUse

https://www.sbirt.pitt.edu/

Brief Intervention Group (BIG)

BIG Initiative is led by the National Opinion and Research Center (NORC) at the University of Chicago and the National SBIRT ATTC (N SBIRT ATTC). Funded by SAMHSA, the N SBIRT ATTC is housed at the Institute for Research, Education and Training in Addictions (IRETA) in Pittsburgh, PA. • Offer training via online course and webinars, technical assistance, and a variety of services for SBIRT;

Education is Free A Certificate of Completion for 6 CEs/PDH is available for purchase. ($25 for members of EAPA; $35 for non-members)

http://bigsbirteducation.webs.com/

Medscape SBIRT Course offered online by Medscape: Substance Use in Adults and Adolescents: Screening, Brief Intervention and Referral to Treatment (SBIRT)

Physicians: 1.75 AMA PRA Category 1 Credit (s) RNs: 1.75 Contact Hours

http://www.medscape.org/viewarticle/830331

SBIRT Phone application by James Bray

Smart Phone Application Download No Varies by Service Provider

Addiction Technology Transfer Center Network (ATTC)

The goal of this training is to help participants develop their knowledge, skills and abilities as Substance Use Screening, Brief Intervention, and Referral to Treatment (SBIRT) Trainers.

No http://www.attcnetwork.org/national-focus-areas/content.aspx?rc=sbirt&content=STCUSTOM6

Resources referenced from: https://www.integration.samhsa.gov/clinical-practice/sbirt




https://www.sbirt.pitt.edu/

http://bigsbirteducation.webs.com/

http://www.medscape.org/viewarticle/830331

http://www.attcnetwork.org/national-focus-areas/content.aspx?rc=sbirt&content=STCUSTOM6




https://www.integration.samhsa.gov/clinical-practice/sbirt

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Referral Resources

Where Can I refer Patients who Screen Positive and agree to Treatment?

Gateway Health offers the following resources for treatment:

1) Opioid Use Disorder Centers of Excellence

Centers of Excellence, coordinate care for people with Medicaid. Treatment is team-based and focused

on the “whole person” — with the explicit goal of integrating behavioral health with primary care.

Patients of these centers:

• Have an opioid use disorder

• May have co-occurring behavioral and physical health conditions

• Need help to navigate the care system

• Need guidance to stay engaged in treatment to avoid relapsing

Centers of Excellence provide:

• Comprehensive Care Management

• Care Coordination

• Transitional/ Follow Up Care

• Patient and Family Support

• Referral to Community/ Social Support Services

http://www.dhs.pa.gov/citizens/substanceabuseservices/centersofexcellence/

2) The Behavioral Health Managed Care Organization

For mental health and drug and alcohol services, each county contracts with a Managed Care

Organization (MCO).

http://www.healthchoices.pa.gov/providers/about/behavioral/

3) Substance Use Disorder Medical Health Homes

For the most up to date listing please visit:

https://www.accessiblerecoveryservices.com/locations-and-contact

4) The County Single County Authority for Drug and Alcohol Services

https://apps.ddap.pa.gov/gethelpnow/CountyServices.aspx

5) Gateway Health also has other participating Medication Assisted Treatment providers. For a list of other

providers please contact Gateway Health. Patients can also be referred to Case Management at Gateway

Health for assistance in referrals to other resources for treatment and care coordination. To make a

referral for case management:

PA Medicaid: 1-800-392-1147

PA Medicare: 1-800-685-5209

http://www.dhs.pa.gov/citizens/substanceabuseservices/centersofexcellence/

http://www.healthchoices.pa.gov/providers/about/behavioral/

https://www.accessiblerecoveryservices.com/locations-and-contact

https://apps.ddap.pa.gov/gethelpnow/CountyServices.aspx

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County Name Phone Address Resource Type

Adams Community Care Behavioral Health (CCBH) 1-866-738-9849 BH MCO

York Adams Drug and Alcohol Commission 717-771-9222 100 West Market Street, Suite B04, York, PA 17401 SCA

Allegheny

Community Care Behavioral Health (CCBH) 1-800-553-7499 BH MCO

Allegheny County Department of Human Services / Office of Behavioral Health/

Bureau of Drug and Alcohol Services 412-350- 3328 One Smithfield Street, 3rd Floor, Pittsburgh, PA 15222 SCA

Gateway Rehabilitation Center 412-604-8900 311 Rouser Road, Moon Township, PA 15108 COE

West Penn Allegheny Health System 412-359-4644 1307 Federal Street, Floor 1, Suite B110, Pittsburgh PA 15212 COE

Tadiso Inc. 412-906-9812 1425 Beaver Avenue, Pittsburgh, Pa 15233 COE

WPIC of UPMCPS 412-246-5376 3811 O'Hara Street, Pittsburgh, PA 15213 COE

University of Pittsburgh Physicians: General Internal Medicine Clinic-Oakland

412-692-4822 200 Lothrop Street, Pittsburgh PA 15213 COE

Magee-Women’s Hospital of UPMC 412-641-5725 300 Halket Street, Pittsburgh, PA 15213 COE

Accessible Recovery Services 724-591-5236 9400 McKnight Rd, Suite 103, Pittsburgh, PA 15237 SUD MHH

Accessible Recovery Services 724-591-5236 1039 Brookline Blvd, Suite 2, Pittsburgh, PA 15226 SUD MHH

Accessible Recovery Services 724-591-5236 4327 Northern Pike Suite, 101, Monroeville, P A 15146 SUD MHH

Accessible Recovery Services 724-591-5236 600 Evans Ave, McKeesport, Pa 15132 SUD MHH

Accessible Recovery Services 724-591-5236 905 Dallas Ave, Natrona Heights, PA 15065 SUD MHH

Accessible Recovery Services 724-591-5236 5601 Stanton Ave, Pittsburgh, PA 15206 SUD MHH

Armstrong

Beacon Health Options 1-877-688-5969 BH MCO

Armstrong-Indiana-Clarion Drug and Alcohol Commission, Inc.

724-354-2746 10829 US Route 422, PO Box 238, Shelocta, PA 15774 SCA

Beaver


Beaver County Behavioral Health Drug and Alcohol Program

724-847- 6225 1050 Eighth Street, Beaver Falls, PA 15010 SCA

Accessible Recovery Services 724-591-5236 219 3rd Street, Beaver, PA 15009 SUD MHH

Opioid Addiction Recovery Services 724-912-6277 2360 Hospital Drive, Aliquippa, PA 15001 SUD MHH

Bedford PerformCare 1-866-773-7891 BH MCO

Personal Solutions Inc 814-623- 5009 145 Clark Building, Suite 5 ,Bedford, PA 15522 SCA

Berks


Berks County Council on Chemical Abuse 610-376- 8669 601 Penn Street, Suite 600, Reading ,PA 19601 SCA

Reading Hospital and Health System 484-628-8827 6th Avenue and Spruce Street, West Reading, Pa 19611 COE

New Directions Treatment Services 610-478-0646 20-22 North 6th Avenue, West Reading, PA 19611 COE

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Blair


Blair County Drug and Alcohol Program, Inc 814-381- 0921 3001 Fairway Drive, Suite D, Altoona, PA 16602 SCA

Pyramid Healthcare, Inc. 814-940-0407 1896 Plank Road, PO Box 967 ,Duncansville, PA 16635 COE

Bradford


Bradford/Sullivan Drug and Alcohol Programs 570-265- 1760 220 Main Street, Unit 1, Towanda, PA 18848 SCA

CASA of Livingston County, Inc./Trinity 585-991-5012 100 Henry Street, Sayre, PA 18840 COE

Bucks

Magellan 1-877-769-9784 BH MCO

Bucks County Drug & Alcohol Commission, Inc 215-773- 9313 600 Louis Drive, Suite 102A, Warminster, PA 18974 SCA

Family Service Association of Bucks County 215-757-6919 4 Cornerstone Drive, Langhorne, PA 19047 COE

Penn Foundation, Inc. 215-257-9999 807 Lawn Ave., Sellersville, PA 18960 COE

Butler


Butler County MH/MR Drug and Alcohol 724-284- 5114 124 West Diamond Street, PO Box 1208, Butler, PA 16003- 1208 SCA

Butler Memorial Hospital 724-284-4274 One Hospital Way, Butler, PA 16001 COE

Accessible Recovery Services 724-591-5236 301 Smith Dr, Unit 1, Cranberry Twp, PA 16066 SUD MHH

Accessible Recovery Services 724-591-5236 220 South Main Street, Plaza Level Suite C, Butler, PA 16001 SUD MHH

Opioid Addiction Recovery Services 724-912-6277 315 Liberty St, Butler, PA 16001 SUD MHH

Cambria


Cambria County MH/MR Drug and Alcohol Program 814-536- 5388 Central Park Complex, 110 Franklin Street, Suite 200, Johnstown, PA 15901 SCA

Alliance Medical Services- Johnstown 814-269-4700 1425 Scalp Ave, Suite 175, Johnstown, PA 15904 COE

Accessible Recovery Services 724-591-5236 132 Walnut St, 1st Floor Suite A, Johnstown PA 15901 SUD MHH

Cameron


Cameron Elk McKean Counties Alcohol and Drug Abuse Services Inc

814-642- 2910 120 Chestnut Street, Port Allegheny, PA 16743 SCA

Carbon Community Care Behavioral Health (CCBH) 1-866-473-5862 BH MCO

Carbon Monroe Pike Drug and Alcohol Commission 570-421- 1960 724 Phillips Street, Suite 203, Stroudsburg, PA 18360 SCA

Centre


Centre County Office MH/MR Drug and Alcohol 814-355- 6744 3500 East College Avenue, Suite 1200, State College, PA 16801 SCA

Crossroads Counseling, Inc. 570-323-7535 444 East College Avenue, Suite 460, State College, PA 16801 COE

Chester


Chester County Department of D&A Services 610-344- 6620 Government Services Center Suite 325, 601 Westtown Road, PO Box 2747 ,

West Chester, PA 19380 SCA

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Clarion



724-354- 2746 10829 US Route 422, PO Box 238, Shelocta, PA 15774 SCA

Clearfield


Clearfield Jefferson Drug and Alcohol Commission 814-371- 9002 135 Midway Drive, Suite A ,DuBois, PA 15801 SCA

Clearfield-Jefferson Drug and Alcohol Commission 814-371-9002 135 Midway Drive, DuBois, PA 15801 COE

Clinton


Lycoming Clinton West Branch Drug and Alcohol Abuse Commission

570-323- 8543 213 West Fourth Street, Williamsport, PA 17701 SCA

Crossroads Counseling, Inc. 570-323-7535 8 North Grove Street, Suite 4, Lock Haven, PA 17745 COE

Columbia


Columbia Montour Snyder Union Drug and Alcohol Program 570-275- 5422 Behavioral Health Base Service Unit

603 East Market Street, Suite 200, Danville, PA 17815 SCA

Crawford


Crawford County D&A Executive Commission, Inc. 814-724- 4100 920 Water Street, Downtown Mall, Meadville, PA 16335 SCA

Accessible Recovery Services 724-591-5236 15957 Conneaut Lake Rd, Unit 6, Meadville, PA 16335 SUD MHH

Cumberland PerformCare 1-888-722-8646 BH MCO

Cumberland Perry Drug and Alcohol Commission 717-240- 6300 Human Services Building, 16 West High Street, Suite 302, Carlisle, PA 17013 SCA

Dauphin

PerformCare 1-888-722-8646 BH MCO

Dauphin County Department of Drug and Alcohol Services 717-635- 2254 1100 South Cameron Street, Harrisburg, PA 17104- 2531 SCA

Pennsylvania Counseling Services - Allison Hill 717-230-1361 548 South 17th Street, Harrisburg, PA 17104 COE

Hamilton Health Center 717-230-3910 110 S 17th Street, Harrisburg, PA 17104 COE

Accessible Recovery Services 724-591-5236 160 South Progress Ave, Suite 3B, Harrisburg, PA 17109 SUD MHH

Delaware


Delaware County Office of Behavioral Health 610-713- 2365 20 South 69th Street, Third floor, Upper Darby, PA 19082 SCA

AIDS Care Group/Sharon Hill Medical 610-715-0127 2304 Edgemont Avenue, Chester, PA 19013 COE

Crozer-Chester Medical Center - Community Hospital 610-497-7459 2600 West 9th Street, Chester, PA 19013 COE

Elk




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Erie


Erie County Office of Drug and Alcohol Abuse 814-451- 6877 155 West 8th Street, Suite 418, Erie, PA 16501 SCA

Esper Treatment Center 814-459-0817 25 West 18th Street, Erie, PA 16501 COE

Accessible Recovery Services 724-591-5236 1611 Peach St, Erie, PA 16501 SUD MHH

Fayette


Fayette County Drug and Alcohol Commission Inc 724-438- 3577 100 New Salem Road, Suite 106,

Fayette County Health Center Building, Uniontown, PA 15401 SCA

Highland Hospital 724-626-2356 401 East Murphy Avenue, Connellsville, PA 15601 COE

Accessible Recovery Services 724-591-5236 110 S Arch St Connellsville, PA 15425 SUD MHH

Forest Community Care Behavioral Health (CCBH) 1-866-878-6046 BH MCO

Forest -Warren Human Services D&A Program 814-726- 2100 285 Hospital Drive, North Warren, PA 16365 SCA

Franklin PerformCare 1-866-773-7917 BH MCO

Franklin Fulton County Drug and Alcohol Program 717-263- 1256 425 Franklin Farm Lane, Chambersburg, PA 17202- 3064 SCA

Fulton PerformCare 1-866-773-7917 BH MCO

Franklin Fulton County Drug and Alcohol Program 717-263- 1256 425 Franklin Farm Lane, Chambersburg, PA 17202- 3064 SCA

Greene


Greene County Human Services Program 724-852- 5276 Fort Jackson Building, Third Floor

19 South Washington Street, Waynesburg, PA 15370 SCA

Huntington


Juniata Valley Tri-County Drug and Alcohol Abuse Commission

717-242- 1446 31 S. Dorcas St., Suite D, Lewistown, PA 17044 SCA

Indiana



724-354- 2746 10829 US Route 422, PO Box 238, Shelocta, PA 15774 SCA

Accessible Recovery Services 724-591-5236 655 Church St., Indiana, PA 15701 SUD MHH

Jefferson


Clearfield Jefferson Drug and Alcohol Commission 814-371- 9002 135 Midway Drive, Suite A, DuBois PA 15801 SCA

Clearfield-Jefferson Drug and Alcohol Commission 814-371-9002 135 Midway Drive, DuBois, PA 15801 COE

Juniata


Juniata Valley Tri-County Drug and Alcohol Abuse Commission

717-242- 1446 31 S. Dorcas St., Suite D, Lewistown, PA 17044 SCA

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Lackawanna


Lackawanna/Susquehanna Office of Drug and Alcohol Programs

570-963- 6820 Scranton Electric Building

507 Linden Street, Fifth Floor, Scranton, PA 18503 SCA

The Wright Medical Group, PC 570-591-5146 501 Madison Avenue, Lackawanna, PA 18510 COE

Habit OPCO Dunmore Comprehensive Treatment Center 570-344-5327 118 Monahan Avenue, Dunmore, PA 18512 COE

Total Wellness Center, LLC 570-904-6000 1020 West Lackawanna Avenue, Scranton, PA 18504 COE

Lancaster


Lancaster County Drug and Alcohol Commission 717-299- 8023 150 North Queen Street, Suite 410, Lancaster,PA 17603 SCA

Lancaster General Hospital 717-544-1427 555 N. Duke Street, Lancaster PA 17604 COE

TW Ponessa & Associates Counseling Services, Inc. 800-437-5405 410 North Prince Street, Lancaster, PA 17603 COE

Lawrence


Lawrence County Drug and Alcohol Commission Inc. 724-658- 5580 20 E. Washington Street, 2nd Floor, New Castle PA 16101 SCA

Accessible Recovery Services 724-591-5236 125 East North St, Suite 123A, New Castle, PA 16101 SUD MHH

Lebanon PerformCare 1-888-722-8646 BH MCO

Lebanon County Commission on Drug and Alcohol Abuse 717-274- 0427 220 East Lehman Street, Lebanon, PA 17046 SCA

Lehigh


Lehigh County Drug & Alcohol Services Government Center, 17 South Seventh Street, Allentown, PA 18101 SCA

Neighborhood Health Centers of Lehigh Valley 610-820-7605 333 West Union Street, Allentown, PA 18102 COE

Treatment Trends, Inc. 610-432-7693 24 South Fifth St. , PO Box 685, Allentown, PA 18105 COE

Luzerne


Luzerne Wyoming Counties Drug and Alcohol Program 570-826- 8790 Penn Place Building, 20 N. Pennsylvania Ave., Suite 218, Wilkes-Barre, PA

18701- 3509 SCA

Total Wellness Center, LLC 413-341-1787 189 E. Market Street, Wilkes-Barre, PA 18702 COE

Pennsylvania Care LLC DBA Miners Medical 570-822-5145 43 Main Street ,Ashley, PA 18706 COE

Lycoming


Lycoming Clinton West Branch Drug and Alcohol Abuse Commission

570-323- 8543 213 West Fourth Street, Williamsport, PA 17701 SCA

Crossroads Counseling, Inc. 570-323-7535 501 East Third Street, Williamsport, PA 17701 COE

Total Wellness Center, LLC 570-505-8331 329 Pine Street, Williamsport, PA 17701 COE

McKean




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Mercer


Mercer County Behavioral Health Commission Inc 724-662- 1550 8406 Sharon Mercer Road, Mercer, PA 16137 SCA

Accessible Recovery Services 724-591-5236 282 Main Street, Greenville, PA 16125 SUD MHH

Mifflin


Juniata Valley Tri-County Drug and Alcohol Abuse Commission 717-242- 1446 31 S. Dorcas St., Suite D, Lewistown, PA 17044 SCA

Monroe



Mt. Pocono Medical 570-839-7246 1151 Pocono Blvd., Mt. Pocono, PA 18344 COE

Montgomery


Montgomery County Department of Behavioral Health and Developmental Disabilities

610-278- 3642 Montgomery County Human Services Center

1430 Dekalb Street, PO Box 311, Norristown, PA 19404 SCA

Resources for Human Development, Inc. Montgomery County Methadone Center

215-951-0300 316 DeKalb Street, Norristown, PA 19401 COE

Community Health and Dental Care Inc. 610-326-9460 800 Heritage Drive, Pottstown, PA 19464 COE

Montour




Geisinger Clinic/GIM Danville 570-214-7021 100 North Academy Avenue, Danville, PA 17822 COE

Northampton


Northampton County D&A Division 610-829- 4725 Northampton County Human Services Building

2801 Emrick Boulevard - 3rd Floor, Bethlehem, PA 18020 SCA

Neighborhood Health Centers of Lehigh Valley 610-841-8400 218 North Second Street, Allentown, PA 18102 COE

New Directions Treatment Services 610-758-8011 2442 & 2456 Brodhead Road, Bethlehem, PA 18020 COE

Northumberland


Northumberland County BH/IDS 570-495- 2154 Human Senior & Social Services Building

217 North Center Stree,t Sunbury, PA 17801 SCA

Perry


Cumberland Perry Drug and Alcohol Commission 717-240- 6300 Human Services Building

16 West High Street, Suite 302, Carlisle, PA 17013 SCA

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Philadelphia

Community Behavioral Health 1-888-545-2600 BH MCO

Office of Addiction Services 215-685- 5404 1101 Market Street, Eighth Floor, Philadelphia, PA 19107 SCA

Pathways to Housing PA 215-390-1500 5201 Old York Road, Philadelphia, PA 19141 COE

Public Health Management Corporation 215-985-6886 1500 Market Street, Philadelphia, PA 19102 COE

Penn Presbyterian Medical Center 215-662-9758 5 N 39th Street, Philadelphia, PA 19104 COE

Maternal Addiction Treatment, Education, and Research (MATER)

215-955-8419 1233 Locust Street, Philadelphia, PA 19107 COE

Temple University Of the Commonwealth System of Higher Education

215-707-7547 3340 North Broad Street, Philadelphia, PA 19140 COE

Wedge Medical Center, Inc. 215-276-3922 6711 Old York Road, Philadelphia, PA 19126 COE

Pike Community Care Behavioral Health (CCBH) 1-866-473-5862 BH MCO


Potter Community Care Behavioral Health (CCBH) 1-866-878-6046 BH MCO

Potter County Drug and Alcohol 814-544- 7315 62 North Street, P.O. Box 241, Roulette, PA 16746-0241 SCA

Schuylkill


Schuylkill County Drug and Alcohol 570-621- 2890 108 South Claude A Lord Boulevard, 2nd Floor, Pottsville, PA 17901 SCA

Clinical Outcomes Group, Inc. 570-628-6990 437 North Centre Street, Pottsville, PA 17901 COE

Snyder


Columbia- Montour- Snyder- Union Drug and Alcohol Program

570-275- 5422 Behavioral Health Base Service Unit

603 East Market Street, Suite 200 Danville PA 17815 SCA

Somerset PerformCare 1-866-773-7891 BH MCO

Somerset County Drug and Alcohol Commission 814-445- 1530 300 North Center Avenue, Suite 360, Somerset, PA 15501 SCA

Sullivan Community Care Behavioral Health (CCBH) 1-866-878-6046 BH MCO

Bradford/Sullivan Drug and Alcohol Programs 570-265- 1760 220 Main Street, Unit 1, Towanda, PA 18848 SCA

Susquehanna


Lackawanna/Susquehanna Office of Drug and Alcohol Programs

570-963- 6820 Scranton Electric Building

507 Linden Street, Fifth Floor, Scranton, PA 18503 SCA

Tioga


Tioga County Department of Human Services 570-724- 5766 1873 Shumway Hill Road, Wellsboro, PA 16901 SCA

Crossroads Counseling, Inc. 570-323-7535 1873 Shumway Hill Road, Wellsboro, PA 16901 COE

Union




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Venango


Venango County Substance Abuse Program 814-432- 9744 One Dale Avenue, Franklin, PA 16323 SCA

Accessible Recovery Services 724-591-5236 150 Prospect Ave, Suite 303, Franklin, PA 16323 SUD MHH

Warren Community Care Behavioral Health (CCBH) 1-866-878-6046 BH MCO

Forest -Warren Human Services D&A Program 814-726- 2100 285 Hospital Drive ,North Warren, PA 16365 SCA

Washington


Washington D&A Commission, Inc. 724-223- 1181 90 West Chestnut Street, Suite 310 T, Washington, PA 15301 SCA

The CARE Center, Inc. 1-888-810-8595 75 East Maiden Street, Washington, PA 15301 COE

Accessible Recovery Services 724-591-5236 160 Pike Street, Canonsburg, PA 15317 SUD MHH

Wayne Community Care Behavioral Health (CCBH) 1-866-878-6046 BH MCO

Wayne County Drug and Alcohol Commission 570-253- 6022 318 Tenth Street, Honesdale, PA 18431 SCA

Westmoreland


Westmoreland Drug and Alcohol Commission, Inc 724-684- 9000 Monessen Municipal Complex

1 Wendell Ramey Ln, Suite 120, Monessen, PA 15062- 2346 SCA

Mon Valley Health Services Inc. 1-888-810-8595 2 Eastgate Avenue, Monessen, PA 15062 COE

Accessible Recovery Services 724-591-5236 4 Kensington Square, New Kensington, PA 15068 SUD MHH

Accessible Recovery Services 724-591-5236 125 East Otterman St, 2nd Floor Back Entrance, Greensburg Pa 15601 SUD MHH

Wyoming


Luzerne Wyoming Counties Drug and Alcohol Program 570-826- 8790 Penn Place Building,

20 N. Pennsylvania Ave., Suite 218, Wilkes-Barre, PA 18701- 3509 SCA

York


York Adams Drug and Alcohol Commission 717-771-9222 100 West Market Street, Suite B04, York, PA 17401 SCA

Family First Health Corporation 717-801-4804 116 South George Street, York, PA 17401 COE

Pennsylvania Counseling Services - York Psychiatric 717-316-0763 128 North George Street, York, PA 17402 COE

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Patient Education Opportunities

While not all patients will require brief intervention and referral to treatment for substance abuse when screened, opportunities will present

themselves to provide prevention education to lessen the likelihood that a substance use disorder will develop in the future:

Opportunity Talking Points

Adolescent Populations Addressing Peer Pressure

Predisposition to develop an addiction

Adult Populations who admit to social drinking Signs that social drinking is progressing to problematic drinking

Binge drinking

Long- term health effects of alcohol

Impact of alcohol use on chronic physical health conditions

Alcohol interactions with prescription medications

Child bearing Age/ Pregnancy Risk to unborn child related to alcohol or substance use

Risk of use of opioids during pregnancy

When prescribing a new medication that has a

likelihood to develop a misuse/ abuse

(Opioids, benzodiazepines, stimulants)

The potential for misuse or addiction to the medication

Importance of proper drug disposal/ drug take back programs

Use of Narcan when high dosages of opioids are prescribed

Family member or friend of someone with a

substance use disorder Community Supports (Al-Anon, Nar-anon)

Use of Narcan

15

Documents

SBIRT for Substance Use Disorders - Gateway Health · SBIRT for Substance Use Disorders (Screening, Brief Intervention, and Referral to Treatment) ... Health covers screening/assessment