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0004 ( BHC) For patients who are medically unstable (e.g., acute trauma, myocardial infarction, and stroke) or psychiatrically unstable (e.g., delirium and imminent risk of harm to self and/or others) or acutely intoxicated, the program makes appropriate referrals for urgent and specialty substance use care or secures substance use consultation to manage the acute episode, and to provide continued care management.
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RationaleThe CSAT SBIRT programs have successfully screened more than 600,000 patients in a variety of settings. Approximately 3.5% of the patients screened had medical, psychiatric or substance use problems that required referral to specialty care or consultation with substance use specialists. A successful SBI program must be able to connect those patients who are medically or psychiatrically unstable or who have complex substance use problems to specialty care. The program must be able to connect patients (or receive consultation from specialists)to assure coordination of care.
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