After completing the SBIRT training, I began to use the motivational interviewing techniques in my primary care clinic.  I found that using the tools I learned in the training I could effectively engage my patients in discussion and simultaneously assess their readiness to change abusive behaviors in a time efficient manner compatible with a routine clinic visit.  In addition, once I have had the initial discussion with patients, I can address the issue at a later visit and have objective tools to assess for progress.  I have multiple examples of success using these techniques with patients, including cases of alcohol and illicit drug abuse.  Overall it’s a useful tool for anyone who may have to deal with substance abuse in their patient population.

Christopher Kniese, MD
Department of Internal Medicine, PGY-2
Indiana University School of Medicine

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