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Healthcare-Based Prevention Resources

Screening, Brief Intervention, and Referral to Treatment (SBIRT)

SBIRT is a comprehensive, integrated public health approach to the delivery of early intervention and treatment for individuals with substance use disorder, depression, and suicidality, as well as those at risk of developing these issues. SBIRT services utilize universal screenings to identify problematic mental health and substance abuse issues, employs brief interventions to address unhealthy behaviors, and offers referrals to treatment when a great level of care is required. Primary care centers, family medicine clinics, hospitals, emergency departments, and trauma centers can provide a great opportunity for early intervention before more sever consequences occur.

  • Screenings take only a few minutes!
  • Multiple studies show reduction in harmful behaviors due to SBIRT interventions.
  • SBIRT can be tailored with different screenings and assessments.
  • SBIRT services can be reimbursed and lead to long-term healthcare cost savings.
  • SBIRT services are endorsed by the World Health Organization, the U.S. Preventative Services Task Force, and the American College of Surgeons.


SBIRT Settings

SBIRT can be used in a variety of settings, including primary care sites, hospitals, emergency departments, assisted living, home health, law enforcement, military, and schools. Although SBIRT implementation may lookd ifferent in each of these locations, the goal is still the same: identify and reduce potential risky substance use and/or symptoms of depression and suicidality. You can learn more by reading the SBIRT documentation around Primary Care Sites, Emergency Departments, Hospitals, and Non-Medical Settings.

Brief Intervention: Provides feedback about risky behaviors and motivation toward healthy behavior change. It focuses on education and increasing patient insight and awareness about risks related to unhealthy substance use, depression, and suicide risk.

Kognito SBIRT Modules

Kognito creates digital experiences that prepare health-care providers for the conversations that matter most. Scientists, artists, and technologists use the latest principles behind neuroscience, social cognition, and game mechanics to create simulated conversations with virtual patients where you can learn, practice and self-assess your ability to manage conversations that can lead to positive changes in social, emotional, and physical health. The company's science-driven and research-proven approach have made Kognito the only company with health simulations listed in the National Registry of Evidence-Based Programs and Practices (NREPP).

Additional Brief Intervention Video Demonstartions

ODMHSAS Training Institute

Introduction to Motivational Interviewing: This is a two-day training. Motivational Interviewing (MI) is a collaborative, goal-oriented method of Communication with particular attention to the language of change. It intends to strengthen personal motivation for commitment to a target behavior change by eliciting and exploring an individual’s argument to make changes.  

Patient-Facing Resources for Brief Intervention Support

Referral to Treatment: Provides those identified as needing more extensive treatment with access to specialty care for mental health services and addiction assessment and treatment.


Additional Referral to Treatment Resources

Do No Harm: Pain and Opioid Management

Do No Harm: Pain and Opioid Management provides best practices and technical assistance for the safe and responsible treatment of chronic pain, including opioid prescriptions, when indicated.  The goals of the Do No Harm program are to improve patient-centered care and safety, leading to improvements in pain management and daily functioning.  Through the delivery of evidence-based guidelines and safe opioid prescribing recommendations, Do No Harm seeks to provide quality improvements to the delivery of primary and mental health care services.  In collaboration with the Do No Harm program, the ODMHSAS Overdose Education and Naloxone Distribution (OEND) program assists in combating the opioid epidemic and reducing fatal overdoses by improving access to naloxone and providing additional resources for the treatment of substance use disorders.

Need for Programming

Do No Harm 2.0 Medical: Putting Safer Pain Management into Practice

In partnership with the Oklahoma Department of Mental Health and Substance Abuse Services (ODMHSAS), the University of Oklahoma Health Science Center (OUHSC) and the OU-TU School of Community Medicine have created a comprehensive six module CME program called Do No Harm (DNH) 2.0: Putting Safer Pain Management into Practice. Module 1 of this program provides an overview of the requirements of Oklahoma Senate Bill 1446 and meets the one-hour training requirements.

Do No Harm Dental: Putting Safer Pain Management into Practice

The University of Oklahoma College of Dentistry, in association with the Oklahoma Department of Mental Health, is pleased to announce a new continuing education program titled “DO NO HARM: Putting Safer Pain Management into Practice.” This program was created specifically to satisfy the educational requirements for Oklahoma dental licensure. The two-hour CE was derived from the University of Oklahoma Health Sciences Center Oklahoma Primary Healthcare Improvement Cooperative’s program created to provide CME credits to clinicians.

Overdose Education and Naloxone Distribution (OEND)

The ODMHSAS partners with healthcare facilities serving populations identified as high risk for opioid overdose to implement Overdose Education and Naloxone Distribution (OEND) programs. OEND programs aim to reduce harm and risk of life-threatening opioid-related overdose deaths among Oklahomans. Key components of the ODMHSAS Healthcare-based OEND program include access to free overdose reversal kits (naloxone) for distribution to persons identified as at risk of witnessing or experiencing opioid overdose training in opioid overdose prevention, opioid overdose rescue response with naloxone, and additional harm reduction strategies, including fentanyl test strips (FTS), medication lockboxes, medication disposal bags, and gun locks. For more information or to see if your facility qualifies for the Healthcare-Based OEND program, contact the ODMHSAS Healthcare-Based Prevention Services Team.

OK I'm Ready

Free naloxone kits are available to anyone in the state of Oklahoma through ODMHSAS' mail-out program. To request a free kit be mailed to a residence, or to learn more about the prevention and treatment of Substance Use Disorder (SUD), visit the OK I'm Ready website. For OK I'm Ready resources and materials to provide to patients, contact the ODMHSAS Healthcare-Based Prevention Services Team.

Zero Suicide in Healthcare

Zero Suicide in Healthcare is a way to improve suicide care within healthcare systems.  The foundational belief of Zero Suicide is that suicide deaths for individuals under the care of medical providers are preventable; studies have shown the majority of people who died by suicide saw a healthcare provider in the year prior to their death.  For healthcare systems dedicated to improving patient safety and stability, Zero Suicide offers an aspirational challenge and practical framework for system-wide transformation toward safer suicide care.  Zero Suicide is based on the realization that people experiencing suicidal thoughts and urges often fall through the cracks in a sometimes fragmented health care system. There is an opportunity for health care systems to make a real difference by transforming the care patients receive.

Current Suicide Trends

In Oklahoma:

  • Suicide is the 9th leading cause of death in Oklahoma.2
  • In 2020, 869 Oklahomans died by suicide.2
  • The age adjusted suicide rate in 2020 was 22.2 per 100,000 individuals, higher than the national rate.2
  • On average, one person died by suicide every 11 hours in Oklahoma.2
  • In 2020, firearms accounted for 61.9% of all suicide deaths.2

In the United States:

  • Suicide is the 12th leading cause of death.1
  • In 2020, 45,979 Americans died by suicide; an estimated 1.2M suicide attempts were made.1
  • The age-adjusted suicide rate in 2020 was 13.48 per 100,000 individuals.1
  • On average, there are 130 suicides per day.1
  • In 2020, firearms accounted for 52.83% of all suicide deaths.1

93% of adults surveyed in the U.S. think suicide can be prevented.1

1 American Foundation for Suicide Prevention

2 Center for Disease Control

Zero Suicide Research

  • The Relationship Between Suicidal Behaviors and Zero Suicide Organizational Best Practices in Outpatient Mental Health Clinics
  • Efficacy of the Zero Suicide framework in reducing recurrent suicide attempts: cross-sectional and time-to-recurrent-event analyses


Zero Suicide Outcome Stories

  • Zero Suicide Outcomes One-Pager
  • Zero Suicide Case Studies

Zero Suicide Foundational Principles

  • Core Values: the belief and commitment that suicide can be eliminated in a population under care by improving service access and quality and through practicing continuous quality improvement.
  • Systems Management: taking systematic steps across systems of care to create a culture that no longer finds suicide acceptable, setting aggressive but achievable goals to eliminate suicide attempts and deaths, and organizing service delivery and support accordingly.
  • Evidence-Based Clinical Care Practices: adopting practices that research shows reduce suicide deaths and behaviors and that are delivered through the entire system of care and that emphasize productive patient-staff interactions.

2021 Zero Suicide Summit: Zero Suicide in Primary Care

Engage all individuals at-risk of suicide using a suicide management plan

Pathways to Care


Unique Settings


Safety Planning


Research Articles


Special Populations

Native Americans & Alaska Native


Military & Veterans


Children & Youth



Treat suicidal thoughts and behaviors directly using evidence-based treatments

Treatment Resources


CALM: Counseling on Access to Lethal Means

Reducing access to lethal means, such as firearms and medication, can determine whether a person at risk for suicide lives or dies. This free online course focuses on how to reduce access to the methods people use to kill themselves. It covers how to: (1) identify people who could benefit from lethal means counseling, (2) ask about their access to lethal methods, and (3) work with them—and their families—to reduce access. While this course is primarily designed for mental health professionals, others who work with people at risk for suicide, like social service professionals and health care providers, may also benefit from taking it.