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Oklahoma Works brings all of our state's workforce resources together, connecting employers, employees and job-seekers to find information and programs that help build Oklahoma's workforce. Learn more at

SBIRTOK is an initiative of the Oklahoma State Department of Mental Health and Substance Abuse Services (ODMHSAS). For Information about establishing the evidence based SBIRT protocol in your primary care practice, emergency department or trauma center call  1-877- SBIRTOK (1-877-724-7865) or email 

ZERO Suicide Initiative Partnership is an initiative of the Oklahoma Department of Mental Health and Substance Abuse Services (ODMHSAS). The ODMHSAS is a grantee in the National Strategy for Suicide Prevention Implementation Grant Program. For more information about the ODMHSAS Zero Suicide Initiative Partnership for emergency departments please call Shelby Rowe at 405-248-9271 or email

What is SBIRT?
Screening, Brief Intervention, and Referral to Treatment (SBIRT) is a public health evidence-based practice used to identify, reduce, and prevent problematic use, abuse, and dependence on alcohol and drugs (illicit or misuse of prescription).  SBIRT can be used to effectively encourage individuals to reduce or eliminate problematic drug or alcohol use. There are three components of SBIRT.

  • Screening quickly assesses the severity of substance use and identifies the appropriate level of response.
  • Brief intervention focuses on increasing insight and awareness regarding substance use and motivation toward behavioral change.
  • Referral to treatment provides those identified as needing more extensive treatment with access to specialty care.

SBIRT places risky substance use where it belongs—in the realm of healthcare. It focuses on identifying risky substance use to help prevent the onset of the more costly disease of addiction. Similar to preventive screenings for chronic diseases such as cancer, diabetes, and hypertension, SBIRT is an effective tool for identifying risk levels related to substance use and for providing the appropriate intervention. Read more..

SBIRT Quick Links and Resources

Billing Guides
CDC report on SBIRT
CMS Guide: Screening and Behavioral Counseling Interventions in Primary Care to Reduce Alcohol Misuse
Industry Recommendations
Local Behavioral Health Referral   211  |  Facility Locator
Opioid Overdose Toolkit: Safety Advice for Patients & Family Members
Patient Materials  Alcohol Screening   |  Mental Health Screening
Primary Care Widgets for Preventative Screening
Quick Guide for Primary Care
Research and News
Screening Tools and Protocols

What is the ODMHSAS Zero Suicide Initiative Partnership?
The ODMHSAS Zero Suicide Initiative Partnership is a partnership with the ODMHSAS and 83 emergency rooms throughout Oklahoma. The ODMHSAS will utilize funding for further implementation of the Oklahoma’s strategy for Suicide Prevention and the National Action Alliances’ Zero Suicide Initiative. Zero Suicide is defined as Goals 8 and 9 of the National Strategy for Suicide Prevention.

  • Goal 8: Promote suicide prevention as a core component of healthcare services.
  • Goal 9: Promote and implement effective clinical and professional practices for assessing and treating those identified as being at risk for suicidal behaviors.

The ODMHSAS will utilize the funding to provide all hospital related trainings, materials, suicide prevention software licensing, technical assistance and intensive support of ODMHSAS Prevention Field staff. The partnership includes intensive follow up services for patients discharged from the emergency department by the National Suicide Prevention Lifeline.

The following trainings will be offered to the hospital. The cost of materials and a certified trainer will be provided.

  • Question, Persuade, Refer (QPR). QPR is a 60 to 90 minute gatekeeper training.  The training will be offered to all nursing and facility’s staff. The trainings will take place at a time and location that is convenient to the hospitals work flow.
  • At Risk in the Primary Care (Kognito). Kognito is a one-hour, online training simulation for physicians. The trainings will take place online for CEU’s. Promotional materials and reminder communications will be sent out to encourage completion.
  • Counseling Access to Lethal Means (CALM). CALM provides suicide data and a background on lethal means; an introduction to firearms; a video presentation that mode’s the counseling strategy; a presentation and discussion on conducting a counseling session; optional role plays; and a course evaluation.  CALM will be available in an online format that physicians or nurses can self-administer when they are available.

Why ODMHSAS Zero Suicide Initiative Partnership?
Suicide is the second leading cause of death for Oklahomans ages 25-34 and is among the top 5 leading cause of death for Oklahomans ages 35-64. This project is expected to reduce the rate of non-fatal suicide attempts and deaths in adults ages 25-64. Comprehensive suicide prevention programs, which include intensive follow-up of at-risk patients, have been shown to reduce re-admittance rates to hospitals (Mark et al., 2012). The ODMHSAS Suicide Prevention Office is interested in improving the care of patients with suicidal ideation and reducing emergency room readmits.  The ODMHSAS partnership will provide suicide prevention related trainings, material and follow up services to emergency departments throughout Oklahoma.  

Zero Suicide Quick Links:

Oklahoma Suicide Prevention Council Facebook
Oklahoma Suicide Prevention Page
Suicide in Oklahoma, a report from the Oklahoma State Department of Health's Injury Prevention Page

Provider Certification Training - START HERE

Behavioral Health Screening

Alcohol and/or substance abuse structured screening & Brief Intervention (SBI) Services for CPT 99408

CDC Primary Care SBIRT Implementation Guide

Oklahoma SBIRT Contact: Angela Dickson, SBIRT Project Director Oklahoma Department of Mental Health 
and Substance Abuse Services Phone 405-248-9331

Prevention In Practice - It Works