Reference Guide for Reproductive Health Complicated by Substance Use
Introduction to SBIRT
Substance misuse, dependency, and substance use disorders are common among Nevada adult populations. These issues are also occurring during pregnancy at an alarming rate with far reaching effects on both mother and infant. To date, the single best strategy we have to identify and help those that want assistance is adding screening and referral to treatment, known as Screening, Brief Intervention and Referral to Treatment (SBIRT), into the clinical setting. Medical professionals are often the first line to aid in this effort. Note that this document uses the term “medical professional” to be inclusive of doctors and advanced practitioners. The intention for this guide is to provide basic directives for successfully implementing SBIRT, specifically how to apply it to pregnant and non-pregnant women of reproductive age populations.
- What are we doing?
Performing Screening, Brief Intervention, and Referral to Treatment (SBIRT) for substance use in every pregnant woman and non-pregnant woman of reproductive age.
- Why are we doing SBIRT?
Drug-related deaths contribute to pregnancy associated deaths, with substance use being a preventable causal or correlating factor in maternal mortality. SBIRT for substance use needs to be done as part of your duty as a medical professional. It is the standard of care.
- Where are we supposed to do this?
In all settings where a pregnant woman or non-pregnant woman of reproductive age seeks services.
Screening, Brief Intervention and Referral to Treatment (SBIRT) Training & Technical Assistance
This brief virtual presentation will provide a guide through several Screening, Brief Intervention and Referral to Treatment (SBIRT) training and technical assistance options that are available to medical professionals licensed to practice in the state of Nevada (including physicians, nurses, nurse practitioners, physician assistants, licensed midwives and licensed clinical social workers) to learn about strategies to implement SBIRT within your women’s health or OBGYN setting.
Comprehensive Addiction and Recovery Act
- Who can do this?
A wide variety of health care staff can perform SBIRT, including physicians, nurses, nurse practitioners, physician assistants, licensed midwives, and licensed clinical social workers.
- When are we supposed to do this?
All Physicians, Advanced Practitioners and Nurses: When a pregnant woman or non-pregnant woman of reproductive age is being seen for the first time (first contact). – or – When you first recognize a pregnancy. Additionally, on an annual basis, if you are providing continuous care for a pregnant woman or nonpregnant woman of reproductive age.
- How do I do this?
The Adopt SBIRT team at CASAT/UNR serves Nevada with expertise and key resources to assist organizations to promote, prepare, adopt, and implement SBIRT. Please complete the Online Training Readiness Form (see link above) to get started today
Brent Bartholomew MD, FACOG Women’s Health Associates of Southern Nevada
Brian Iriye MD, Managing Partner High Risk Pregnancy Center, MOTHER Program Co-Director
Farzad Kamyar MD, Director of Collaborative Care High Risk Pregnancy Center, MOTHER Program Co-Director Deepa Nagar MD, NICU Medical Director, Co-Director, EMPOWERED Dignity Health
Andria Peterson PharmD, NICU/Pediatric Clinical Pharmacist, Co-Director EMPOWERED Dignity Health
Stephanie Woodard PsyD, Senior Advisor on Behavioral Health Nevada Division of Public and Behavioral Health
Members of the Nevada Opioid Use Disorder, Maternal Outcome, Neonatal Abstinence Syndrome Initiative (OMNI) supported by the Association of State and Territorial Health Officials (ASTHO) Core Team and Provider Education and Practice Standards Workgroup.
Standard Meeting Times for Workgroups:
• Core Team: Monthly on the 4th Friday of the month, 1:30-3:00 PM
• CARA Plan of Care Workgroup: Monthly on the 2nd Wednesday of the month, 12:00-1:00 PM
• Reproductive Health Network: Quarterly Meetings (November, February, May, August), typically on the 4th Friday of the month, 9:30-10:30 AM
For more information regarding workgroups or questions about this project, please email: nevadaperinatalhealth@