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School of Nursing Substance Use Education for Nurses Screening, Brief Intervention and Referral to Treatment (SBIRT) University of Pittsburgh School of Nursing The ATN-SBIRT Program is a partnership with the University of Pittsburgh School of Nursing and IRETA supported by Grant D11HP14629 from the Bureau of Health Professions, Division of Nursing, Health Resources and Services Administration(HRSA), Department of Health and Human Services (DHHS).. School of Nursing Think-Pair-Share Group Activity • Think – Silently read your handout • Pair – After everyone in your group has reviewed the handout identify and discuss as a group the main topic of the handout and complete the worksheet (one worksheet per group) • Share – each group should elect a spokesperson to share an overview of your topic with the large group Copyright 2014, University of Pittsburgh.. School of Nursing SBIRT as a Response Option Primary Prevention e nc e n i t s Ab ue q e r f In Brief Intervention e n t us Prob ic u t a m le se AODA Treatment e Abus de n n e p De ce Caldwell, S.. School of Nursing Assessing Readiness Stages of Change • Precontemplation: The client is not yet considering change or is unwilling or unable to change • Contemplation: The client acknowledges concerns and is considering the possibility of change but is ambivalent and uncertain • Preparation: The client is committed to and planning to make a change in the near future but is still considering what to do • Action: The client is actively taking steps to change but has not yet reached a stable state • Maintenance: The client has achieved initial goals such as abstinence and is now working to maintain gains Prochaska, J.O., DiClemente, C.C..