
How Do You Conduct a Brief Intervention?
Part of Yale's Addiction Treatment: Clinical Skills for Healthcare Providers course, this lesson teaches the brief intervention component of the SBIRT framework (Screening, Brief Intervention, Referral to Treatment) for patients with risky alcohol use. Seven Yale instructors walk through a four-step process: raising the subject, providing feedback, enhancing motivation, and negotiating goals, illustrated through a model case performed by actors playing a primary care patient and clinician. The lesson draws on motivational interviewing techniques to show how a physician can address substance use without confrontation, aiming to move a patient from ambivalence toward a concrete behavior change goal. Aimed at practicing clinicians rather than a general audience, it treats addiction as a chronic, treatable disease and demonstrates language and pacing a provider can use in a short office visit. The segment is narrow and skills-focused, one module in a larger clinical curriculum rather than a survey lecture.