The diagram below shows the basic SBIRT clinic flow. This flow can be adapted to meet your current clinic or hospital processes. Think about your current patient flow processes and how the SBIRT model can be adapted to meet your clinic's culture. The most important elements to remember is that screening is performed universally on all patients 18 and older, and that a brief intervention is given to the patient as close to the appointment they were screened as possible.  It is also important to have a team approach for the delivery of SBIRT, utilizing several staff throughout the clinic to administer each step.  For more information on SBIRT workflow visit the SAMHSA-HRSA website.