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Components include but are not limited to: Using a standardized screening tool Providing feedback to the member on the screening results Discussing negative consequences that have occurred and the overall severity of the problem Motivating the member toward behavioral change A joint decision-making process regarding alcohol and/or drug use Discussing and agreeing on plans for follow-up with member Ancillary staff, including health educators, may perform SBIRT services under the supervision of a credentialed provider

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It may impart upon its user a "buzz" somewhat more intense than that of tobacco chewing, snuffing and smoking