Primary Care practices are valuable settings to implement the identification of patients struggling with risky substance use behaviors. Patients that engage in moderate to high levels of alcohol or substance use might have difficulty managing chronic health problems or promoting optimal health through recommended lifestyle changes. Screening, Brief Intervention and Referral to Treatment (SBIRT )is an evidence-based model that helps health care providers identify patients with risky substance use behavior and uses short conversations with patients to understand their readiness to change or accept referral to a specialty provider for further assessment. Implementing SBIRT in a primary care setting normalizes the conversation about the use of drugs and alcohol and allows patients to address their substance use in a safe, confidential and accessible environment. Mosaic Group has developed a set of tools and trainings to help primary care practices adopt SBIRT as a routine part of care. In this Mosaic University course, you will learn how to utilize these tools in your primary care practice leading to successful behavioral health integration.