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Though most individuals who misuse alcohol and drugs are unlikely to seek specialty treatment, most of these individuals are seen in primary care medical settings. Screening, brief intervention and referral to treatment (SBIRT) has been shown to be effective in reducing substance misuse; however, most physicians have not been trained in SBIRT.

The Southeastern Consortium for Substance Abuse Training (SECSAT) is a project designed to increase training among resident programs in Georgia (GA), North Carolina (NC), and South Carolina (SC), and to encourage and enable these residents to implement SBIRT in their future primary care practices. The SECSAT team has developed SBIRT curriculum modules related to alcohol misuse and abuse, prescription drug misuse and abuse, and illicit drug use and abuse. In addition, SECSAT has developed systems for implementing SBIRT processes within primary care practices. SBIRT training programs and services have been established in four residency programs including:

• Mercer University Family Medicine Residency in Macon, GA
• Mercer University Internal Medicine Residency in Macon, GA
• Wake Forest University Internal Medicine Residency in Winston-Salem, NC.
• Wake Forest University Family Medicine Residency in Winston-Salem, NC.
• AnMed Family Medicine Residency in Anderson, SC
• Seneca Lakes Family Medicine Residency in Seneca, SC
• Memorial Health University Internal Medicine Residency in Savannah, GA