Treatment

Buprenorphine Algorithm

Brief Negotiation Interview (BNI)

Raise The Subject

• Establish rapport
• Raise the subject of drug use
• Assess comfort

Provide Feedback

• Review patient’s alcohol and/or drug use and patterns
• Make connection between AOD use and negative consequences; (e.g. impaired judgment leading to injury/unprotected sex/sharing needles)
• Make a connection between AOD use and ED visit

Enhance Motivation

• Assess readiness to change: One a scale 1 to 10 how ready are you to stop using, cut back or enroll in program?
  (Why didn’t you pick a lower number?)

Negotiate & Advise

• Negotiate goal
• Give advice
  • Summarize and complete referral/prescription form
  • Thank patient for their time