We know that 30 percent of Americans use alcohol and drugs at a level that increases their risk for physical, mental and social harm. That’s 3 in 10 people. The problem is, we don’t know who they are. The answer is screening. If we can identify Iowans who are at risk, we can help them set health goals, highlight behavior change, offer brief treatment, or refer them to specialty substance abuse treatment services. That’s SBIRT – Screening, Brief Intervention and Referral to Treatment.