The state now requires all schools to provide 9th grade students with a preliminary drug and alcohol screening. The process is known as SBIRT [Screening, Brief Intervention, Referral to Treatment]. Our nurses have been trained to administer it. SBIRT focuses on prevention and early detection in the school setting. This screening tool will enable school nurses to detect risk for substance use-related problems and to address them, in partnership with families and counselors, at an early stage.