SBIRT services will be offered to all students in grades 6-12. There is no charge for these services as this service is funded through the Montgomery County ADAMHS board. 

What is SBIRT? 

SBIRT stands for Screening, Brief Intervention, and Referral to Treatment. Your child will be screened, like a hearing or vision screening, for depression, drug and alcohol issues and tobacco product use. SBIRT offers some simple, useful tools to address possible concerns for your child. 



When depression and drug and alcohol issues are found early in life, early intervention can have lifelong benefits. Early intervention can prevent larger problems later in life.


How are parents involved in School SBIRT? 

Guardians will be notified of the results of screening if a concern is detected. If the student’s problem symptoms persist and staff suggest further services, parents will need to be involved in the next steps.


Will the school know the results of the screens? 

No. The school will be given the results of all the screens combined at the end of the year for funding purposes. No individual information will be given, unless the guardian gives permission.  


Who do I contact if I need more information?

William Bailey at Samaritan Behavioral Health 937-734-3491 or (David Michal) can answer any questions you have. 


If you would like to opt out of this service, please return by 10/11/2021


Child’s Name _______________________________________________ Grade_____________________

_____. Does not have permission

to receive SBIRT services from Samaritan Behavioral Health Inc. These services will be of no cost as they are funded through the Montgomery County ADAMHS Board. Individual screening results and services will not be shared with Horizon Academy without parental written consent and are not part of the school record.


__________________________________     _________________________     _____________________

Guardian signature                                             Guardian Name                                Date

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