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Updated: Apr 1, 2026

Virtual Agent for Real-Time Motivational Interviewing by Integrating Adaptive Nonverbal Behavior and Language Models
Published on: December 23, 2025
Cultural Adaptation of Screening, Brief Intervention and Referral to Treatment Using Motivational Interviewing
Derek D Satre1, Jennifer K Manuel, Sandra Larios
1Department of Psychiatry (DDS), University of California, San Francisco, CA; Division of Research (DDS), Kaiser Permanente Northern California Region, Oakland, CA; San Francisco Veterans Affairs Medical Center (JKM), San Francisco, CA; Department of Psychiatry (SL), San Francisco General Hospital, San Francisco, CA; and Division of General Internal Medicine (SS, JS), Department of Medicine, University of California, San Francisco, CA.
Abstract:
This clinical case presentation and discussion illustrates a culturally adapted alcohol and drug use intervention using the Screening, Brief Intervention, and Referral to Treatment (SBIRT) approach, incorporating motivational interviewing skills. This case conference serves to complement the accompanying review article on SBIRT with diverse cultural groups, placing information from the review in the context of a typical clinical setting. In this example, SBIRT is provided in a primary care clinic to a Latino patient who reports hazardous drinking, depression, chronic pain and use of prescription opioids.
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