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Introduction: This article describes the implementation of a Screening, Brief Intervention and Referral to Treatment (SBIRT) training program in primary health care centers in the state of Minas Gerais, Brazil. Attention is given to the impact of an SBI training program on attitudes and knowledge, as well as predictors of screening and brief intervention practices following the training. Methods: A before-after repeated measures group design was used to test changes in the attitudes of four types of Primary Health Care (PHC) professionals who received eight hours of training on alcohol screening and brief intervention. The professionals (n=195) were categorized into four groupings: general practitioners (GPs, n=25), nurses (n=35), auxiliary nurses and community health workers (n=99), and psychologists and social workers (n=36). Results: Following training, significant improvements were found in measures of knowledge, selfefficacy, confidence and expectations about the effectiveness of SBI. In addition, perceived obstacles were reduced after the training. Three months after the training, SBI was more likely to be performed by health workers who had higher levels of pre-training self-efficacy and positive expectances, and who perceived fewer obstacles prior to training. Community Health Workers were the professional group with the best performance in a number of areas. Discussion: Considering the technical knowledge acquired and the attitudinal change observed among these professionals, it is reasonable to conclude that the training program had an important impact on the readiness of health professionals to implement SBI in these clinics, especially among auxiliary nurses and community health workers.

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