Implementation Barriers to and Facilitators of Screening, Brief Intervention, Referral, and Treatment (SBIRT) in Federally Qualified Health Centers (FQHCs)

This report reviews the research literature on the barriers in federally qualified health centers (FQHCs) and primary care and strategies for overcoming those barriers to integrate substance use (SU) care into evolving patient-centered medical/health homes (PCMHs). The literature review is supplemented by extensive interviews with experts and site visits to FQHCs across the country. From these data, several opportunities have been identified that could help FQHCs adopt and sustain SU screening and treatment as a routine part of whole-person care for their patients.