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Implementation Barriers to and Facilitators of Screening, Brief Intervention, Referral, and Treatment (SBIRT) in Federally Qualified Health Centers (FQHCs)
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Eric Goplerud and Tracy L. McPherson
NORC at the University of Chicago
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.
DISCLAIMER: The opinions and views expressed in this report are those of the authors. They do not necessarily reflect the views of the Department of Health and Human Services, the contractor or any other funding organization.
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Acronyms
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Executive Summary
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Introduction
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Study Methods
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Summary of Findings: FQHC Sites and Sbirt Processes
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Summary of Findings: Adult Sbirt in Fqhcs
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Summary of Findings: Adolescent Sbirt in Fqhcs
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Summary of Findings: Pharmacological Treatments of Substance Use Disorders in Primary CARE
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Concluding Summary of Key Elements in Successfully Integrating Substance Use Screening, Counseling, Pharmacological Treatment, and CARE Management Throughout the Nation's Fqhcs
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References
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Appendix A. Literature Review and Interview Strategy
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Project Information
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"SBIRTbarr.pdf" (pdf, 2.17Mb)
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