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


Knowledge and beliefs about the intervention, self-efficacy, individual readiness to change, individual identification with the organization, and other personal attributes.

  • Continuing education programs for FQHC primary care and behavioral health personnel should include substance use risk assessment and treatment: Workforce development in primary care must include core substance use risk assessment and intervention competencies.

  • Emphasize substance use in pre-professional primary care workforce development: Baccalaureate and advanced health professional education programs should teach core competencies in substance use risk assessment, treatment, and recovery support.

  • Recognize FQHCs that provide outstanding substance use care: Recognize health centers that excel in assessing and managing substance use risk, and publicize their success for others to emulate.

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