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

03/31/2015

The structural, political, and cultural contexts through which the implementation process will proceed.

  • Organizational development consultation may result in the better fit of SBI into FQHC workflows than adding SBI-specific staff: Assisting health centers to infuse substance use screening and treatment into their existing patient flows, EHRs, and accountability structures may increase uptake and sustainability.

  • Behavioral health clinicians working in FQHCs need substance use training and skills: Behavioral health specialists should be skilled in assessing and managing the wide range of behavioral health issues of primary care patients, including their unhealthy use of alcohol and other drugs.

  • Substance use records should be integrated into all EHR systems: EHRs should always include fields for substance use risk assessment, diagnosis, and treatment.

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