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RESEARCH REPORT doi:10.1111/add.13652 Screening, brief intervention and referral to treatment (SBIRT): implementation barriers, facilitators and model migration 1 2 1 2 1 Janice Vendetti , Amanda Gmyrek , Donna Damon ,ManuSingh ,Bonnie McRee & Frances Del Boca 1 2 Department of Community Medicine and Health Care, UConn Health, School of Medicine, Farmington, CT, USA and JBS International, North Bethesda, MD, USA ABSTRACT Aims To identify barriers and facilitators associated with initial implementation of a US alcohol and other substance use Screening, Brief Intervention, and Referral to Treatment (SBIRT) grant program, and to identify modifications in program design that addressed implementation challenges. Design A mixed-method approach used quantitative and qualitative data, including SBIRT provider ratings of implementation barriers and facilitators, staff interview responses and program documentation. Setting Multiple sites within the first seven programs funded in a national demonstration program in the United States. Participants One hundred and two SBIRT providers were surveyed; 221 SBIRT stakeholders and staff were interviewed. Measurements Mean ratings of barriers and facilitators were calculated using provider survey responses. An inductive content analysis of interview responses identified factors perceived to support and challenge implementation; program modifications that occurred over time were recorded. Findings Providers rated pre-selected
Addiction – Wiley
Published: Feb 1, 2017
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