Sustainability of Adolescent Screening and Brief Intervention Services in Primary Care After Removal of Implementation Supports.

ABSTRACT:

Objective

Although many health care organizations have sought to increase the integration of substance use services into clinical practice, such practice changes can prove difficult to sustain.

Method

Seven primary care clinics participated in an implementation study of screening and brief intervention (BI) services for adolescent patients (ages 12-17). All sites delivered screening and brief advice (BA) for low-risk use using a uniform protocol. Clinics were randomized to deliver BI using generalist (provider-delivered) or specialist (behavioral health clinician-delivered) models. Implementation was facilitated by multiple supporting activities (e.g., trainings, local "champion," electronic health record [EHR] integration of screening and documentation, individualized feedb

SUBMITTER: Gryczynski J 

PROVIDER: S-EPMC9948144 | biostudies-literature | 2023 Jan

REPOSITORIES: biostudies-literature