biostudies-literatureSterling SNIAAA NIH HHS48-54https://www.ebi.ac.uk/biostudies/studies/S-EPMC5679476biostudies-literatureUnknown82<h4>Objective</h4>Many adolescents needing specialty addiction or psychiatry treatment never access care. We examined initiation and engagement with addiction and/or psychiatry treatment among adolescents referred to treatment from a trial comparing two different modalities of delivering Screening, Brief Intervention and Referral to Treatment (SBIRT) to Usual Care in pediatric primary care. We hypothesized that both intervention arms would have higher initiation and engagement rates than usual care.<h4>Methods</h4>We randomized all pediatricians (n=52) in a pediatric primary care clinic to three arms: 1) pediatrician-only arm, in which pediatricians were trained to deliver SBIRT for substance use and/or mental health problems; 2) embedded-behavioral health clinician (embedded-BHC arm), in Journal of substance abuse treatmentSpecialty addiction and psychiatry treatment initiation and engagement: Results from an SBIRT randomized trial in pediatrics.PMC5679476R01 AA016204Parthasarathy SSterling SSatre DDWeisner CJones AKline-Simon AHfalseSpecialty addiction and psychiatry treatment initiation and engagement: Results from an SBIRT randomized trial in pediatrics.<h4>Objective</h4>Many adolescents needing specialty addiction or psychiatry treatment never access care. We examined initiation and engagement with addiction and/or psychiatry treatment among adolescents referred to treatment from a trial comparing two different modalities of delivering Screening, Brief Intervention and Referral to Treatment (SBIRT) to Usual Care in pediatric primary care. We hypothesized that both intervention arms would have higher initiation and engagement rates than usual care.<h4>Methods</h4>We randomized all pediatricians (n=52) in a pediatric primary care clinic to three arms: 1) pediatrician-only arm, in which pediatricians were trained to deliver SBIRT for substance use and/or mental health problems; 2) embedded-behavioral health clinician (embedded-BHC arm), in 2017-01-01T00:00:00Z2017 Nov2025-04-22T09:13:10.328Z2019-03-27T00:04:49ZS-EPMC56794762902111510.1016/j.jsat.2017.09.005