Perceptions of Clinical Team Members Toward Implementation of SBIRT Processes

This study implemented a systematized, team-based Screening, Brief Intervention, Referral to Treatment (SBIRT) process in six primary care clinics that incorporated efforts of receptionists, medical assistants, and physicians. Focus groups were conducted to identify key facilitators of and barriers to successful implementation. Buy-in from physicians and clinic leadership and seamless integration of SBIRT into the electronic medical record were noted as the strongest facilitators. Time constraints and personal discomfort discussing substance use were cited as major barriers. A team-based approach to SBIRT in primary care settings capitalizes on the medical home model but also creates unique barriers.