ArticleSubstance abuse treatment, prevention, and policy2014
Integration of substance use disorder services with primary care: health center surveys and qualitative interviews.
Article in Substance abuse treatment, prevention, and policy, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
33 citing papers in PubMed, 1 synthesis or guideline pooled it, 52 citations in OpenAlex.
- Strategies to facilitate integrated care for people with alcohol and other drug problems: a systematic review.Substance abuse treatment, prevention, and policy · 2017Pooled it
- Initiation and engagement as mechanisms for change caused by collaborative care in opioid and alcohol use disorders.Drug and alcohol dependence · 2018Trial
- Receipt of addiction treatment as a consequence of a brief intervention for drug use in primary care: a randomized trial.Addiction (Abingdon, England) · 2017Trial
- An organizational readiness intervention and randomized controlled trial to test strategies for implementing substance use disorder treatment into primary care: SUMMIT study protocol.Implementation science : IS · 2015Trial
- Prevalence of Substance Use Disorders Across Five Community Health Centers in Boston, Massachusetts.Journal of general internal medicine · 2026Article
- Global burden and inequalities of drug use disorders from 1990 to 2021 with projections to 2036.Journal of global health · 2025Article
- Barriers and facilitators to integrated mental health and HIV care: administrator and provider perspectives.AIDS care · 2025Article
- Perceptions of structural and provider-based substance use stigma interventions among primary care professionals.Drug and alcohol dependence reports · 2024Article
- People who use drugs engagement in substance use disorder services and harm reduction: evaluation, challenges and future direction of a community-based intervention.Substance abuse treatment, prevention, and policy · 2024Article
- Primary health care providers' views on managing substance use among people living with HIV.African journal of primary health care & family medicine · 2023Article
- Healthcare workers' perceptions and experiences of primary healthcare integration: a scoping review of qualitative evidence.The Cochrane database of systematic reviews · 2023Article
- Healthcare workers' perceptions and experiences of primary healthcare integration: a scoping review of qualitative evidence.The Cochrane database of systematic reviews · 2023Article
- A scoping review of barriers and facilitators to the integration of substance use treatment services into US mainstream health care.Drug and alcohol dependence reports · 2023Article
- Impact of Stigma on Clinician Training for Opioid Use Disorder Care: A Qualitative Study in a Primary Care Learning Collaborative.Annals of family medicine · 2023Article
- Cohort study of team-based care among marginalized people who use drugs in Ottawa.Canadian family physician Medecin de famille canadien · 2022Article
- Barriers to the management of alcohol use disorder and alcohol-associated liver disease: strategies to implement integrated care models.The lancet. Gastroenterology & hepatology · 2022Article
- Ensuring access to high-quality substance use disorder treatment for Medicaid enrollees: A qualitative study of diverse stakeholders' perspectives.Journal of substance abuse treatment · 2021Article
- Organizational Capacity and Readiness to Provide Medication for Individuals with Co-Occurring Alcohol Use Disorders in Public Mental Health Settings.Administration and policy in mental health · 2021Article
- Early implementation of screening for substance use in rural primary care: A rapid analytic qualitative study.Substance abuse · 2021Article
- Engagement in primary health care among marginalized people who use drugs in Ottawa, Canada.BMC health services research · 2020Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundEach year, nearly 20 million Americans with alcohol or illicit drug dependence do not receive treatment. The Affordable Care Act and parity laws are expected to result in increased access to treatment through integration of substance use disorder (SUD) services with primary care. However, relatively little research exists on the integration of SUD services into primary care settings. Our goal was to assess SUD service integration in California primary care settings and to identify the practice and policy facilitators and barriers encountered by providers who have attempted to integrate these services.
methodsPrimary survey and qualitative interview data were collected from the population of federally qualified health centers (FQHCs) in five California counties known to be engaged in SUD integration efforts was surveyed. From among the organizations that responded to the survey (78% response rate), four were purposively sampled based on their level of integration. Interviews were conducted with management, staff, and patients (n=18) from these organizations to collect further qualitative information on the barriers and facilitators of integration.
resultsCompared to mental health services, there was a trend for SUD services to be less integrated with primary care, and SUD services were rated significantly less effective. The perceived difference in effectiveness appeared to be due to provider training. Policy suggestions included expanding the SUD workforce that can bill Medicaid, allowing same-day billing of two services, facilitating easier reimbursement for medications, developing the workforce, and increasing community SUD specialty care capacity.
conclusionsEfforts to integrate SUD services with primary care face significant barriers, many of which arise at the policy level and are addressable.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.