ArticleApplied clinical informatics2017
Development and use of a clinical decision support tool for behavioral health screening in primary care clinics.
Article in Applied clinical informatics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
What it found
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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
16 citing papers in PubMed, 19 citations in OpenAlex.
- Article
- Understanding patterns of behavioral health referrals for chronic disease in integrated care settings.BMC primary care · 2026Article
- Integration of Screening and Referral Tools for Social Determinants of Health and Modifiable Lifestyle Factors in the Epic Electronic Health Record System: Scoping Review.Journal of medical Internet research · 2025Article
- Challenges using electronic health records to support unhealthy alcohol use screening and intervention in primary care practices in the Pacific Northwest.Journal of the American Medical Informatics Association : JAMIA · 2025Article
- Enhancing Referrals to the Supplemental Nutrition Assistance Program through Clinical Integration of a Standards-Based Decision Support System.Applied clinical informatics · 2025Article
- Leveraging the Electronic Health Record to Implement Emergency Department Delirium Screening.Applied clinical informatics · 2023Article
- Payment and Financing for Substance Use Screening and Brief Intervention for Adolescents and Adults in Health, School, and Community Settings.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2022Review
- Elements of Integrated Behavioral Health Associated with Primary Care Provider Confidence in Managing Depression at Community Health Centers.Journal of general internal medicine · 2022Article
- Addressing adolescent substance use in an urban pediatric federally qualified health center.Journal of substance abuse treatment · 2022Article
- The Critical Role of Health Information Technology in the Safe Integration of Behavioral Health and Primary Care to Improve Patient Care.The journal of behavioral health services & research · 2022Article
- Assessing the impact of a gynaecomastia assessment and treatment infographic in primary care in Greater Manchester.Annals of the Royal College of Surgeons of England · 2022Article
- Digital Health Interventions to Enhance Prevention in Primary Care: Scoping Review.JMIR medical informatics · 2022Article
- Evaluation of Point-of-Care Decision Support for Adult Acne Treatment by Primary Care Clinicians.JAMA dermatology · 2020Article
- Designing health information technology tools for behavioral health clinicians integrated within a primary care team.Journal of innovation in health informatics · 2018Article
- Chronic care coordination by integrating care through a team-based, population-driven approach: a case study.Translational behavioral medicine · 2018Article
- Improving Lead Screening Rates in a Large Pediatric Primary Care Network.Pediatric quality & safetyArticle
Corrections and comments
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Authors and funding
2 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveScreening, brief intervention, and referral for treatment (SBIRT) for behavioral health (BH) is a key clinical process. SBIRT tools in electronic health records (EHR) are infrequent and rarely studied. Our goals were 1) to design and implement SBIRT using clinical decision support (CDS) in a commercial EHR; and 2) to conduct a pragmatic evaluation of the impact of the tools on clinical outcomes.
methodsA multidisciplinary team designed SBIRT workflows and CDS tools. We analyzed the outcomes using a retrospective descriptive convenience cohort with age-matched comparison group. Data extracted from the EHR were evaluated using descriptive statistics.
resultsThere were 2 outcomes studied: 1) development and use of new BH screening tools and workflows; and 2) the results of use of those tools by a convenience sample of 866 encounters. The EHR tools developed included a flowsheet for documenting screens for 3 domains (depression, alcohol use, and prescription misuse); and 5 alerts with clinical recommendations based on screening; and reminders for annual screening. Positive screen rate was 21% (≥1 domain) with 60% of those positive for depression. Screening was rarely positive in 2 domains (11%), and never positive in 3 domains. Positive and negative screens led to higher rates of documentation of brief intervention (BI) compared with a matched sample who did not receive screening, including changes in psychotropic medications, updated BH terms on the problem list, or referral for BH intervention. Clinical process outcomes changed even when screening was negative.
conclusionsModified workflows for BH screening and CDS tools with clinical recommendations can be deployed in the EHR. Using SBIRT tools changed clinical process metrics even when screening was negative, perhaps due to conversations about BH not captured in the screening flowsheet. Although there are limitations to the study, results support ongoing investigation.
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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.