ArticleJournal of substance abuse treatment2018
Implementing SBIRT for adolescents within community mental health organizations: A mixed methods study.
Article in Journal of substance abuse treatment, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.
- A systematic review of substance use screening in outpatient behavioral health settings.Addiction science & clinical practice · 2023Pooled it
- Sustainability of Adolescent Screening and Brief Intervention Services in Primary Care After Removal of Implementation Supports.Journal of studies on alcohol and drugs · 2023Trial
- Organizational Acceptability of Implementing SBIRT for Adolescents in Primary Care.Substance use & misuse · 2021Trial
- Training Community Therapists in Core Elements of CBT and Family Therapy for Adolescent Externalizing Problems.Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53Trial
- Knowledge Access to Action: Care Extender Models to Promote Youth Mental Health in Under-Resourced Schools.Administration and policy in mental health · 2025Article
- Contextual factors and implementation strategies for a biomarker-augmented alcohol screening with brief intervention and referral to treatment (SBIRT) program for HIV-affected adolescents in Zambia: a qualitative study guided by RE-AIM / PRISM.medRxiv : the preprint server for health sciences · 2025Article
- A Preamble to Prevention of Adolescent Substance Use: Pediatric Resident Screening for Caregiver Substance Use.Substance use & addiction journal · 2025Article
- Assessing the acceptability of implementing a Screening, Brief Intervention and Referral to Treatment for alcohol use among transgender women in Bangkok, Thailand: A mixed-method pre-implementation study using the Consolidated Framework for Implementation Research.Addiction (Abingdon, England) · 2024Article
- Substance Use Screening, Brief Intervention, and Referral to Treatment in Urban Settings: Barriers and Facilitators to Implementation With Minoritized Youth.The Journal of school health · 2024Article
- Screening Adolescents for Substance Use: a Four-Step Approach for Trainees.Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry · 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
- Implementation science in adolescent healthcare research: an integrative review.BMC health services research · 2022Review
- Addressing adolescent substance use in an urban pediatric federally qualified health center.Journal of substance abuse treatment · 2022Article
- Addressing Barriers to Primary Care Screening and Referral to Prevention for Youth Risky Health Behaviors: Evidence Regarding Potential Cost-Savings and Provider Concerns.Prevention science : the official journal of the Society for Prevention Research · 2022Article
- Core Elements of CBT for Adolescent Conduct and Substance Use Problems: Comorbidity, Clinical Techniques, and Case Examples.Cognitive and behavioral practice · 2020Article
- Adolescent SBIRT implementation: Generalist vs. Specialist models of service delivery in primary care.Journal of substance abuse treatment · 2020Article
- Substance craving changes in university students receiving heart rate variability biofeedback: A longitudinal multilevel modeling approach.Addictive behaviors · 2019Article
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
Abstract
objectiveMany adolescents with substance use problems remain untreated, leading to increased risk for the development of substance use disorders. One response is Screening, Brief Intervention, and Referral to Treatment (SBIRT)-an evidence-based, early intervention that can be tailored for adolescents. This mixed methods study examined the implementation of SBIRT across 27 community mental health organizations (CMHOs) serving adolescents.
methodsOrganizations completed surveys on the adoption of SBIRT and implementation barriers during the study period. Quantitative data were analyzed to examine the frequency of screening, brief intervention, and referrals. Qualitative data were coded using an iterative process that focused on barriers categorized according to the Conceptual Framework for Implementation Research (CFIR) constructs.
resultsA total of 2873 adolescents were screened for alcohol and drug use with 1517 (52.8%) receiving a positive drug or alcohol screen. Positive screens that received brief intervention (BI)/referral to treatment (RT) had a significantly greater mean drug score and overall scores at baseline. The most salient implementation barriers were adaptability and complexity of SBIRT, policies related to funding and licensing, staff turnover, and implementation climate. DISCUSSION: Nearly half of the adolescents scored positive for problematic substance use demonstrating the unmet need among this population. Future implementation efforts should focus on coordinating program demands, securing funding, integrating SBIRT into clinical workflows, retaining staff, and improving referral to treatment processes.
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What OpenQuestion holds
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.