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首页> 外文期刊>Journal of substance abuse treatment >Implementing SBIRT for adolescents within community mental health organizations: A mixed methods study
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Implementing SBIRT for adolescents within community mental health organizations: A mixed methods study

机译：为社区心理健康组织中的青少年实施SBIRT：混合方法研究

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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. DiscussionNearly 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.
机译：具有物质使用问题的客观的青少年仍然未经处理，导致物质使用障碍的发展风险增加。一个反应是筛选，简要干预和转诊治疗（SBIRT） - 始先的证据，早期干预，可以为青少年量身定制。这种混合方法研究审查了SBIRT的实施，跨越27个社区心理健康组织（CMHOS）服务青少年。方法制态完成研究期间采用SBIRT和实施障碍的调查。分析定量数据以检查筛选，简要干预和转介的频率。使用迭代过程编码定性数据，该过程专注于根据实施研究（CFIR）构造的概念框架分类的障碍。结果总共2873天的青少年用于乙醇和药物使用，1517（52.8％）接受阳性药物或醇筛选。接受短暂干预（BI）/转诊治疗（RT）的正面屏幕具有明显更大的平均药物评分和基线的总体分数。最突出的实施障碍是SBIRT的适应性和复杂性，与资金和许可，工作人员营业额和实施气候有关的政策。讨论的青少年的一半被衡量为有问题的物质，在这种人群中表明未满足的需要。未来的实施努力应专注于协调方案要求，确保资金，将SBIRT整合到临床工作流程，留下员工以及改善对治疗过程的转诊。

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