Barriers Faced by Physicians in Screening for Substance Use Disorders Among Adolescents
| Autor: | Ashley Palmer, Tami L. Mark, Mustafa Karakus |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
Time Factors Adolescent Substance-Related Disorders business.industry Primary care Referral to treatment Physicians Primary Care 030227 psychiatry Interviews as Topic Young Adult 03 medical and health sciences Psychiatry and Mental health 0302 clinical medicine Surveys and Questionnaires Family medicine medicine Humans Mass Screening 030212 general & internal medicine Substance use Brief intervention Child business Referral and Consultation |
| Zdroj: | Psychiatric Services. 70:409-412 |
| ISSN: | 1557-9700 1075-2730 |
| DOI: | 10.1176/appi.ps.201800427 |
| Popis: | This study identifies key barriers faced by primary care providers (PCP) in implementation of screening, brief intervention, and referral to treatment (SBIRT) services for substance use disorders among adolescents.The authors used mixed methods, including 12 key informant interviews and a survey with 75 PCPs, to identify key barriers to PCP implementation of SBIRT services.Time constraints, challenges related to parental involvement, a perceived lack of effectiveness of brief intervention services, and lack of training in providing brief intervention were barriers to screening and brief intervention. Referral to treatment was frequently perceived as a challenge. Increased reimbursement and dedicated resources were important interventions for improving screening rates.Increased reimbursement could support workflow enhancements to improve the consistency of SBIRT procedures and alleviate time constraints. Consistent SBIRT applications for all adolescents could also be supported by increasing PCP training in brief intervention. |
| Databáze: | OpenAIRE |
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