William V Padula, Katherine A Connor, Josiah M Mueller, Jonathan C Hong, Gabriela Calderon Velazquez, Sara B Johnson
Cost Benefit of Comprehensive Primary and Preventive School-Based Health Care
American journal of preventive medicine
screening brief intervention referral treatment sbirt public health framework addressing adolescent substance use implementation sbirt schools carries potential improve substance use treatment access service acceptance students faces barriers related knowledge deficits low comfort lack training screening brief interventions among schoolbased mental health sbmh providers report describes development acceptability evaluation schoolbased sbirt program designed overcome common implementation barriers sbirt related provider confidence knowledge training deficits supplementing traditional model telehealthdelivered addiction consultation education ace program components include core sbirt trainings telehealthdelivered ace sessions outreach support sbmh providers ace session included didactic expert presentation clinical topic providerpresented patient case discussion sessions delivered using project echobased hubandspoke format monthly 1hour virtual meetings interviews surveys sbmh providers substance use screening intervention practices perceived barriers used inform program design choices tailor curriculum acceptability data collected 9 months sbmh provider participants reported increased confidence knowledge evidencebased screening early intervention practices high acceptability satisfaction benefit program ongoing barriers referral treatment reported pilot study suggests supplementing traditional sbirt telehealthdelivered ace sessions address common implementation barriers serve scalable model improve sbirt adoption schools