Factors that influence SBIRT implementation in non-medical settings

ABSTRACT

SBIRT is an evidenced-based intervention model designed to reduce substance use. While initially used in medical settings, SBIRT implementation has evolved into non-medical settings with mixed evidence of effectiveness. This exploratory qualitative study sought to understand what factors influence implementation of SBIRT in non-medical settings. Interviews were conducted with 15 practitioners trained in SBIRT. Findings suggest that eight factors influenced SBIRT implementation in these settings, including compatibility of SBIRT with the setting, staff training/staffing, client factors, time, leadership, policy, available resources, and perception of advantage/efficacy of SBIRT. Implications of these findings for social work practice are discussed.

KEYWORDS:

• CFIR
• Implementation
• Implementation Factors
• Non-Medical Settings
• Sbirt

Acknowledgments

The authors are grateful for the advice and thoughtful comments of Dr. Bev Baliko. Additional thanks go to Bailey King for her role in helping to code the transcripts.

Disclosure statement

The authors have no relevant financial or non-financial interests to disclose.

Additional information

Funding

This work was supported by SAMHSA under Grant Number H79TI026428. Points of view in this document are those of the authors and do not necessarily represent the official position or policies of SAMHSA.