TY - JOUR
KW - Mental Health
KW - Primary Health Care
KW - Qualitative Research
KW - Substance-Related Disorders
KW - United States Department of Veterans Affairs
AU - L. Zubkoff
AU - B. Shiner
AU - B. V. Watts
A1 - 
AB - INTRODUCTION: Guidelines recommend that substance use disorder (SUD) treatment be available in primary care-mental health integrated clinics, which offer mental and behavioral health assessment and treatment in the primary care setting. Despite this recommendation it is unclear what barriers and facilitators exist to SUD treatment being provided in that setting. This work sought to understand current SUD services in such integrated clinics, explore other services may that be appropriate, and identify barriers to such services. METHODS: We conducted qualitative interviews with 23 staff members from integrated clinics at 6 Veterans Affairs medical centers. We transcribed interviews and performed thematic analysis to identify emergent themes. RESULTS: We identified seven themes affecting staff experience and ability to provide SUD services in the integrated clinic: clinical effectiveness, clinical requirements, regulatory requirements, program goals, proximity of the integrated clinic and SUD services, training on substance use disorder, and role specialization. CONCLUSIONS: VA primary care-mental health integrated clinic staff members do not currently view SUD treatment as the focus of their work, but are open to offering SUD treatment including brief psychological interventions or medication. Several barriers to providing SUD treatment were identified, including the need for additional staff training around appropriate interventions for the integrated clinic setting, additional staffing and space, and a structured implementation strategy to promote the use of SUD treatments.
BT - Journal of substance abuse treatment
C5 - Opioids & Substance Use
CY - United States
JF - Journal of substance abuse treatment
N2 - INTRODUCTION: Guidelines recommend that substance use disorder (SUD) treatment be available in primary care-mental health integrated clinics, which offer mental and behavioral health assessment and treatment in the primary care setting. Despite this recommendation it is unclear what barriers and facilitators exist to SUD treatment being provided in that setting. This work sought to understand current SUD services in such integrated clinics, explore other services may that be appropriate, and identify barriers to such services. METHODS: We conducted qualitative interviews with 23 staff members from integrated clinics at 6 Veterans Affairs medical centers. We transcribed interviews and performed thematic analysis to identify emergent themes. RESULTS: We identified seven themes affecting staff experience and ability to provide SUD services in the integrated clinic: clinical effectiveness, clinical requirements, regulatory requirements, program goals, proximity of the integrated clinic and SUD services, training on substance use disorder, and role specialization. CONCLUSIONS: VA primary care-mental health integrated clinic staff members do not currently view SUD treatment as the focus of their work, but are open to offering SUD treatment including brief psychological interventions or medication. Several barriers to providing SUD treatment were identified, including the need for additional staff training around appropriate interventions for the integrated clinic setting, additional staffing and space, and a structured implementation strategy to promote the use of SUD treatments.
PP - United States
PY - 2016
SN - 1873-6483; 0740-5472
SP - 44
EP - 49
EP - 
T1 - Staff Perceptions of Substance Use Disorder Treatment in VA Primary Care-Mental Health Integrated Clinics
T2 - Journal of substance abuse treatment
TI - Staff Perceptions of Substance Use Disorder Treatment in VA Primary Care-Mental Health Integrated Clinics
U1 - Opioids & Substance Use
U2 - 27692187
VL - 70
VO - 1873-6483; 0740-5472
Y1 - 2016
ER -