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Introduction: Substance misuse persists and is undertreated across the United States (Substance Abuse and Mental Health Services Administration, 2021). Further enhancing the skill sets and capacity of interprofessional members of primary care teams to include proficiency in the Screening, Brief Intervention, and Referral to Treatment (SBIRT) model could help to alleviate the 'treatment gap' (those requiring treatment, but not receiving it) by enhancing interprofessional teams at the pregraduate level (e.g., health educators, health coaches) to expand capacity and meet the volume of patients with substance use-related needs, Method: In this study, SBIRT knowledge, training satisfaction, and efficacy were evaluated among undergraduate and graduate health and behavioral health students before and after exposure to a series of online training modules. Results: On completion of the training, there were positive percent increases in overall mean knowledge and self-efficacy when compared with pretraining. At posttraining, graduate level students, regardless of discipline, reported greater knowledge than undergraduate students; there were no differences in efficacy or satisfaction among the groups. Additional analysis at the graduate level evaluated differences between behavioral health and medical trainees. No differences were found in knowledge or efficacy between groups at posttest, despite medical trainees reporting significantly lower efficacy at pretest Discussion: The findings of this study reinforce the need and potential to incorporate SBIRT training into higher education curricula for interprofessional health care professions to begin expanding the integrated care team's knowledge and efficacy in the provision of SBIRT to address the treatment gap. Keywords: higher education, interprofessional team, SBIRT, substance use, In 2020, more than 40 million Americans were living with substance use disorders (SUD); however, fewer than three million received treatment in a specialty SUD treatment facility (Substance Abuse and [...]

Introduction: Addressing the opioid crisis requires attention to the fact that people with opioid use disorder are affected by multiple systems and professionals working across disciplines (e.g., primary health care, social work, psychology). Thus, we developed the Interdisciplinary Training Academy for Integrated Substance/Opioid Use Disorder Prevention and Health care (ITA). The purpose of the ITA is to connect multiple systems to aid in the development of practitioners who are broadly prepared to address the opioid crisis. Method: Herein, we use preliminary descriptive methods to illustrate early outcomes related to 30 weeks of interprofessional training rotations across all system levels related to policy, prevention, treatment, integrated care, harm reduction and recovery support services. Results: Overall, the ITA has assisted fellows in garnering 7,257 hr of training to become holistically competent behavioral health providers. Preliminary data indicate that most cohort graduates intend to pursue employment in a telehealth or primary care setting that serves medically underserved communities. Discussion: In sum, we offer a new concept for remote field education that engages learners as curriculum developers, educators, and emerging practitioners with expertise across ecological systems. Keywords: opioid crisis, opioid use disorder, behavioral health training, workforce development, interprofessional training, The opioid crisis is devastating communities across the country. In 2020; drug overdose deaths in the United States reached record numbers, with nearly 100,000 Americans dying over the course of [...]

Keywords: sexual health, sexual wellbeing, integrated sexual health, I was recently discussing transformative educational experiences with a colleague and reflected on one of my own: during my predoctoral internship at the Long Beach Department of Veterans Affairs (VA), [...]

This issue of Families, Systems, and Health explores innovations in developing a behavioral health workforce for the provision of team-based care. To be effective, high functioning teams need to display [...]

As the number of forcibly displaced vulnerable populations accelerates worldwide, it is increasingly important that health care systems and professionals be prepared to offer comprehensive, culturally, and linguistically appropriate services to migrant and refugee populations. Understanding the unique needs and lived experiences of these populations, including their risks to health and wellbeing as well as opportunities to promote resilience, is necessary to support these populations' diverse needs. Integrated primary care teams are uniquely poised to support these populations by reducing barriers to health and promoting equitable and holistic care. Keywords: refugee and migrant health, culturally and linguistically appropriate services, integrated care, It is early September 2021, and for weeks the news has been dominated by the humanitarian and military crisis in Afghanistan. According to the United Nations High Commissioner for Refugees [...]

In a few short weeks, and after 2 years apart, the Collaborative Family Healthcare Association (CFHA) will gather in Boise, Idaho, for our annual meeting. This year's theme, 'Celebrating Frontline [...]

The development of an andracist and culturally responsive integrated health care professionals necessitates attention to, and appreciation of, the diverse intersectional identities of the patients with whom we work. Pamela [...]

As the Collaborative Family Healthcare Association (CFHA) has increased its focus on justice, diversity, and inclusion in integrated care delivery, it is increasingly evident that widespread upstream transformation is needed to ensure that the integrated care workforce is appropriately prepared to deliver equitable care. This column highlights the need for systemic change in admissions standards, integrated care curricula, student mentorship/sponsorship, and faculty development within higher education in order to support the success of Black, Indigenous, and People of Color (BIPOC) students and increase antiracist approaches among health care professionals. CFHA members working in, or in collaboration with, academia are uniquely poised to influence higher education systems to promote diversity, inclusion, and antiracism among future integrated health professionals. Keywords: antiracist education, diversity, equity, justice, and inclusion, higher education, Developing Antiracist Integrated Health Professionals For the last several years, the Collaborative Family Healthcare Association (CFHA) has worked to affirm our dedication to diversity, equity, and inclusion as an organization, [...]

Introduction: An estimated 21 million Americans meet the criteria for a substance use disorder (SUD), whereas 24% of the population engages in risky alcohol use leading to tremendous health and economic impacts (Substance Abuse and Mental Health Services Administration, 2017). Opioid misuse is a national public health emergency, with an estimated 46,802 opioid-related deaths occurring in 2018 (National Center for Health Statistics, 2020). Despite the high prevalence of risky substance use and SUDs, preservice education related to screening for and treating SUDs in health and behavioral health professions is inadequate (Dimoff, Sayette, & Norcross, 2017; Russett & Williams, 2015; Savage et al., 2014: Tabak et al., 2012). A critical need exists for an interdisciplinary, implementation science-informed approach for developing academic training programs in the Screening, Brief Intervention, and Referral to Treatment (SBIRT) model within higher education systems. Method: We delineate a training model implemented within 5 health and behavioral health disciplines (nursing, social work, clinical psychology, counseling psychology, and integrated behavioral health), informed by prominent implementation scientists (Proctor et al., 2011; Rogers, 2003). Results: Faculty surveys (n = 33), interviews (n = 24), and syllabi and training records reviews indicated the Brief Intervention, and Referral to Treatment model was infused into course content by 89.47% of trained faculty and sustained in 90.47% of course syllabi at project close. Conclusion: The model demonstrated successful uptake and sustainability in higher education systems. Public Significance Statement This study indicated an implementation-science informed training model can be utilized to implement new student training programs in the area of substance use disorder screening and treatment, with high rates of uptake and sustainability by faculty. The findings have implications for addressing the gap in preservice education for preparing the emerging health and behavioral health workforce who must address risky substance use in their post-graduate clinical practice. Keywords: SBIRT, drug and alcohol screening, training programs, education, substance use disorders, With the expansion of the integrated behavioral health workforce, on-the-job training, internships, and fellowships have proliferated as the need for preservice training has become more evident. Evidence-based training programs lag, [...]

Over the past few days, I've heard the near constant sound of emails arriving in my inbox as CFHA members engage in listserv conversation related to simultaneous implementation of Primary [...]

As I write this column, it is early December 2020. In the past few days, my e-mail inbox has been flooded with upcoming trainings and opportunities to learn how to [...]

For many people, the start of the fall and the start of the academic year, whether for K-12 schools or universities, constitutes a new beginning marked by excitement and hope [...]