{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,29]],"date-time":"2025-12-29T20:47:07Z","timestamp":1767041227498,"version":"3.48.0"},"reference-count":22,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2025,8,15]],"date-time":"2025-08-15T00:00:00Z","timestamp":1755216000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Perspect Sexual Reproductive"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Sexual and reproductive health (SRH) is a critical component of overall well\u2010being, yet individuals with substance use disorder (SUD) often face significant barriers to accessing SRH services\u2014and vice versa. SRH settings offer important opportunities to identify and address SUD needs through screening and referral, whereas SUD treatment settings can serve as key access points for SRH care. The Link Study was developed as a cross\u2010training intervention to strengthen collaboration and care coordination between SRH and SUD providers.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We designed a curriculum covering core elements of SRH and SUD care, emphasizing person\u2010centered practices, trauma\u2010informed approaches, and evidence\u2010based screening and referral tools. Thirty\u2010five providers from three SRH and SUD site pairs participated. Evaluation included pre\u2010 and post\u2010training knowledge surveys, site\u2010level screening and referral data, and provider focus groups. We used confidence intervals to assess changes in quantitative outcomes and conducted thematic analysis of qualitative data.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Providers demonstrated consistent increases in self\u2010reported knowledge across key domains. Two of the three SRH and SUD sites showed statistically significant improvements in screening practices. Although referral rates did not change significantly, sites reported meaningful updates to workflows, tools, and policies to support integration. All sites sustained cross\u2010sector provider relationships for at least 6\u2009months post\u2010training.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>The Link Study showed promising gains in provider knowledge, improvements in screening practices, and lasting collaboration across SRH and SUD service sectors. Findings highlight the potential of cross\u2010disciplinary training and technical assistance to build integrated care pathways and strengthen community\u2010based health systems.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/psrh.70032","type":"journal-article","created":{"date-parts":[[2025,8,15]],"date-time":"2025-08-15T23:03:28Z","timestamp":1755299008000},"page":"589-597","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Linkage Matters: Integrating Sexual and Reproductive Health and Substance Use Treatment"],"prefix":"10.1111","volume":"57","author":[{"given":"J.","family":"Rogers","sequence":"first","affiliation":[{"name":"Child Trends Rockville Maryland USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J.","family":"McDuff","sequence":"additional","affiliation":[{"name":"Altarum Arlington Virginia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.","family":"Black\u2010Watson","sequence":"additional","affiliation":[{"name":"Altarum Arlington Virginia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L.","family":"McGovern","sequence":"additional","affiliation":[{"name":"Altarum Arlington Virginia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A.","family":"Osei","sequence":"additional","affiliation":[{"name":"Altarum Arlington Virginia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,8,15]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ypmed.2019.105794"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ypmed.2015.04.008"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1089\/jwh.2018.7169"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40352\u2010015\u20100015\u20105"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1080\/10826084.2019.1654503"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.whi.2021.11.002"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.3928\/00485713\u201020201008\u201001"},{"key":"e_1_2_6_9_1","unstructured":"Substance Abuse and Mental Health Services Administration \u201c2023 National Substance Use and Mental Health Services Survey (N\u2010SUMHSS): Annual Detailed Tables 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Study Curriculum: A [Virtual] Training and Facilitation Guide for Sexual & Reproductive Health and Substance Use Treatment Providers \u201d(2021) https:\/\/www.familyplanninglinkagetobhcare.org\/."}],"container-title":["Perspectives on Sexual and Reproductive 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