{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,14]],"date-time":"2026-06-14T17:57:06Z","timestamp":1781459826244,"version":"3.54.1"},"reference-count":47,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100000027","name":"National Institute on Alcohol Abuse and Alcoholism","doi-asserted-by":"crossref","award":["R01AA030529"],"award-info":[{"award-number":["R01AA030529"]}],"id":[{"id":"10.13039\/100000027","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Women's Health Reports"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>To describe the contextual factors that affect patients\u2019 acceptability and feasibility of alcohol and substance use-related service implementation in family planning (FP) clinics in Massachusetts.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>\n                      We conducted a qualitative study of patients at an FP clinic in Massachusetts. Through semistructured interviews (\n                      <jats:italic toggle=\"yes\">N<\/jats:italic>\n                      = 11), we asked participants about their perspectives regarding receiving substance use screening, patient preferences for care and referral, barriers and facilitators to receiving care, and their acceptability of receiving screening, brief intervention, and referral to treatment (SBIRT) implementation within the FP clinic context. Interview data was analyzed through content thematic analysis utilizing Dedoose software.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Patients shared insightful knowledge about the barriers and facilitators to their acceptance of SBIRT implementation within FP clinics in Massachusetts. Patients emphasized the need for SBIRT implementation efforts to be contextually rooted within FP care while also considering how best to alleviate barriers to accessing care. Facilitators to SBIRT implementation included provider trust, psychological safety, provider congruence, varied care modalities, and selectivity by appointment type. Barriers to SBIRT implementation included stigma, transportation, funding, scheduling, and staffing scarcity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Despite persistent structural and systemic barriers, participants expressed broad support for integrating SBIRT into FP settings when delivered in ways that felt affirming, trauma-informed, and individualized to patient needs. Findings revealed critical opportunities for integrating alcohol and\/or substance use-related care into FP settings.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/26884844261460365","type":"journal-article","created":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T12:05:27Z","timestamp":1781265927000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Centering Patient Voices: Implementing Screening, Brief Intervention, and Referral to Treatment to Address Risky Substance Use in Family Planning Clinics"],"prefix":"10.1177","volume":"7","author":[{"given":"Aseel M.","family":"Houmsse","sequence":"first","affiliation":[{"name":"Planned Parenthood League of Massachusetts, Boston, Massachusetts, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Veronica","family":"Joseph","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta, Georgia, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth","family":"Janiak","sequence":"additional","affiliation":[{"name":"Planned Parenthood League of Massachusetts, Boston, Massachusetts, USA."},{"name":"Brigham and Women\u2019s Hospital, Boston, Massachusetts, USA."},{"name":"Harvard Medical School, Boston, Massachusetts, USA."},{"name":"Harvard TH Chan School of Public Health, Boston, Massachusetts, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer","family":"Fortin","sequence":"additional","affiliation":[{"name":"Planned Parenthood League of Massachusetts, Boston, Massachusetts, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jessica","family":"LaHote","sequence":"additional","affiliation":[{"name":"Columbia University Mailman School of Public Health, New York, New York, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Siara I.","family":"Sitar","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta, Georgia, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emma","family":"Mitnick","sequence":"additional","affiliation":[{"name":"Columbia University Mailman School of Public Health, New York, New York, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marcela A.","family":"Valle","sequence":"additional","affiliation":[{"name":"Columbia University Mailman School of Public Health, New York, New York, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lillian W.","family":"Acton","sequence":"additional","affiliation":[{"name":"Planned Parenthood League of Massachusetts, Boston, Massachusetts, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0401-5990","authenticated-orcid":false,"given":"Heather J.","family":"Gotham","sequence":"additional","affiliation":[{"name":"Stanford Center for Dissemination and Implementation, Stanford University School of Medicine, Palo Alto, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kelli Stidham","family":"Hall","sequence":"additional","affiliation":[{"name":"Celia Scott Weatherhead School of Public Health &amp; Tropical Medicine, Tulane University, New Orleans, Louisiana, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6418-744X","authenticated-orcid":false,"given":"Justine W.","family":"Welsh","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta, Georgia, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,6,12]]},"reference":[{"key":"e_1_3_2_2_1","volume-title":"Key substance use and mental health indicators in the United States: Results from the 2024 National Survey on Drug Use and Health","author":"Substance Abuse and Mental Health Services Administration","year":"2025","unstructured":"1.Substance Abuse and Mental Health Services Administration. Key substance use and mental health indicators in the United States: Results from the 2024 National Survey on Drug Use and Health. Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration; 2025. https:\/\/www.samhsa.gov\/data\/data-we-collect\/nsduh-national-survey-drug-use-and-health\/national-releases"},{"key":"e_1_3_2_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10995-020-02904-8"},{"key":"e_1_3_2_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugalcdep.2021.109150"},{"key":"e_1_3_2_5_1","doi-asserted-by":"publisher","DOI":"10.11124\/JBIES-20-00578"},{"key":"e_1_3_2_6_1","volume-title":"Advancing maternal health equity and reducing maternal morbidity and mortality: proceedings of a workshop","author":"Board on Population Health and Public Health Practice, Health and Medicine Division, National Academies of Sciences, Engineering, and Medicine","year":"2021","unstructured":"5.Board on Population Health and Public Health Practice, Health and Medicine Division, National Academies of Sciences, Engineering, and Medicine. Advancing maternal health equity and reducing maternal morbidity and mortality: proceedings of a workshop. National Academies Press: Washington, DC; 2021."},{"key":"e_1_3_2_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/jnu.12836"},{"key":"e_1_3_2_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.dadr.2023.100152"},{"key":"e_1_3_2_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/15248399211069094"},{"key":"e_1_3_2_10_1","doi-asserted-by":"publisher","DOI":"10.1300\/J465v28n03_03"},{"key":"e_1_3_2_11_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12873-023-00798-7"},{"key":"e_1_3_2_12_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2018.12086"},{"key":"e_1_3_2_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/add.15674"},{"key":"e_1_3_2_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10995-023-03842-x"},{"key":"e_1_3_2_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10995-020-02892-9"},{"key":"e_1_3_2_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsat.2020.02.012"},{"key":"e_1_3_2_17_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2023.1310388"},{"key":"e_1_3_2_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugpo.2024.104459"},{"key":"e_1_3_2_19_1","article-title":"Substance use Screening, Brief Intervention, and Referral to Treatment (SBIRT) in pregnant women living with HIV","author":"Markowitz W","year":"2021","unstructured":"18.Markowitz W. Substance use Screening, Brief Intervention, and Referral to Treatment (SBIRT) in pregnant women living with HIV. Dr Nurs Pract Final Manuscr 2021; doi: 10.22371\/07.2021.026","journal-title":"Dr Nurs Pract Final Manuscr"},{"key":"e_1_3_2_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.nurpra.2019.01.009"},{"key":"e_1_3_2_21_1","unstructured":"20.Healthy People 2030. Family Planning. Office of Disease Prevention and Health Promotion. Available from: https:\/\/odphp.health.gov\/healthypeople\/objectives-and-data\/browse-objectives\/family-planning [Last accessed: December19 2025]."},{"key":"e_1_3_2_22_1","unstructured":"21.Sonfield A Hasstedt K Gold RB. Moving forward: Family planning in the era of health reform. Guttmacher Institute: New York NY; 2014. Available from: https:\/\/www.guttmacher.org\/report\/moving-forward-family-planning-era-health-reform [Last accessed: December5 2025]."},{"key":"e_1_3_2_23_1","unstructured":"22.Frost JJ. US women\u2019s reliance on publicly funded family planning clinics as their usual source of medical care. In: Research Conference on the National Survey of Family Growth Hyattsville MD. NCHS: Hyattsville MD; 2008."},{"key":"e_1_3_2_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.whi.2012.09.002"},{"key":"e_1_3_2_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.whi.2016.09.014"},{"key":"e_1_3_2_26_1","doi-asserted-by":"publisher","DOI":"10.1089\/jwh.2020.8699"},{"key":"e_1_3_2_27_1","doi-asserted-by":"publisher","DOI":"10.1111\/jmwh.12328"},{"key":"e_1_3_2_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.nwh.2024.09.003"},{"key":"e_1_3_2_29_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-031-32386-7_4"},{"key":"e_1_3_2_30_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10995-022-03446-x"},{"key":"e_1_3_2_31_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsat.2021.108486"},{"key":"e_1_3_2_32_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsat.2022.108849"},{"key":"e_1_3_2_33_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ps.20220193"},{"key":"e_1_3_2_34_1","doi-asserted-by":"publisher","DOI":"10.1177\/11782218221118462"},{"key":"e_1_3_2_35_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40429-022-00454-3"},{"key":"e_1_3_2_36_1","doi-asserted-by":"publisher","DOI":"10.2147\/SAR.S517660"},{"key":"e_1_3_2_37_1","doi-asserted-by":"publisher","DOI":"10.1093\/bmb\/ldaf013"},{"key":"e_1_3_2_38_1","doi-asserted-by":"publisher","DOI":"10.1016\/0306-4603(82)90005-3"},{"key":"e_1_3_2_39_1","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.158.16.1789"},{"key":"e_1_3_2_40_1","doi-asserted-by":"publisher","DOI":"10.1186\/1748-5908-4-50"},{"key":"e_1_3_2_41_1","doi-asserted-by":"publisher","DOI":"10.1186\/1475-9276-12-18"},{"key":"e_1_3_2_42_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2022-063507"},{"key":"e_1_3_2_43_1","doi-asserted-by":"publisher","DOI":"10.1093\/intqhc\/mzm042"},{"key":"e_1_3_2_44_1","doi-asserted-by":"publisher","DOI":"10.1191\/1478088706qp063oa"},{"key":"e_1_3_2_45_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-025-25136-3"},{"key":"e_1_3_2_46_1","volume-title":"Practice considerations: Use of the SBIRT model among transgender & nonbinary populations","author":"Dentato MP","year":"2022","unstructured":"45.Dentato MP, , Orwat J, , Austin A, et al. 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