{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,22]],"date-time":"2026-08-22T12:26:02Z","timestamp":1787401562268,"version":"build-2736575974"},"reference-count":32,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T00:00:00Z","timestamp":1787097600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100008002","name":"vancouver coastal health research institute","doi-asserted-by":"publisher","award":["Team Grant Award FAS: F20-00571"],"award-info":[{"award-number":["Team Grant Award FAS: F20-00571"]}],"id":[{"id":"10.13039\/501100008002","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Substance Use &amp; Addiction Journal"],"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Standardized screening tools are widely used to support early identification and triage in mental health and substance use (MHSU) services. However, little is known about how clinicians experience such tools in high-pressure community settings, where structural vulnerability and clinical complexity are common.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We conducted in-depth interviews with 13 clinicians at a centralized MHSU intake center in British Columbia using interpretive description and reflexive thematic analysis. The aim was to examine how a locally adapted Global Appraisal of Individual Needs\u2014Short Screener-based screener was used and understood in real-world practice.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Findings:<\/jats:title>\n                    <jats:p>Clinicians expressed mixed understandings of the screener\u2019s purpose, noting tensions between administrative and clinical roles. Most valued structured tools in principle but found the screener misaligned with relational care because its structured fields did not consistently preserve narrative context or connect clearly to referral actions. Training and implementation support varied, and several participants wanted clearer communication, follow-up, and better workflow integration. Clinicians proposed improvements including narrative fields, embedded referral actions, and collaborative implementation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Effective implementation of MHSU screeners requires more than tool design. Contextual fit, relational alignment, and sustained clinician engagement are also required. Findings underscore the need for collaborative implementation, iterative learning, and integration that supports rather than disrupts clinical reasoning and client-centered care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/29767342261475092","type":"journal-article","created":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T09:43:49Z","timestamp":1787132629000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Clinician Experiences With a GAIN-SS Adapted Mental Health and Substance Use Screener in a Community Mental Health Setting in British Columbia, Canada"],"prefix":"10.1177","author":[{"given":"Francis","family":"Kato","sequence":"first","affiliation":[{"name":"School of Social Work, The University of British Columbia, Vancouver, BC, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susan","family":"Chong","sequence":"additional","affiliation":[{"name":"Vancouver Coastal Health Authority, Vancouver, BC, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4939-9994","authenticated-orcid":false,"given":"Mohamed","family":"Ibrahim","sequence":"additional","affiliation":[{"name":"School of Social Work, The University of British Columbia, Vancouver, BC, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,8,19]]},"reference":[{"key":"e_1_3_2_2_2","unstructured":"Canadian Centre on Substance Use and Addiction Mental Health Commission of Canada. Mental health and substance use during COVID-19: summary report. 2021. Accessed July 26 2026. https:\/\/www.mentalhealthcommission.ca\/wp-content\/uploads\/drupal\/2021-02\/mhcc_ccsa_covid_leger_poll_eng.pdf"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1097\/ANS.0000000000000070"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1002\/9781119488620"},{"key":"e_1_3_2_5_2","unstructured":"BC Coroners Service. Unregulated drug deaths in BC: January 1 2015-December 31 2024. 2025. Accessed July 26 2026. https:\/\/www2.gov.bc.ca\/assets\/gov\/birth-adoption-death-marriage-and-divorce\/deaths\/coroners-service\/statistical\/bccsjan2025pdfdashboard.pdf"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1002\/wps.21160"},{"key":"e_1_3_2_7_2","unstructured":"World Health Organization. Social Determinants of Mental Health. World Health Organization; 2014. 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