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      Payment and Financing for Substance Use Screening and Brief Intervention for Adolescents and Adults in Health, School, and Community Settings.

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          Abstract

          Screening and brief intervention (SBI) is an evidence-based, cost-effective practice to address unhealthy substance use. With SBI services expanding beyond healthcare settings (e.g., schools, community organizations) and reaching younger populations, sustainability efforts must consider payment and financing. This narrative review incorporated rapid scoping review methods and a search of the gray literature to determine payment and financing approaches for SBI with adolescents and to describe related barriers and facilitators for its sustainability. We sought information relevant to adolescents and settings in which they receive SBI, but also reviewed sources with an adult focus. Few peer-reviewed articles met inclusion criteria, and those mostly highlighted healthcare settings. School-based settings were better described in the gray literature; little was found about community settings. SBI is mostly paid through grant funding and public and commercial insurance; school-based settings use a range of approaches including grants, public insurance, and other public funding. We call upon researchers and providers to describe the payment and financing of SBI, to inform how the uptake of SBI may be practicable and sustainable. The increasing activation and use of insurance billing codes, and the expansion of SBI beyond healthcare, is encouraging to address unhealthy substance use by adolescents.

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          Author and article information

          Journal
          J Adolesc Health
          The Journal of adolescent health : official publication of the Society for Adolescent Medicine
          Elsevier BV
          1879-1972
          1054-139X
          Oct 2022
          : 71
          : 4S
          Affiliations
          [1 ] Institute for Behavioral Health, Heller School for Social Policy and Management, Brandeis University, Waltham, Massachusetts. Electronic address: reif@brandeis.edu.
          [2 ] Institute for Behavioral Health, Heller School for Social Policy and Management, Brandeis University, Waltham, Massachusetts.
          Article
          NIHMS1868468 S1054-139X(22)00420-7
          10.1016/j.jadohealth.2022.04.012
          9945348
          36122974
          6bbe92cb-cb04-41e0-968a-f106467b3d8c
          History

          Financing,Payment,Reimbursement,Screening,Adolescents,Substance use disorders,Alcohol,Brief intervention,Drugs

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