SPARC trial tools

 IMPLEMENTATION STRATEGIES

Performance Feedback

Performance feedback was used to identify successes and gaps in care and measure response to improvement activities. Specific activities included weekly feedback on prevalence of screening, positive screens, and DSM-5 symptom checklists and review of national alcohol and other drug use disorder metrics (the latter not included below).

1. Specification of metrics for performance feedback to clinics (Word)
2. Example of provider-level feedback for a clinic (Word)

Practice Facilitation

Practice facilitators offered expertise in behavioral health care, addressed stigma, encouraged patient-centered shared decision-making, and provided and/or arranged trainings to address all elements of behavioral health integration.

1. Initial email outreach to clinics (emails to clinic leaders) (Word)
2. Orientation and staff roles (Word)
3. Local implementation team (Word)
4. Trainings
   1. SPARC trial scoring and quick guide (Word)
   2. Stigma:
      1. Handouts: Alcohol and Marijuana (PDFs)
      2. Video in English: A ReThink of the Way we Drink
      3. Video in Spanish: A ReThink of the Way we Drink
5. Patient facing materials
   1. Handouts: Alcohol and Marijuana (PDFs)
   2. Video in English: A ReThink of the Way we Drink
   3. Video in Spanish: A ReThink of the Way we Drink
       

EHR clinical decision support

Electronic health record (EHR) decision support was developed to guide screening of patients for depression, unhealthy alcohol use, and past-year cannabis and/or other drug use and to offer further assessment and management of patients who screen positive.

EHR Decision support – Tools and Prompts (Word)