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SBIRT BARRIERS

1. Please answer the following questions

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* 1. What is your specialty?

1...Emergency Medicine

2...Primary Care

3...OB/GYN

4...Pediatrics

5...Medicine

6...Med/Peds

7...Psychiatry

8...Other

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* 2. Please indicate which best describes your job:

Resident

Physician

Nurse

Physican's Assistant/APRN

Social Worker

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* 3. Please list any barriers you have encountered when performing SBIRT in practice.

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* 4. Please list any facilitators which have enhanced your use of SBIRT in practice.

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* 5. Comments.