doctor talking to patientBecky Porter and Bridget Hanson, researchers at ISER’s Center for Behavioral Health Research and Services (CBHRS), collected information from providers of prenatal care in Hawaii on the challenges of delivering SBIRT, an evidenced-based practice to identify patients who misuse alcohol and help them reduce their drinking. The practice can both help prevent alcohol use during pregnancy and prevent fetal alcohol spectrum disorders.

In “SBIRT Utilization and Billing among Prenatal Providers in Hawaii,” CBHRS researchers provide information from interviews with prenatal care providers who were eligible to receive reimbursement for SBIRT (Screening, Brief Intervention, and Referral to Treatment).  Although participants recognized the important role of SBIRT in prenatal care, researchers found SBIRT was underutilized and rarely incorporated systematically into practice.  The findings can be used to understand a number of incentives that could increase SBIRT delivery, including using ancillary staff and expanding reimbursement policies.