Alcohol Screening in Planned Parenthood to Increase Resiliency (ASPPIRE). With the goal of reducing risky alcohol use among women of childbearing age, the ASPPIRE program proposes a system-wide approach to implement Alcohol Screening and Brief Intervention (SBI) services in 18 health centers within the Planned Parenthood of Southern New England (PPSNE) health care system. Together with PPSNE leadership and providers, staff from the Screening, Brief Intervention and Referral to Treatment (SBIRT) Training Institute, housed within the University of CT Health Center, will develop and implement sustainable alcohol SBI services. Successful models of implementation will be disseminated to Planned Parenthood systems nationally. The Planned Parenthood Federation of America, or Planned Parenthood, is the largest single provider of reproductive health services in the US. In 2016, Planned Parenthood health centers saw 2.4 million patients collectively delivering more than 9.5 million discrete services. PPSNE health centers offer a full range of preventive and primary care services to more than 72,000 patients annually across CT and in one health center located in RI. Approximately 90% of patients served last year were women, 14% were teenagers, 75% were between the ages of 18 and 44, 22% were Latinx and 22% were African American/Black. Nearly half were covered by Medicaid or Medicare and approximately 25% were uninsured. PPSNE health centers are located in Southern New England?s largest towns and suburbs as well as less populated and more rural areas. While patients may be queried about use of alcohol during a clinic visit, providers do not consistently utilize standardized tools or procedures to identify risky alcohol use.ASPPIRE plans to roll-out implementation in all 18 health clinics within the first two years of the grant period. The program will integrate SBI screening tools and practice guidelines into the system?s electronic health record, Athena, t
o accelerate the uptake of services. This systems approach will include the adoption of the HEDIS measure, Unhealthy Alcohol Use Screening and Follow-up, to build capacity to deliver these effective clinical preventive services. To achieve smooth integration of SBI services, the ASPPIRE team will facilitate programmatic and training activities and strengthen referral connections for patients identified with an alcohol use disorder. PPSNE?s Education and Training Department will support the SBIRT Training Institute in providing training and QA activities toward the goal of sustainability once grant funding ends. By the end of the project period, collaborators will have assessed the impact of the system-level implementation on a number of short-term outcomes. The program intends to increase: provider awareness of the importance of discussing alcohol use with patients; provider knowledge about the risks of alcohol use, specifically for women; provider access to alcohol-related and FASD resources; provider comfort and skills in discussing alcohol use as a part of routine care; number of providers prepared to deliver alcohol SBI; and uptake of alcohol SBI through EHR integration. The ASPPIRE team will operate during the program period with the goals of dissemination and sustainability to encourage practices that reduce risky alcohol use in women of child-bearing age.