While effective counseling and medication interventions exist for tobacco, alcohol and opioid use disorders, they are rarely integrated into HIV clinics. Implementation Facilitation (IF) is an established multi-component strategy to change health care systems that involves a baseline assessment of key stakeholders’ (patients, providers, administrators) needs and provides a tailored implementation strategy that uses an external facilitator, local champions, provider education (academic detailing), stakeholder engagement, performance monitoring and feedback, formative evaluations, learning collaboratives and program marketing to effect durable change in organizational and provider provision of evidence-based treatments.
The goal of the proposed implementation-effectiveness study is to conduct a formative evaluation and then tailor the IF to local site needs and to determine the impact of IF on the use of effective counseling and medications for tobacco, alcohol and opioid use disorders in large HIV clinics.