Study protocol: a cluster-randomized trial implementing Sustained Patient-centered Alcohol-related Care (SPARC trial)

Table 1 Clinical care implemented in the 22 PC clinics as part of behavioral health integration

Condition	Screen	Assess	Manage
SPARC clinical care
Unhealthy alcohol use	AUDIT-C [84, 85]	DSM-5 AUD Symptom Checklist [59]	• Preventive brief intervention • Shared decision-making: AUD treatment options • AUD medications as indicated • Warm handoffs to LICSWs
Other Behavioral Health Integration implemented at same time supported by the SPARC trial
Depression and suicidality	PHQ-2 [86]	PHQ-9 [87] and CSSRS [88]	• Shared decision-making: depression treatment options • Depression medications as indicated • Crisis response plan • Warm handoffs to LICSWs
Cannabis use	Single item [89, 90]	DSM-5 DUD Symptom Checklist [59]	• Shared decision-making about treatment options • Warm handoffs to LICSWs
Drug use	Single item [91]	DSM-5 DUD Symptom Checklist [59]	• Shared decision-making about treatment options • Prescribe or refer for medications for opioid use disorder • Warm handoffs to LICSWs

AUDIT-C Alcohol Use Disorders Identification Test-Consumption Questions; DSM-5, Diagnostic and Statistical Manual, 5th edition; LICSWs, Licensed Independent Clinical Social Workers; PHQ-2, two-item Patient Health Questionnaire depression screen; PHQ-9, nine-item Patient Health Questionnaire depression screen; CSSRS, Columbia Suicide Severity Rating Scale; DUD, drug use disorder

ISSN: 1748-5908