Table 5 Examples of actions in the intended direction (i.e. towards less testing/reporting and sharing information from the DRB webinar

“Eliminated urine drug screens from our intake”

“Shared research with colleagues regarding racial discrimination in urine drug screening”

“Only refer to child welfare if there is evidence of abuse, neglect, or maltreatment”

“Explore the effect of substance use on a person’s behaviors/resources/abilities, rather than just use the substance use as the outcome of interest”

“Challenge status quo and ask supervisor about long standing hospital policies to see if changes can be made or where the wiggle room is”

“I have spoken frequently to other staff about our outdated reporting policy as a way to build support for a change to the current reporting policy at my facility”