“…Systemic barriers such as lack of funding and/or time, or even inconsistencies in funding streams, have also led to disparate and inconsistent use of screeners (Fenikilé, Ellerbeck, Filippi, & Daley, 2015; Lipkin, Macias, Chen, et al, 2020). Finally, there have been concerns about underidentification and lack of screener use with minority populations, particularly Hispanic and Latino families, leading to concerns of inequities in referrals and services (e.g., Barger et al, 2022; Bevan et al, 2020; Zuckerman et al, 2021). Therefore, as communities continue to work on scaling-up screening efforts, it is critical to understand how providers may begin to overcome some of these barriers to use.…”