The purpose of this report is to present a synthesis of the findings from an environmental scan conducted to explore the systemic barriers for screening and brief intervention for primary health care providers. [...] The environmental scan consisted of a review and synthesis of the academic and grey literature as well as interviews to gather the perspective of key informants and discuss the systemic barriers for screening and brief intervention for substance use and problem gambling in the Nova Scotia primary health care environment. [...] Lack of Interest or Role ♦ A barrier to screening and brief intervention is the lack of interest around addiction and a perception that this field is outside of the role of a primary health care provider. [...] Purpose of the Report The purpose of this report is to present a synthesis of the findings from an environmental scan conducted to explore the systemic barriers for screening and brief intervention for primary health care providers. [...] The environmental scan consisted of a review and synthesis of the academic and grey literature, as well as interviews to gather the perspective of key informants (e.g., family physicians, emergency room physicians, family practice nurses, social workers, Addiction Services staff, etc.) and discuss the systemic barriers for screening and brief intervention for substance use and problem gambling in