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Protocol for the implementation of a statewide mobile addiction program.

Cynthia A Tschampl1, Craig Regis2, Nafissa E Johnson2

  • 1Institute on Healthcare Systems, Heller School for Social Policy & Management, Brandeis University, Waltham, MA 02453, USA.

Journal of Comparative Effectiveness Research
|March 29, 2023
PubMed
Summary
This summary is machine-generated.

Mobile units improve access to addiction treatment and harm reduction for underserved populations. This evaluation assesses the Community Care in Reach model

Keywords:
RE-AIM frameworkaddictionbuprenorphineharm reductionimplementationmedication for addictionmobile healthopioid use disordersubstance use disordersyringe exchangetreatment

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Area of Science:

  • Public Health
  • Addiction Medicine
  • Mobile Health Services

Background:

  • Overdose deaths are rising, increasing the need for accessible harm reduction and substance use disorder treatment.
  • Barriers to traditional office-based care limit access for many individuals.
  • Mobile health models offer a solution by bringing services directly to those in need.

Purpose of the Study:

  • To outline the evaluation plan for the Community Care in Reach (R) model in Massachusetts.
  • To assess the model's effectiveness in engaging new and underserved communities.
  • To evaluate the integration of addiction services with primary and preventative care.

Main Methods:

  • Utilizing the RE-AIM (Reach, Effectiveness, Adoption, Implementation, Maintenance) framework for evaluation.
  • Assessing the reach of mobile services to new and underserved populations.
  • Evaluating the engagement with both addiction services and primary/preventative care.

Main Results:

  • The evaluation will provide data on the model's success in reaching target populations.
  • Effectiveness in delivering harm reduction and clinical addiction care will be measured.
  • The study will assess the integration of primary and preventative care within the mobile unit.

Conclusions:

  • The Community Care in Reach (R) model demonstrates a promising approach to expanding access to care.
  • Mobile health units can effectively engage underserved communities in vital health services.
  • This evaluation will inform future strategies for delivering comprehensive care to individuals with substance use disorders.