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Qualitative System Dynamics Modeling to Support Community Planning in Opioid Overdose Prevention
Nasim S Sabounchi1, David W Lounsbury2, Pulwasha Iftikhar1
1Center for Systems and Community Design, Department of Health Policy and Management, Graduate School of Public Health and Health Policy, City University of New York, New York, NY, USA.
Purpose:
We aimed to help community stakeholders develop a shared understanding of the opioid crisis through qualitative system dynamics (SD) modeling to inform local strategies for prevention and treatment.
Methods:
As part of the HEALing Communities Study-New York State, we used secondary qualitative data from community stakeholder interviews and coalition meeting notes to develop qualitative SD models that elucidate the interdependencies and feedback structures underlying the opioid epidemic in each community.
Results:
The synthesized model revealed multiple balancing and reinforcing feedback loops that influenced the adoption and reach of evidence-based practices to reduce opioid overdose and fatality.
Conclusion:
SD modeling is a novel approach to helping community stakeholders to see the inter-connectedness of actors, factors and sectors and the need for multiple mutually reinforcing strategies to avert opioid overdose and fatality. Social workers could play a key role in linking actions across sectors in such a complex system.
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