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A General Method for Evaluating Deep Brain Stimulation Effects on Intravenous Methamphetamine Self-Administration
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Implementing a Service Bundle in High-Impact Settings for People Who Use Drugs: Successes and Promising Practices.

Rachel McCardel1, Holly Fisher, Kerry Johnson

  • 1Author Affiliations: Division of Viral Hepatitis, National Center for HIV, Viral Hepatitis, STD and TB Prevention, Centers for Disease Control and Prevention, Atlanta, GA.

Journal of Public Health Management and Practice : JPHMP
|July 9, 2026
PubMed
Summary

Successful strategies for integrated infectious disease and substance use disorder (SUD) treatment for people who use drugs (PWUD) include tailored service delivery, strong partnerships, data utilization, and provider training. These approaches enhance engagement and improve health outcomes.

Keywords:
health departmentinfectious diseaselinkage to treatment/carepeople who use and/or inject drugstesting

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Area of Science:

  • Public Health
  • Infectious Diseases
  • Substance Use Disorders

Background:

  • Accessible testing and treatment services for infectious disease complications in people who use drugs (PWUD) are crucial.
  • Enhanced strategies are needed to improve service access for PWUD in various settings.

Purpose of the Study:

  • To identify successful implementation strategies for integrated infectious disease and substance use disorder (SUD) treatment services.
  • Focus on high-impact settings like syringe services programs, SUD treatment centers, and mobile clinics.

Main Methods:

  • Thematic analysis of successes and challenges from 17 health departments serving PWUD (October 2021-September 2024).
  • Utilized the Consolidated Framework for Implementation Research (CFIR) to contextualize findings.
  • Intervention included a bundle of services: viral hepatitis/HIV testing, syringe services, SUD assessment/treatment linkage, vaccinations, and infection treatment.

Main Results:

  • Four key themes emerged: service delivery models, partnerships and collaborations, data collection and use, and provider education/capacity building.
  • These themes align with CFIR's inner setting, outer setting, and implementation process domains.
  • Successful strategies involved peer navigation, telehealth, and community partnerships.

Conclusions:

  • Health departments and service providers can implement best practices to engage PWUD.
  • Tailoring infectious disease and SUD treatment services is essential for effective care.
  • Strategies like provider training and data feedback loops improve service delivery.