Related Experiment Video
Updated: Jul 10, 2026
A General Method for Evaluating Deep Brain Stimulation Effects on Intravenous Methamphetamine Self-Administration
Published on: January 22, 2016
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.
Context:
Testing and treatment services to prevent, mitigate, and treat infectious disease complications related to drug use are available. However, more work is needed to identify strategies that can improve service access in settings that serve people who use drugs (PWUD).
Objective:
We aimed to identify successful strategies for implementing integrated infectious disease and substance use disorder (SUD) treatment services in various high-impact settings (eg, syringe services programs, SUD treatment centers, mobile clinics) to PWUD.
Design:
Thematic analysis of successes and resolved challenges reported by 17 health departments that supported services in high-impact settings during October 2021-September 2024. The Consolidated Framework for Implementation Research (CFIR) was used to contextualize themes developed.
Setting:
Seventeen state and local health departments throughout the United States and their service partners.
Participants:
Health department staff and community providers of services for PWUD.
Intervention:
The PWUD service bundle includes: viral hepatitis and HIV testing and linkage to care/treatment; syringe services; assessment and linkage to treatment for opioid use disorder; hepatitis A and hepatitis B vaccination; and treatment for bacterial and/or fungal infections.
Main Outcome Measures:
Themes that summarize the most common strategies reported by health departments implementing the PWUD service bundle in high-impact settings.
Results:
We identified the following 4 themes that reflected the inner setting, outer setting, and implementation process domains from the CFIR: 1) service delivery models and practices, 2) partnerships and collaborations, 3) data collection and use to track services and inform program improvement, and 4) provider education and capacity building.
Conclusions:
Staff at health departments and high-impact settings can apply a variety of best practices (eg, peer navigation, telehealth, provider training, building partnerships with community organizations, and developing data feedback loops) to engage PWUD and tailor infectious disease and SUD treatment services.
Related Concept Videos
01:30Community Based Intervention
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
01:30Specialized Care Centers and Settings-II
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
01:17Drug Dependence
01:26Methods Of Healthcare Delivery System
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is limited...
01:28Drug Therapy
Antianxiety Medications
01:24Treatment Strategies for Psychological Disorders
Psychological therapies focus on modifying emotions, thoughts, and behaviors through talking, interpreting, listening, rewarding, challenging, and modeling. Clinical psychologists, counselors, and social workers commonly practice psychotherapy. Clinical...