一个减少危害的框架,用于综合治疗同时发生的阿片类药物使用障碍和创伤相关障碍
Benjamin S Israel1, Annabelle M Belcher1, Julian D Ford2
1Division of Addiction Research and Treatment, University of Maryland School of Medicine, Baltimore, Maryland, USA.
将降低危害原则纳入创伤相关障碍 (TRD) 治疗中,可以改善伴随性TRD和阿片类药物使用障碍 (OUD) 患者的护理. 这种方法解决了这个复杂的患者群体的诊断和治疗方面的差距.
科学领域:
- 心理健康研究 心理健康研究
- 药物中毒药物 药物中毒药物
- 临床心理学 临床心理学
背景情况:
- 伴随性创伤相关障碍 (TRD) 和阿片类药物使用障碍 (OUD) 在诊断和治疗方面存在重大挑战.
- 目前的TRD治疗方法,通常以心理治疗为基础,对于OUD患者来说并不总是可访问或实用.
- TRD治疗模式往往缺乏综合降低危害 (HR) 原则,这些原则在OUD管理中是有效的.
研究的目的:
- 通过将HR原则与经典的TRD相位处理相结合,提出OUD和TRD处理领域的协调.
- 解决急需改善TRD+OUD并发症患者治疗和治疗结果的迫切需要.
- 在TRD治疗中引入"预稳定"阶段,以提高患者的参与度和结果.
主要方法:
- 概念框架将危害减轻原则纳入TRD治疗.
- 拟议的"预稳定"阶段和预设的变化阶段之间的类比.
- 专注于调整现有的TRD治疗模式,以纳入人力资源实践.
主要成果:
- 人力资源原则的整合可以使TRD治疗对OUD患者更容易获得和更实用.
- "预稳定"阶段可以改善患者的参与度,并为随后的TRD治疗做好准备.
- 系统地纳入HR原则可以带来更好的结果,并为TRD+OUD患者挽救生命.
结论:
- 通过人力资源整合协调OUD和TRD治疗,为改善护理提供了一个有希望的途径.
- 拟议的"预稳定"阶段可以促进TRD+OUD并发症的研究,临床实践和政策.
- 这种综合方法有可能显著改善弱势群体患者的治疗结果.
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