在试用制度中对阿片类药物使用障碍的药物和同行支持服务的提供进行上下文化,并实施科学
Augustine W Kang1,2, Amelia Bailey3, Siena Napoleon3
1Center for Alcohol and Addiction Studies, Brown University School of Public Health, 121 S. Main St, Box G-121-5, Providence, RI, USA. Augustine_kang@brown.edu.
BMC public health
|March 1, 2024
概括
在缓刑环境中实施阿片类药物使用障碍 (MOUD) 是复杂的. 成功的MOUD和同行支持服务需要解决系统性障碍并改善机构间的合作.
科学领域:
- 实施科学 实施科学
- 公共卫生 公共卫生
- 刑事司法 刑事司法 刑事司法
背景情况:
- 药物治疗阿片类药物使用障碍 (MOUD) 降低了涉及刑事法律人员的死亡率.
- 了解特定的背景对于在缓刑环境中有效实施MOUD至关重要.
研究的目的:
- 探索使用EPIS框架在试用环境中提供MOUD的实施背景.
- 检查利益相关者对MOUD和同行支持服务 (PSS) 对缓刑人员的实施的观点.
主要方法:
- 与治疗提供者和缓刑人员进行了深入采访.
- 利用专题分析,将发现映射到探索,准备,实施和维持 (EPIS) 框架中.
主要成果:
- 确定了关键的内部背景 (组织气候,对PSS的热情),外部背景 (保险导航,成本,耻辱) 和桥梁背景 (机构间沟通).
- 实施是复杂的,受到组织支持和外部系统因素的影响.
结论:
- 有效的MOUD实施需要监狱系统,缓刑机构和社区治疗提供者之间的协调努力.
- 解决系统性障碍和促进合作对于成功的MOUD和PSS交付至关重要.
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