部落主导的移动推广:改善一个农村保留区社区获得减少伤害服务的机会
Allyson Kelley1, Kellie Webb2, Katherine Hirchak3
1Allyson Kelley and Associates PLLC, Sisters, OR, United States.
Frontiers in public health
|May 31, 2024
概括
移动外展服务有效地解决了美国印第安人和阿拉斯加原住民社区的阿片类药物使用障碍差异. 这个倡议直接为部落成员提供了减少危害的重要物资和服务信息,改善了获得护理的机会.
科学领域:
- 公共卫生 公共卫生
- 健康差异 在健康上的差异
- 药物使用障碍 药物使用障碍
背景情况:
- 美国印第安人和阿拉斯加土著人口在阿片类药物使用障碍 (OUD) 和相关死亡率方面存在显著差异.
- 结构,社会和地理障碍限制了部落社区获得基本药物和减少伤害策略的机会.
- 这些不平等加剧了这些人群中持续的阿片类药物流行病.
研究的目的:
- 评估移动宣传车 (MOV) 计划的实施和初步成果.
- 评估部落治疗中心战略的有效性,以加强阿片类药物预防,治疗和减少危害的努力.
- 确定在预订环境中启动和运行MOV活动所涉及的流程.
主要方法:
- 洛基山区的一个部落治疗中心建立了一个MOV程序.
- 该计划利用了一个由临床人员,同行恢复支持专家和部落长老组成的移动外展车辆.
- 宣传活动针对预留区中确定的高风险地区.
主要成果:
- 截至2023年12月,MOV分发了150个Narcan套件,150个芬太尼试剂条,20个自我护理套件和500个小册子.
- 初步评估表明MOV努力取得了成功.
- 该研究概述了购买和启动MOV活动所需的步骤.
结论:
- 移动宣传是一个可行的策略,以改善获得OUD服务的机会,并减少美国印第安人和阿拉斯加原住民社区的伤害.
- MOV计划展示了一个成功的模型,直接向服务不足的人群提供关键资源.
- 这种方法可以帮助缓解差异,并打击部落环境中的阿片类药物流行.
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