在联邦实施倡议之后,维持青少年物质使用治疗模式的多层次协调过程:混合方法研究研究:一个混合方法研究
Blanche Wright1, Isabelle González2, Monica Chen3
1Department of Psychology, University of Oregon, Eugene, OR, United States of America; RAND, Santa Monica, CA, United States of America.
Journal of substance use and addiction treatment
|July 3, 2024
概括
调整是维持基于证据的实践 (EBP) 的关键,例如青少年社区强化方法 (A-CRA) 在青少年物质使用服务中. 改善国家和提供商之间的协调可以加强EBP的可持续性,尤其是在COVID-19流行病等危机期间.
科学领域:
- 行为健康服务 研究 研究 行为健康服务
- 实施科学 实施科学
- 公共卫生政策 公共卫生政策
背景情况:
- 基于证据的实践 (EBP) 对于高质量的青少年行为健康护理至关重要.
- 在资源有限的环境中维持EBP,例如公共青年物质使用服务,仍然具有挑战性.
- 跨多层次因素的调整是EBP维持的一个研究不足的决定因素.
研究的目的:
- 为了检查在美国各州努力保持青少年社区强化方法 (A-CRA) 在COVID-19大流行期间对齐的作用.
- 确定在公共资助的青少年物质使用治疗组织中促进和阻碍ACRA维持的因素.
主要方法:
- 混合方法研究结合了定性访谈和定量调查.
- 采访了来自15个州的州管理人员和治疗提供者 (监督员,临床医生).
- 使用EPIS框架和双变线性回归来探索关联的专题分析.
主要成果:
- 80%的组织在研究时维持了A-CRA.
- 由于国家技术援助在补助后停止,以及由于员工能力有限,出现了重大失调.
- COVID-19大流行加剧了现有的挑战;持续组织寻求新的资金.
结论:
- 虽然COVID-19大流行放大了维持挑战,但并没有破坏以前成功的A-CRA维持.
- 国家层面的参与者错过了与提供商协调EBP维持的机会.
- 对调整流程的重视增加可以增强国家和提供商的可持续性规划.
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