法院导航员和传播过量预防策略的机会
Bradley Ray1, Sarah Jensen2, Monica Desjardins1
1Research Triangle Institute International, Research Triangle Park, NC, USA.
Health promotion practice
|September 12, 2024
概括
法院导航员计划将个人与法庭服务连接到社区治疗. 虽然这些计划有效,但在过量预防策略中存在差距,强调需要更好地整合纳洛 (阿片类药物过量解毒剂) 和相关服务.
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:
- 法院导航员计划旨在将与司法系统相关的个人与基本的社区治疗和服务联系起来.
- 现有的文献强调了法庭设置中的过量预防策略以及他们连接个人的服务中的差距.
研究的目的:
- 描述新英格兰三个州 (康涅狄格州,缅因州,马萨诸塞州) 法庭导航员计划的运作.
- 使用实施科学框架分析程序功能,以告知复制和解决过量预防方面的差距.
- 检查法庭导航员将客户推到过量预防资源的程度,包括纳洛 (阿片类药物过量解毒剂).
主要方法:
- 探索性混合方法分析法庭导航员程序,使用半结构面试,根据干预描述和复制模板 (TIDieR) 实施指南提供信息.
- 分析包括客户联系人的行政数据 (n = 436) 和具有背景信息的子样本 (n = 249) 来评估导航员建议.
- 采访是根据TIDieR标准进行分析的,重点是干预特征,资源和组织背景.
主要成果:
- 法院导航员计划在资源和组织背景上表现出差异,尽管它们具有共同的基本干预特征.
- 几乎一半的客户是自我推的 (46.5%),超过三分之二 (69.1%) 的客户同意进行后续检查,项目层面的差异很大.
- 患有过量用药史的患者 (35.7%允许随访的患者) 更有可能被转介到纳洛 (阿片类药物过量解药) 地点,尽管很少有计划可以随时获得纳洛.
结论:
- 社区组织雇佣的法庭导航员有效地将个人与治疗和服务联系起来,但在实施过量预防策略方面存在重大差距.
- 法院导航员计划为解决刑事司法系统中未得到满足的过量预防需求提供了巨大的机会.
- 进一步将过量预防资源,如纳洛 (阿片类药物过量解药) 纳入法庭导航员计划,对于公共卫生影响至关重要.
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