一个社区-学术伙伴关系,制定一个实施支持包,用于预防过量服用在永久支持性住房的过量服用
Marina Gaeta Gazzola1, Allison Torsiglieri1, Lauren Velez2
1Department of Emergency Medicine, NYU School of Medicine, New York, NY, United States of America.
这项研究通过使用租户和工作人员的意见,完善了永久支持性住房 (PSH) 的过量预防实践. 开发的工具包和支持策略旨在减少PSH环境中的过量使用风险.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 实施科学 实施科学
背景情况:
- 过量服用危机不成比例地影响了在美国无家可归的人.
- 永久支持性住房 (PSH) 是无家可归者的有效干预措施,但过量使用的风险仍然存在.
- 需要为PSH环境调整过量预防策略.
研究的目的:
- 完善基于证据的过量预防实践 (EBP) 对于PSH.
- 为PSH量身定制的相关实施支持包开发.
- 将PSH租户,员工和领导人的反纳入其中.
主要方法:
- 从研究和公共卫生指南中确定了初始过量EBP.
- 通过聚焦小组与PSH领导人,员工和租户进行调整的EBP.
- 利用EPIS框架指导焦点小组讨论实施因素.
主要成果:
- 进行了16个重点小组,共有40名不同参与者 (租户,员工,领导者).
- 开发了含有20个EBP的PSH过量预防 (POP) 工具包,用于预防,应对,减少危害和物质使用治疗.
- 创建了核心实施策略:实践便利化,租户-员工冠军团队和学习协作.
结论:
- 社区-学术伙伴关系和实践经验投入对于调整PSH过量预防策略至关重要.
- 精细的方法和实施策略可以改善PSH环境中的过量预防.
- 结果可以为其他服务于边缘化人口的环境中类似的努力提供信息;正在进行随机试验.
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