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Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
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治愈社区干预和死亡率包括多重物质过量死亡:一项随机临床试验

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治愈社区 (CTH) 干预措施减少了阿片类药物和精神兴奋剂过量死亡,但并没有显著降低总量过量死亡. 基于社区的策略可以帮助减少特定的多重物质过量死亡事件.

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科学领域:

  • 公共卫生 公共卫生
  • 流行病学 流行病学
  • 临床试验 临床试验

背景情况:

  • 美国面临严重的阿片类药物流行,致命过量药物的高率.
  • 多种物质的使用,特别是涉及阿片类药物与精神兴奋剂或二zepines,复杂化过量预防的努力.

研究的目的:

  • 评估治愈社区 (CTH) 干预措施在减少致命过量死亡中的有效性.
  • 评估干预对涉及特定药物组合的过量死亡的影响,包括阿片类药物与精神兴奋剂或二类药物.

主要方法:

  • 一个多站点,社区随机控制试验,涉及4个美国州的67个社区 (2020-2023).
  • 社区被随机分配,接受CTH干预或作为对照.
  • 该CTH干预包括过量教育,纳洛分发,阿片类药物使用障碍药物,更安全的处方和耻辱减少活动.

主要成果:

  • 干预组和对照组之间药物过量死亡的总比率没有统计学上显著的差异 (57.6 vs 61.2 / 100,000).
  • 在干预组中,涉及阿片类药物和非可卡因精神兴奋剂的过量死亡人数显著减少37% (aRR,0.63;P=.02).
  • 在涉及可卡因阿片类药物 (6%) 和青类药物 (1%) 的阿片类药物死亡中观察到非显著的减少.

结论:

  • CTH干预有效地减少了涉及阿片类药物和精神兴奋剂的过量死亡.
  • 虽然总量过量死亡人数没有显著下降,但以社区为中心,数据驱动的干预措施显示出减少特定类型的多重物质过量死亡人数的希望.
  • 通过社区参与和沟通活动,扩大基于证据的实践对于解决阿片类药物危机至关重要.