培训社区成员为物质使用障碍提供干预:克服美洲印第安人社区实施障碍
Monica C Skewes1, Vivian M Gonzalez2, Amy Stix3
1Department of Psychology, Montana State University, United States of America.
Journal of substance use and addiction treatment
|October 23, 2024
概括
培训社区卫生工作者提供土著恢复计划 (IRP) 改善了土著社区的物质使用障碍治疗. 这种方法提高了美国印第安人和阿拉斯加土著人口获得基于证据的护理的机会.
科学领域:
- 公共卫生 公共卫生
- 心理健康服务研究 心理健康服务研究
- 土著健康土著健康
背景情况:
- 美国印第安人和阿拉斯加原住民 (AI/AN) 社区在物质使用障碍 (SUD) 治疗获得方面面临着显著的差异.
- 在农村AI/AN保留社区实施基于证据的治疗 (EBT) 的关键障碍是精神卫生专业人员的稀缺性.
- 原住民恢复计划 (IRP) 的干预是为了将文化课程与SUD恢复的适应性复发预防策略相结合而开发的.
研究的目的:
- 报告促进者培训,监督和忠诚度监测程序,用于土著恢复规划 (IRP) 干预.
- 评估培训非专业社区卫生工作者提供IRP的可行性和可接受性.
- 确定必要的修订,以改善辅导员培训,监督和忠诚度监测协议.
主要方法:
- 招募了四名AI非专业社区提供者作为IRP促进者.
- 提供初始培训,包括激励面试和IRP课程.
- 进行了为期6周的IRP干预的公开试验,每周举行一次监督会议.
- 评估参与者和辅导者的接受度和试点测试的忠诚度监测.
主要成果:
- 最初的培训提供了基础知识,但在公开试验期间的额外培训和监督对于有效的治疗提供至关重要.
- 参与者和促进者的反表明了对IRP干预的积极接受.
- 开放试验确定了促进者培训,监督和忠诚度监测过程中需要改进的关键领域.
结论:
- 开放试验对于完善IRP辅导员培训和支持系统至关重要.
- 开发的培训,监督和监测社区辅导员的方法为克服在服务不足的农村地区EBT实施障碍提供了一个模型.
- 这一策略可以加强在保留区社区提供基于证据的SUD治疗,这些社区的心理健康资源有限.
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