在新泽西州的特殊物质使用治疗计划中整合降低危害的原则和实践:对计划领导力的定性研究
Valerie S Ganetsky1, Kenneth A Feder1, Kathryn N Burke1
1Johns Hopkins University Bloomberg School of Public Health, 615 N Wolfe St, Baltimore, MD 21205, United States of America.
Journal of substance use and addiction treatment
|April 29, 2025
概括
专业药物使用治疗计划越来越多地采用对使用毒品的人的危害减少原则 (PWUD). 然而,实践中的不一致性,如出席要求和有限的风险降低服务,阻碍了全面整合以改善护理.
科学领域:
- 公共卫生 公共卫生
- 药物使用治疗 药物使用治疗
- 减少伤害 减少伤害
背景情况:
- 减少危害旨在通过降低风险,基于证据的治疗和以人为中心的护理来改善吸毒者 (PWUD) 的健康.
- 专业物质使用治疗计划传统上与危害降低分开运行,但现在开始整合这些原则.
研究的目的:
- 探索特殊物质使用治疗机构如何采用减少危害的原则和实践.
- 评估当前治疗实践与2023年减少危害框架的协调程度.
主要方法:
- 与来自新泽西州14个特殊物质使用障碍治疗计划的领导人进行了定性采访.
- 专题分析被用来评估治疗实践与药物滥用和心理健康服务管理局的减少伤害框架.
主要成果:
- 报告的计划包含了诸如自治,低障碍访问和非惩罚性护理等原则.
- 相互冲突的做法包括出席任务,推迟药物开始,并依赖尿液毒理学取得成功.
- 虽然过量预防 (例如,纳洛) 是常见的,但其他降低风险的服务较少提供.
结论:
- 显著的机会存在,以加强在特殊物质使用治疗中整合降低危害的原则和实践.
- 改善整合可以带来更好的药物使用者 (PWUD) 护理质量.
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