通过国家许可的专业物质使用治疗计划使用危害减少实践
Isha K Desai1, Kathryn Burke2, Yuzhong Li3
1Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, 615 N Wolfe St, Baltimore, MD 21205, USA; Department of Health Policy and Management, George Washington University, 950 New Hampshire Ave, #2, Washington, DC 20052, USA.
专业药物使用计划越来越多地采用降低危害的策略,如纳洛的分配和避免释放积极的药物选. 阿片类药物治疗计划 (OTP) 更有可能使用这两种做法,而来自惩戒设施的客户不太可能受益.
科学领域:
- 公共卫生 公共卫生
- 药物使用障碍治疗 药物使用障碍治疗
- 减少伤害 减少伤害
背景情况:
- 专门的物质使用治疗计划可以实施降低伤害的做法,以改善患者的健康.
- 关键策略包括分发纳洛和避免客户的排放,基于对阿片类药物使用障碍 (OUD) 患者的阳性尿液药物查.
研究的目的:
- 确定新泽西州物质使用治疗计划中纳洛分发和尿液药物查政策的流行程度.
- 为了识别客户的特点,在使用这两种减少伤害的实践的程序.
主要方法:
- 一项对108个新泽西州物质使用治疗计划的横截面调查.
- 将调查数据与14838例OUD治疗入院的行政记录联系起来 (2021年7月至2022年6月).
- 回归分析检查与减少危害实践采用相关的程序和客户因素.
主要成果:
- 55.6%的项目分发纳洛; 50.9%的项目不使用毒理学查来做出出院决定.
- 与非OTP相比,阿片类药物治疗计划 (OTP) 更有可能采用这两种做法.
- 从惩戒计划转移的客户不太可能参加使用这些减少伤害策略的计划.
结论:
- 在非OTP环境中,需要更多地采用降低危害的做法.
- 服务于由刑事司法系统提及的客户的计划需要有针对性的努力.
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