在儿童福利的母亲中,吸毒治疗设施的准入和使用情况
Dylan Jones1, Sarah Font2, Marci Cross1
1College of Health and Human Development, The Pennsylvania State University, United States of America.
Journal of substance use and addiction treatment
|February 4, 2026
概括
治疗的可访问性影响了儿童福利系统 (CWS) 中的母亲的物质使用障碍 (SUD) 护理. 较短的驾驶时间和更大的治疗可用性增加了利用率,但障碍仍然很大.
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
- 成 药物 药物 药物 药物
背景情况:
- 药物使用障碍 (SUD) 对家庭产生重大影响,特别是涉及儿童福利系统 (CWS) 的母亲.
- 在SUD患者中寻求有限的治疗,特别是CWS相关的母亲,加剧了虐待儿童和失去监护权的风险.
- 了解治疗的可访问性对于改善这种弱势群体的护理参与至关重要.
研究的目的:
- 调查当地的治疗可及性和使用物质使用障碍 (SUD) 服务之间的关联,使母亲们转移到儿童福利系统 (CWS).
- 检查SUD治疗设施的行车时间和可用治疗的供应如何影响CWS参与的母亲的治疗吸收.
- 探索县城和治疗类型在修改这些可访问性-利用关系中的作用.
主要方法:
- 利用了庞大的数据集,包括宾夕法尼亚州 (2015-2019) 的98,343例CWS转诊,用于接受医疗补助的母亲.
- 雇员地理编码的转介地址和全州SUD治疗设施数据,以评估驾驶时间和治疗供应.
- 应用了带有空间自相对应调整的层次逻辑回归模型来分析在转诊后的季度治疗利用率.
主要成果:
- 增加到SUD治疗设施的行车时间与门诊服务利用率的减少有关,特别是在城市地区.
- 较高的SUD治疗设施供应与门诊和住院服务的利用率增加有关.
- 可访问性措施对治疗吸收的影响因县城而异.
结论:
- 虽然从统计学上显著,但驾驶时间和治疗供应对CWS涉及的母亲接受治疗的影响很小.
- 调查结果强调需要解决超出SUD治疗的简单近距离和可用性之外的访问障碍.
- 进一步的研究和干预措施应集中在多方面的障碍,以提高这一群体的治疗参与度.
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