Using policy codesign to achieve multi-sector alignment in adolescent behavioral health

利用政策协同设计实现青少年行为健康的多部门协调

• 批准号: 10724024
• 负责人: Sarah Cusworth Walker
• 金额: $ 32.79万
• 依托单位: UNIVERSITY OF WASHINGTON
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-07-15 至 2026-05-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10724024
• 关键词: Address; Adolescent; Advocacy; Affect; Area; Articulation; Benchmarking; Caring; Child Mental Health; Collaborations; Communities; Complex; Connecticut; Country; County; County Government; Data; Engineering; Equilibrium; Evidence based practice; Failure; Focus Groups; Funding; Geography; Goals; Government; Growth; Health; Health Policy; Health Services Research; Health system; Human Resources; Individual; Intervention; Interview; Justice; Literature; Maps; Measures; Methodology; Methods; Modeling; National Institute of Drug Abuse; National Institute of Mental Health; New York; Observational Study; Outcome; Participant; Pathway Analysis; Phase; Pilot Projects; Policies; Policy Developments; Policy Maker; Policy Making; Politics; Positioning Attribute; Procedures; Process; Public Health; Public Policy; Recommendation; Reporting; Research; Research Personnel; Research Priority; Resources; Scholarship; Science; Science Policy; Services; Social Network; Structure; Substance Use Disorder; Surveys; Testing; Thinking; Translating; Translations; United States; United States National Institutes of Health; Washington; Youth; acceptability and feasibility; adolescent substance use; arm; behavioral health; behavioral health intervention; cohesion; community engaged research; design; disorder prevention; effectiveness trial; evidence base; health care delivery; ideation; implementation barriers; implementation science; improved; information gathering; innovation; interest; longitudinal design; member; prototype; satisfaction; service providers; substance use prevention; success; tool; usability; violence prevention; young adult

Project Summary Adolescent substance use disorder is a public health crisis with over 1 million youth and young adults affected each year in the United States. County-level policies are well-positioned to reduce adolescent substance use disorder through funding and regulatory policies; however, the extant literature documents multiple failures in attempts to effectively leverage policy mechanisms. The challenges of aligning political will, multisector collaboration, use of research evidence, and resource commitments are well-known problems in the public policy and public administration literature. To date, the field of behavioral health policy science does not have a well-supported method of policy design that overcomes downstream policy implementation challenges. We propose to study a method of policy formation, Policy Codesign, designed to anticipate multiple barriers in the downstream implementation of evidence-based, adolescent SUD services. The participant structure and process of Policy Codesign draws from the public policy model of coproduction as well as engineering-based codesign and is supported by promising, preliminary studies. The process includes well-defined policy formation stages within a multisector and community-engagement framework, including: Values mapping, Information gathering, Information integration, Prototyping, Testing, Implementation. The current single-arm, observational study with two geographically diverse counties in Washington State will inform the research procedures to prepare for a rigorous trial of Policy Codesign in counties in Washington State, New York, and Connecticut. The project’s specific aims are 1) to examine the acceptability of Policy Codesign and perceived feasibility of developed adolescent SUD policies, 2) to measure changes in social network growth, cohesion, and bridging activities among multiple sectors central to behavioral health policy implementation, and 3) to examine the perceived replicability of Policy Codesign among well-established behavioral health policy intermediaries. The project is innovative as the first test of a policy design strategy intended to solve downstream implementation problems in evidence-based, adolescent SUD prevention. If found to be effective, Policy Codesign would significantly advance the field’s ability to translate and sustain policy-based solutions to address adolescent substance use. The core investigative team (Walker, Ahrens, Owens) is well-suited to carry out the project with extensive practical expertise in real world behavioral health policy design and community-engaged research. The team is supported by leading policy (Purtle), implementation (Saldana, Palinkas, Aarons) and adolescent SUD treatment (Hogue) researchers widely regarded as the top experts in their fields, as well as behavioral health policy and health design organizations actively involved with county policymaking in adolescent behavioral health systems.

项目概要 青少年药物滥用障碍是一场公共卫生危机，超过 100 万青少年和年轻人受到影响 美国每年都有县级政策来减少青少年药物使用。 然而，现有的文献记录了在融资和监管政策方面的多次失败。 尝试有效利用政策机制来协调政治意愿、多部门的挑战。 合作、研究证据的使用和资源承诺是公众众所周知的问题 迄今为止，行为健康政策科学领域还没有相关的文献。 克服下游政策实施挑战的得到良好支持的政策设计方法。 提议研究一种政策制定方法，即政策协同设计，旨在预测政策制定过程中的多重障碍 下游实施基于证据的青少年 SUD 服务 参与者结构和 政策协同设计的过程借鉴了共同生产的公共政策模型以及基于工程的 协同设计并得到有前景的初步研究的支持。该过程包括明确的政策。 多部门和社区参与框架内的形成阶段，包括： 价值观映射， 信息收集、信息集成、原型设计、测试、实施。 对华盛顿州两个地理位置不同的县进行的观察性研究将为该研究提供信息 准备在华盛顿州、纽约州和纽约州各县进行严格的政策协同设计试验的程序 康涅狄格州该项目的具体目标是 1) 检查政策协同设计的可接受性和感知程度。 制定青少年 SUD 政策的可行性，2) 衡量社交网络增长、凝聚力、 以及对行为健康政策实施至关重要的多个部门之间的桥梁活动，以及 3) 检查政策协同设计在完善的行为健康政策中的可复制性 作为旨在解决的政策设计策略的首次测试，该项目具有创新性。 循证青少年 SUD 预防的下游实施问题 如果发现有效， 政策协同设计将显着提高该领域转化和维持基于政策的解决方案的能力 核心调查小组（Walker、Ahrens、Owens）非常适合解决青少年药物使用问题。 凭借现实世界行为健康政策设计的实践专业知识广泛开展该项目， 该团队得到了主导政策（Purtle）、实施（Saldana、 Palinkas、Aarons）和青少年 SUD 治疗（Hogue）研究人员被广泛认为是该领域的顶级专家。 他们的领域以及行为健康政策和健康设计组织积极参与县 青少年行为健康系统的政策制定。