Patients, Populations, AND Processes: Multidisciplinary Approaches to Addiction Health Services Improvement

患者、人群和流程：改善成瘾卫生服务的多学科方法

• 批准号: 10000869
• 负责人: Randall T Brown
• 金额: $ 1.5万
• 依托单位: UNIVERSITY OF WISCONSIN-MADISON
• 依托单位国家: 美国
• 财政年份: 2017
• 资助国家: 美国
• 起止时间: 2017-09-01 至 2022-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10000869
• 关键词: Address; Alcohol or Other Drugs use; Americas; Area; Award; Collaborations; Communities; Development; Disease; Engineering; Epidemic; Epidemiology; Funding; Future; HIV risk; Health Personnel; Health Services; Health Services Research; Industrialization; Mainstreaming; Medicine; Mentors; Modeling; National Institute of Drug Abuse; Patients; Personal Satisfaction; Policy Maker; Population Process; Prevention Research; Primary Health Care; Psychology; Public Health; Reporting; Research; Research Personnel; Scientist; Services; Social Work; Specialist; Substance Use Disorder; Surgeon; System; Tobacco Use Cessation; Travel; United States; addiction; career; cost; design; disadvantaged population; ethnic minority population; gender minority; health disparity; improved; interdisciplinary approach; interest; minority investigator; multidisciplinary; patient population; prescription opioid; prevent; prevention service; programs; public health relevance; recruit; safety outcomes; service delivery; service gap; substance abuse treatment; substance misuse; symposium; treatment services; Address; Alcohol or Other Drugs use; Americas; Area; Award; Collaborations; Communities; Development; Disease; Engineering; Epidemic; Epidemiology; Funding; Future; HIV risk; Health Personnel; Health Services; Health Services Research; Industrialization; Mainstreaming; Medicine; Mentors; Modeling; National Institute of Drug Abuse; Patients; Personal Satisfaction; Policy Maker; Population Process; Prevention Research; Primary Health Care; Psychology; Public Health; Reporting; Research; Research Personnel; Scientist; Services; Social Work; Specialist; Substance Use Disorder; Surgeon; System; Tobacco Use Cessation; Travel; United States; addiction; career; cost; design; disadvantaged population; ethnic minority population; gender minority; health disparity; improved; interdisciplinary approach; interest; minority investigator; multidisciplinary; patient population; prescription opioid; prevent; prevention service; programs; public health relevance; recruit; safety outcomes; service delivery; service gap; substance abuse treatment; substance misuse; symposium; treatment services

Summary/Abstract The recent report issued by the Surgeon General's Office, “Facing Addiction in America,” the first of its kind issued by the Surgeon General, brought into stark relief the major impact of substance misuse and use disorders and the need to rethink how prevention and treatment services are currently delivered in the United States. While isolated aspects of substance misuse are improving, such as tobacco cessation and opioid prescribing practices, enormous service gaps persist that allow the ongoing and enormous negative impacts of risky and problem substance use. Further, these negative impacts put a particular burden on gender and ethnic minorities and other disadvantaged populations and communities. The isolation of specialist substance abuse treatment from mainstream medicine, the report further points out, presents a barrier to a potentially more effective public health model to reduce substance-related harms. If this landscape of epidemic substance misuse, use disorders, and related conditions is to improve and patient and public health and safety outcomes enhanced, prevention and treatment services delivery require rethinking. The Addiction Health Services Research conference, held since 2005, has annually brought together researchers, policy makers, and treatment providers to focus upon how such systems redesign might most effectively be implemented and sustained. In the current application, we propose to enhance this conference by specifically focusing on improving the well-being of gender and ethnic minorities and other marginalized groups struggling with risky and problem substance use and by encouraging participation by underrepresented scientists through establishment of a NIDA Minority Investigator Award and enhancement of a junior investigator mentoring program. A slate of distinguished plenary speakers, discussion of cutting-edge health services research findings, the development of collaborative relationships, and support of the careers of junior and minority investigators is proposed to move forward an agenda of broadening the positive impact of prevention and treatment services for substance misuse and use disorders.

摘要/摘要 外科医生办公室最近发布的报告“面对美国成瘾”，这是第一个此类报告 外科医生发行的，使药物滥用的主要影响和使用 疾病以及需要重新考虑联合国目前如何提供预防和治疗服务的需求 国家。虽然滥用物质的孤立方面正在改善，例如烟草戒烟和阿片类药物 处方实践，巨大的服务差距持续存在，允许持续和巨大的负面影响 风险和问题的使用。此外，这些负面影响使性别和 少数民族以及其他灾难人群和社区。 该报告进一步指出，从主流医学中隔离专业药物滥用治疗 为潜在的更有效的公共卫生模型提供了障碍，以减少与物质有关的危害。如果这个 流行物质的景观被遗忘，使用障碍和相关疾病是改善和患者，并且 公共卫生和安全结果增强了，预防和治疗服务需要重新思考。 自2005年以来举行的成瘾卫生服务研究会议每年都会团结在一起 研究人员，政策制定者和治疗提供者专注于此类系统如何重新设计大多数 有效地实施和维持。在当前申请中，我们建议增强这次会议 特别专注于改善性别和少数民族和其他边缘化的福祉 群体在风险和问题上的使用并鼓励人类参与不足的情况下挣扎 科学家通过建立NIDA少数群体研究者奖和提高初级 研究人员指导计划。杰出的全体演讲者的板块，讨论尖端健康 服务研究结果，协作关系的发展以及对初级职业的支持 建议少数民族调查员推进一个扩大的艾格恩达，以扩大 预防和治疗服务用于滥用和使用障碍。