Promoting recovery in an evolving policy context: What do we know and what do we need to know about recovery support services?

Promoting recovery in an evolving policy context: What do we know and what do we need to know about recovery support services?
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DOI:
10.1016/j.jsat.2013.01.009
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发表时间:
2013-07-01
影响因子:
3.9
通讯作者:
Humphreys, Keith
Humphreys, Keith
中科院分区:
医学2区
文献类型:
--
作者:
Laudet, Alexandre B.;Humphreys, Keith

文献摘要

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作为一个概念和一项运动,“康复”越来越多地指导药物使用障碍(SUD)服务和政策。这一变化的一个标志是康复支持服务的出现,这些服务试图使用全面的持续护理模式来帮助成瘾者。本文回顾了围绕恢复支持服务的政策环境、它们应响应的需求以及当前恢复支持模式的现状。我们的结论是,应进一步评估康复支持服务(RSS)的有效性和成本效益,必须付出更大的努力来发展 RSS 提供人员,并且 RSS 应利用持续的努力来创建一个全面、综合和以患者为中心的医疗保健系统。随着 SUD 治疗系统经历至少 40 年来最重要的转变,康复研究和成瘾康复的生活经验应该成为改革的核心。 (c) 2013 Elsevier Inc. 保留所有权利。
As both a concept and a movement, "recovery" is increasingly guiding substance use disorder (SUD) services and policy. One sign of this change is the emergence of recovery support services that attempt to help addicted individuals using a comprehensive continuing care model. This paper reviews the policy environment surrounding recovery support services, the needs to which they should respond, and the status of current recovery support models. We conclude that recovery support services (RSS) should be further assessed for effectiveness and cost-effectiveness, that greater efforts must be made to develop the RSS delivery workforce, and that RSS should capitalize on ongoing efforts to create a comprehensive, integrated and patient-centered health care system. As the SUD treatment system undergoes its most important transformation in at least 40 years, recovery research and the lived experience of recovery from addiction should be central to reform. (c) 2013 Elsevier Inc. All rights reserved.