Swimming Against the Current: Addressing Community Needs and Establishing Partnerships for the Prevention of Opioid and Methamphetamine use Among Parents.
Swimming Against the Current: Addressing Community Needs and Establishing Partnerships for the Prevention of Opioid and Methamphetamine use Among Parents.
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DOI：
10.1007/s11121-023-01602-5
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发表时间：
2024-01
影响因子：
3.5
通讯作者：
Saldana, Lisa
中科院分区：
文献类型：
--
作者：
Singh, Ryan R;Peterson, Jeffrey M;Chapman, Jason;Saldana, Lisa
俄勒冈州的阿片类药物和甲基苯丙胺危机对年轻家庭产生了重大影响，因为越来越多的父母经历了物质使用障碍（SUD）。随着父母药物使用的增加，儿童福利系统（CWS）对有复杂需求的家庭变得过度紧张。对家庭和CWS造成的负担表明需要对父母的sud进行预防和治疗干预。为了应对美国全州范围内最严重的阿片类药物和甲基苯丙胺流行病，一项针对父母的预防干预措施pre - fair的混合2型试验正在俄勒冈州的五个县实施。在社区内建立强有力的伙伴关系有助于确定在PRE-FAIR的基础上实施循证公平治疗模式的必要性。对实施的强烈关注包括满足社区的需求，并在提供机构建立维持公平计划所需的基础设施。尽管实施努力直接指向公平前转介，但需要治疗的父母被转介的比例不成比例，不符合学习资格的老年父母也是如此。这两项挑战都推迟了为预防试验招募足够数量的参与者的能力。本评论描述了俄勒冈州阿片类药物和甲基苯丙胺流行病的影响，因为危机涉及实施预防与治疗干预措施，强调了解决社区需求和建立强有力的伙伴关系的重要性，这使得创造性战略能够增加fair前的招聘。
The opioid and methamphetamine crises in Oregon have a consequential impact on young families, as an increasing number of parents experience substance use disorder (SUD). As parental substance use escalates, the child welfare system (CWS) becomes overwrought with families who have complex needs. The burden placed on families and on the CWS indicates a need for prevention and treatment interventions for parental SUDs. In response to the worst statewide opioid and methamphetamine epidemics in the USA, a Hybrid Type 2 trial of PRE-FAIR—a prevention intervention for parents—is being implemented in five Oregon counties. Establishing strong partnerships within the communities helped identify the need to implement the evidence-based FAIR treatment model alongside PRE-FAIR. A strong focus on implementation includes meeting the needs of communities and establishing the infrastructure necessary for sustainment of the FAIR programs at the provider agencies. Despite implementation efforts to direct toward PRE-FAIR referrals, parents in need of treatment are being referred at a disproportionate rate, as are older parents who fall outside of study-eligibility. Both challenges have delayed the ability to enroll a sufficient number of participants for the prevention trial. This commentary describes the impact of the opioid and methamphetamine epidemics in Oregon as the crises relate to implementing prevention versus treatment interventions—highlighting the importance of addressing community needs and establishing strong partnerships, which has allowed creative strategies to increase PRE-FAIR recruitment.
影响因子：
3.8
作者：
Cruden G;Crawford S;Saldana L
通讯作者：
Saldana L
影响因子：
3.8
作者：
Saldana L;Chapman JE;Campbell M;Alley Z;Schaper H;Padgett C
通讯作者：
Padgett C