Improving drug treatment services for hispanics: Research gaps and scientific opportunities

Improving drug treatment services for hispanics: Research gaps and scientific opportunities
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DOI:
10.1016/j.drugalcdep.2006.05.009
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发表时间:
2006-09-01
影响因子:
4.2
通讯作者:
Berry, Paige
Berry, Paige
中科院分区:
医学2区
文献类型:
--
作者:
Alegria, Margarita;Page, J. Bryan;Berry, Paige

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向西班牙裔吸毒者提供服务仍然是一个巨大的挑战,这表现在服务的获得和保留率低,以及西班牙裔人口滥用药物的不成比例的负面后果。本文提供了一个批判性的分析,目前的服务研究西班牙裔与药物滥用问题,确定的知识差距,并提供建议的科学机会,以解决这些差距,重点是四个中心的需要:(1)需要了解西班牙裔在自己的社区的情况(即,社区背景);(2)需要开发和测试针对西班牙裔美国人的情况和特殊需求的服务提供模式;(3)需要消除客户,供应商和系统的使用障碍;(4)需要在药物滥用服务,社会服务和其他服务部门之间建立联系,以优化治疗结果。作者提出了一种方法,首先关注当地的西班牙裔社区,并建立对文化背景的理解,包括土著资源,认识到入学和保留的障碍,以及相关服务的协调。(c)2006爱思唯尔爱尔兰有限公司保留所有权利。
Delivery of services to Hispanic drug users remains a great challenge, as shown by low service access and retention, and disproportionate negative consequences of drug abuse in the Hispanic population. This paper provides a critical analysis of current services research on Hispanics with drug abuse problems, identifies gaps in the knowledge, and offers recommendations for scientific opportunities to address these gaps, focusing on four central needs: (1) the need to understand the circumstances of Hispanics in their own communities (i.e., community context); (2) the need to develop and test service delivery models tailored to Hispanics' circumstances and special needs; (3) the need to remove client, provider, and system barriers to utilization; and (4) the need to establish links between drug abuse services, social services, and other service sectors to optimize treatment outcomes. The authors suggest an approach that begins with a focus on the local Hispanic community and builds understanding of the cultural context, inclusion of indigenous resources, recognition of barriers to enrollment and retention, and coordination of related services. (c) 2006 Elsevier Ireland Ltd. All rights reserved.