Addiction Science: A Rationale and Tools for a Public Health Response to Drug Abuse.
Addiction Science: A Rationale and Tools for a Public Health Response to Drug Abuse.
复制标题
成瘾科学：公共卫生应对药物滥用的基本原理和工具。
DOI：
10.1007/bf03391705
复制
发表时间：
2014
影响因子：
5.5
通讯作者：
Gust,StevenW
中科院分区：
文献类型：
--
作者：
Rawson,RichardA;Rieckmann,Traci;Gust,StevenW
新的科学知识和有效的循证干预措施为卫生领导者和决策者提供了一个指导世界各地成瘾治疗服务发展的出色范例。成瘾作为一种脑部疾病的定义，经过验证的筛查和评估工具，药物辅助治疗和有效的行为治疗已经成为美国和其他国家指导其药物滥用治疗系统转型的工具。为了扩大国际研究和基础设施，国家药物滥用研究所（NIDA）的国际方案邀请国际调查人员和机构参与成瘾研究，以促进成瘾科学在全球的传播。本文介绍了三种混合方法的案例研究，以验证在成瘾治疗中使用循证实践的进步，作为在越南、黎巴嫩和阿布扎比三个国家建立或进一步发展治疗系统的指南和工具。结果表明，循证医学和实证科学的框架创造了一个必要的平台，从这个平台上可以开始关于成瘾的客观对话。有助于在国际上建立治疗方案的其他促进因素包括：一个接受和支持的政府，国际捐助者和技术专家的支持，其他国际组织的网络和兴趣，以及多个实体和合作伙伴的协同和协调努力。尽管产生这些举措的情况有很大差异，服务范围也各不相同，但这些努力的共同主题是对系统转型采取以科学为基础的办法，并支持对解决药物滥用和成瘾问题采取公共卫生办法。
New scientific knowledge and effective, evidence-based interventions have provided health leaders and policymakers a remarkable paradigm to guide the development of addiction treatment services around the world. The definition of addiction as a brain disease, validated screening and assessment tools, medication-assisted treatment, and effective behavioral treatments have served as vehicles for both the United States and other countries to guide the transformation of their substance abuse treatment systems. Seeking to expand international research and infrastructure, the National Institute on Drug Abuse (NIDA)’s International Program has engaged international investigators and institutions in addiction research to promote dissemination of addiction science globally. This paper presents three mixed-methods case studies to exemplify the use of advancements in evidence-based practice in addiction treatment as guides and tools for the creation or further development of treatment systems in three countries, Vietnam, Lebanon, and Abu Dhabi. Results indicate that a framework of evidence-based medicine and empirical science creates a necessary platform from which objective conversations about addictions may begin. Other facilitative factors that help create treatment programs internationally include: a receptive and supportive government, support from international donors and technical experts, networking and interest from other international organizations, and often a synergistic and concerted effort by multiple entities and partners. Despite substantial differences in the circumstances that generated these initiatives and the varying scope of the services, common themes across these efforts have been the implementation of science-based approaches to systems transformation and support for a public health approach to addressing drug abuse and addiction.