Emerging Opportunities to Improve Treatment Access for Substance Use Disorders and Other Comorbid Health Issues Among Women Enrolled in WIC.
Emerging Opportunities to Improve Treatment Access for Substance Use Disorders and Other Comorbid Health Issues Among Women Enrolled in WIC.
复制标题
DOI：
10.1177/15248399211069094
复制
发表时间：
2023-03
影响因子：
1.9
通讯作者：
Kilby, Linda M.
中科院分区：
文献类型：
--
作者：
Washio, Yukiko;Collins, Bradley N.;Kilby, Linda M.
生活在服务不足社区的妇女患药物使用障碍和其他共病健康问题的风险增加，这一公共卫生问题随着2019冠状病毒病大流行而加剧。为了应对这一流行病带来的挑战，妇女、婴儿和儿童特别补充营养计划提供的服务进行了灵活调整，包括妇女、婴儿和儿童特别补充营养计划的营养管理人员和咨询人员努力为那些对药物滥用及其相关后果表示担忧的客户提供反应性转介。这种适应标志着一个机会，考虑整合更积极的，以证据为基础的战略，物质使用障碍，如标准化的简短评估，建议和转诊程序（即，筛查、短暂干预和转诊治疗[SBIRT]），作为常规WIC操作的一部分。这种常规做法的整合将提高WIC向其客户和家庭提供的护理质量，同时通过将药物使用障碍和药物相关问题的高风险客户与急需的服务联系起来，解决公共卫生方面的重大差距。鉴于妇女信息中心的适应性，以被动地管理广泛的心理和精神健康问题，在大流行期间增加，存在的机会，未来的研究，以审查可行性，可接受性，和有效性的积极实施简短的筛选，咨询和治疗转诊，以减少物质相关的伤害妇女生活在服务不足的社区。
Women living in underserved communities are at an increased risk for substance use disorders and other comorbid health issues, a public health concern that was exacerbated as the COVID-19 pandemic took hold. In response to the challenges the pandemic presented, services delivered by the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) adapted nimbly, including WIC nutrition managers’ and counselors’ efforts to provide reactive referrals of clients raising concern about substance misuse and related consequences. This adaptation signaled an opportunity to consider integrating more proactive, evidence-based strategies for substance use disorders such as standardized brief assessments, advice, and referral procedures (i.e., Screening, Brief Interventions, and Referral to Treatment [SBIRT]), as part of routine WIC operations. Integration of such routine practice would improve the quality of care WIC provides to their clients and families, while addressing a major gap in public health by connecting clients at high risk for substance use disorders and substance-related problems to much needed services. Given the adaptability of WIC to reactively manage the wide array of psychosocial and mental health problems that increased during the pandemic, opportunities exist for future research to examine the feasibility, acceptability, and efficacy of proactive implementation of brief screening, advice, and treatment referral to reduce substance-related harm among women living in underserved communities.
登录
查看更多内容
影响因子：
5.5
作者：
Hargraves D;White C;Frederick R;Cinibulk M;Peters M;Young A;Elder N
通讯作者：
Elder N
影响因子：
4.5
作者：
Collins BN;Lepore SJ
通讯作者：
Lepore SJ
影响因子：
3.9
作者：
Priester, Mary Ann;Browne, Teri;Seay, Kristen D.
通讯作者：
Seay, Kristen D.
影响因子：
5.5
作者：
Collins, Bradley N.;Nair, Uma S.;Audrain-McGovern, Janet
通讯作者：
Audrain-McGovern, Janet
影响因子：
7.1
作者：
Akseer, Nadia;Kandru, Goutham;Bhutta, Zulfiqar A.
通讯作者：
Bhutta, Zulfiqar A.