Sustainability of State-Level Substance Abuse Prevention Infrastructure After the Completion of the SPF SIG
Sustainability of State-Level Substance Abuse Prevention Infrastructure After the Completion of the SPF SIG
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DOI：
10.1007/s10935-015-0382-7
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发表时间：
2015-06-01
影响因子：
1.7
通讯作者：
Zhang, Lei
中科院分区：
文献类型：
--
作者：
Edwards, Jessica M.;Stein-Seroussi, Al;Zhang, Lei
最近在州一级开展的国家药物滥用预防工作为解决州一级药物滥用预防基础设施缺乏系统研究的问题提供了肥沃的土壤。战略预防框架国家奖励拨款计划(SPF SIG)是由美国物质滥用和精神健康服务管理局及其物质滥用预防中心发起的一项全国性公共卫生倡议，就是这样一项努力，为检查全国各地的州级药物滥用预防基础设施提供了机会。SPF SIG倡议的目标包括减少药物滥用及其相关问题，以及加强州和地方预防基础设施和能力。在这篇文章中，我们描述了在第一批26个受资助的州结束项目一年后，州一级药物滥用预防基础设施和能力的状况，基于对州预防决策者的后续采访。我们发现，在我们衡量的六个预防领域中的五个领域，在赠款结束后的12个月期间，预防基础设施的能力有所增加。即使在赠款结束后，仍有证据表明，各州认识到使用SPF的好处，并采取了深思熟虑的步骤，维持和加强将这一框架纳入其州预防系统的工作。此外，调查结果表明，国家机构和组织可以受益于旨在提高其能力的有限资源，而且这种努力可以对衡量国家预防系统能力的措施产生持久影响。
Recent national substance abuse prevention efforts that have been disseminated at the state level have provided fertile ground for addressing the dearth of systematic research on state-level substance abuse prevention infrastructure. The Strategic Prevention Framework State Incentive Grant Program (SPF SIG), a national public health initiative sponsored by the US Substance Abuse and Mental Health Services Administration and its Center for Substance Abuse Prevention, is one such effort, providing an opportunity to examine state-level substance abuse prevention infrastructure across the country. The aims of the SPF SIG initiative include reducing substance abuse and its related problems, as well as enhancing state and local prevention infrastructure and capacity. In this article, we describe the status of state-level substance abuse prevention infrastructure and capacity 1 year after the first 26 funded states ended their projects, based on follow-up interviews with state prevention decision-makers. We found that, in five of the six prevention domains we measured, prevention infrastructure capacity increased during the 12-month period after the grants ended. The evidence for further SPF capacity development even after the conclusion of the grants suggests that states recognized the benefits of using the SPF and took deliberate steps to sustain and enhance the integration of this framework into their state prevention systems. In addition, the findings suggest that state agencies and organizations can benefit from time-limited resources aimed at increasing their capacity and that such efforts can have a lasting impact on measures of state prevention system capacity.