Alliances to disseminate addiction prevention and treatment (ADAPT): A statewide learning health system to reduce substance use among justice-involved youth in rural communities.
Alliances to disseminate addiction prevention and treatment (ADAPT): A statewide learning health system to reduce substance use among justice-involved youth in rural communities.
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传播成瘾预防和治疗联盟(ADAPT)：一个全州范围的学习卫生系统，以减少农村社区参与司法的青年使用药物。
DOI：
10.1016/j.jsat.2021.108368
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发表时间：
2021-09
影响因子：
3.9
通讯作者：
Zapolski TCB
中科院分区：
文献类型：
--
作者：
Aalsma MC;Aarons GA;Adams ZW;Alton MD;Boustani M;Dir AL;Embi PJ;Grannis S;Hulvershorn LA;Huntsinger D;Lewis CC;Monahan P;Saldana L;Schwartz K;Simon KI;Terry N;Wiehe SE;Zapolski TCB
司法系统中的青年比从未被捕的青年更有可能有心理健康和药物使用问题。然而，青年司法人员在参与司法系统工作期间接受单一服务股服务的比例很低。SUD护理级联可以识别潜在的YJS治疗机会。这一系列的连续步骤沿着包括确定治疗需求、转诊服务和治疗参与。为了解决YJS护理方面的差距，我们将（1）实施学习健康系统（LHS），以发展或改善少年司法（JJ）机构和社区精神卫生中心（CMHC）之间的联盟，以及（2）在LHS联盟内的持续质量改进周期中提供当地级联数据。ADAPT是一项混合II型有效性实施试验。我们将与JJ和CMHC在八个印第安纳州县合作。EPIS（探索、准备、实施和维持）框架的应用将指导LHS联盟的实施。研究小组将每季度与各联盟一起审查地方级联数据，以确定连续体中的差距沿着。本研究将在每个研究中心纵向收集关于变革准备、实施氛围、组织领导力和项目可持续性的自我报告调查指标。这项研究将使用“执行完成阶段”工具来评估各项干预措施的执行进程。此外，研究团队将在干预期间与强生和CMHC人员进行焦点小组和定性访谈，以评估影响。调查结果有可能增加SUD需要识别，转介服务，并为YJS治疗。
Youth in the justice system (YJS) are more likely than youth who have never been arrested to have mental health and substance use problems. However, a low percentage of YJS receive SUD services during their justice system involvement. The SUD care cascade can identify potential missed opportunities for treatment for YJS. Steps along the continuum of the cascade include identification of treatment need, referral to services, and treatment engagement. To address gaps in care for YJS, we will (1) implement a learning health system (LHS) to develop, or improve upon, alliances between juvenile justice (JJ) agencies and community mental health centers (CMHC) and (2) present local cascade data during continuous quality improvement cycles within the LHS alliances. ADAPT is a hybrid Type II effectiveness implementation trial. We will collaborate with JJ and CMHCs in eight Indiana counties. Application of the EPIS (exploration, preparation, implementation, and sustainment) framework will guide the implementation of the LHS alliances. The study team will review local cascade data quarterly with the alliances to identify gaps along the continuum. The study will collect self-report survey measures longitudinally at each site regarding readiness for change, implementation climate, organizational leadership, and program sustainability. The study will use the Stages of Implementation Completion (SIC) tool to assess the process of implementation across interventions. Additionally, the study team will conduct focus groups and qualitative interviews with JJ and CMHC personnel across the intervention period to assess for impact. Findings have the potential to increase SUD need identification, referral to services, and treatment for YJS.
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DOI：
10.1186/s13012-014-0134-8
发表时间：
2014-10-14
期刊：
Implementation science : IS
影响因子：
--
作者：
Brown CH;Chamberlain P;Saldana L;Padgett C;Wang W;Cruden G
通讯作者：
Cruden G
影响因子：
3.5
作者：
Becan, Jennifer E;Bartkowski, John P;Aarons, Gregory A
通讯作者：
Aarons, Gregory A
影响因子：
3.9
作者：
Belenko S;Knight D;Wasserman GA;Dennis ML;Wiley T;Taxman FS;Oser C;Dembo R;Robertson AA;Sales J
通讯作者：
Sales J
影响因子：
3.9
作者：
Aarons GA;Ehrhart MG;Torres EM;Finn NK;Roesch SC
通讯作者：
Roesch SC
影响因子：
3
作者：
Curran GM;Bauer M;Mittman B;Pyne JM;Stetler C
通讯作者：
Stetler C