ENHANCING DRUG ABUSE TREATMENT BY MOBILE HEALTH SERVICE

通过移动医疗服务加强药物滥用治疗

• 批准号: 3441863
• 负责人: JOSEPH V BRADY
• 金额: $ 94.27万
• 依托单位: INSTITUTES FOR BEHAVIOR RESOURCES, INC.
• 依托单位国家: 美国
• 财政年份: 1990
• 资助国家: 美国
• 起止时间: 1990-09-30 至 1995-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/3441863
• 关键词: community health services; community mental health services; drug abuse therapy; health service demonstration project; human population study; human subject; medical outreach /case finding; mobile health units; outpatient care

This research demonstration application from a group of university-based substance abuse research scientists collaborating with a group of municipal government agencies has the objective of developing and evaluating an innovative mobile health service unit approach to enhancing drug abuse treatment. With a focus upon the identification and recruitment of I.V. drug abusers, the model mobile service will expand the availability of drug abuse treatment, health education, outreach, and clinical support to targeted inner city communities with a high prevalence of substance abuse and other poor health status indicators. The project will-involve two mobile units, each consisting of a large specially equipped travel trailer towed by a converted van. One unit will visit 4 to 5 locations in the City of Baltimore each day for 12 to 18 months to increase service accessibility. The second unit will remain stationary for the initial 12-18 months of the project in a demographically comparable area of Baltimore but will deliver comparable services and be comparably staffed. In addition to general health care services, the two units will be capable of delivering full outpatient treatment services to 150-200 drug abusers, including urine and AIDS testing, medications, and drug abuse counseling. Evaluation of the project will focus upon a comparison with traditional health services in terms of drug abuse treatment accessibility and effectiveness. Specific research questions regarding the enhancement of recruitment and drug abuse treatment retention will be addressed using a crossover design with the initially stationary health service unit becoming mobile for an additional 12-18 months in its demographically circumscribed area while the originally mobile health service unit becomes stationary in its demographically comparable area of the City of Baltimore.

本研究示范应用来自一组以大学为基础的 药物滥用研究科学家与一组 市政府机构的目标是发展和 评估创新的移动的医疗服务单位方法来增强 药物滥用治疗。重点是确定和招募 静脉注射药物滥用者，示范移动的服务将扩大 提供药物滥用治疗、健康教育、外展服务，以及 为患病率高的市中心社区提供临床支持 药物滥用和其他健康状况不佳的指标。 该项目将涉及两个移动的单位，每个单位由一个大的 由改装的货车牵引的特殊装备的旅行拖车。一个单位将 访问4至5个地点在城市的巴尔的摩每天12至18 月，以提高服务的可及性。第二个单位将继续 在项目的最初12-18个月， 人口统计学上与巴尔的摩相当的地区，但将提供与 服务和人员配备。除了一般的医疗保健 服务，这两个单位将能够提供充分的门诊 为150-200名吸毒者提供治疗服务，包括尿检和艾滋病治疗 测试、药物治疗和药物滥用咨询。评价项目 将重点放在与传统卫生服务的比较方面， 药物滥用治疗的可及性和有效性。具体研究 关于加强招募和药物滥用的问题 将使用交叉设计解决治疗保留问题， 最初固定的健康服务单元变为移动的， 12至18个月在其人口限制区， 最初移动的健康服务单元在其 在人口统计学上与巴尔的摩市相当的地区。