Advancing the science on recovery community centers to support persons treated with medications for opioid use disorder

推进康复社区中心的科学，以支持接受阿片类药物使用障碍药物治疗的人

• 批准号: 10213688
• 负责人: Bettina B. Hoeppner
• 金额: $ 60.83万
• 依托单位: MASSACHUSETTS GENERAL HOSPITAL
• 依托单位国家: 美国
• 财政年份: 2020
• 资助国家: 美国
• 起止时间: 2020-07-15 至 2025-04-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10213688
• 关键词: Advanced Development; Aphorisms; Capital; Chronic; Clinical; Communities; Community Psychology; Contracts; Data; Disease remission; Effectiveness; Employment; Formulation; Fostering; Funding; Goals; Growth; Health; Heart; Housing; Human Resources; Individual; Investigation; Investments; Life; Life Expectancy; Massachusetts; Narcotics; Occupations; Outcome; Paper; Participant; Patients; Persons; Pharmaceutical Preparations; Pilot Projects; Play; Probability; Public Health; Quality of life; Reader; Recovery; Registries; Relapse; Reporting; Research; Research Infrastructure; Research Institute; Resources; Role; Savings; Science; Scientist; Series; Services; Slide; Social Network; Stress; Structure; Substance Use Disorder; Sum; Training and Education; Twitter; United States National Institutes of Health; United States Substance Abuse and Mental Health Services Administration; Video Recording; addiction; base; biobehavior; community center; cost effectiveness; design; effectiveness research; efficacy research; experience; interest; meetings; opioid epidemic; opioid overdose; opioid use disorder; overdose death; person centered; prescription opioid; prognostic; public health emergency; repository; research study; symposium; tool; web site

PROJECT SUMMARY / ABSTRACT The opioid crisis has caused a national decline in average U.S. life-expectancy necessitating a declaration of a federal public health emergency. Evidence indicates that OUD is a chronic health condition best managed with long-term use of medications (MOUD). While MOUD save lives, reduce related harms, and enhance the likelihood of remission, compared to other substance use disorders, individuals suffering from OUD tend to be more in need of additional services, feel more isolated and marginalized, have fewer available recovery assets (e.g., jobs, safe housing) and report lower quality of life. These continued deficits increase biobehavioral stress and prognostic pessimism and, in turn, the odds of treatment discontinuation and subsequent relapse. There is a need for additional recovery support services (RSS) to help build positive social networks and to increase education, training, employment, and housing opportunities (collectively known as “recovery capital”) to enhance functioning and quality of life. Recovery Community Centers (RCCs) are emergent national entities designed specifically to help provide this growth in recovery capital and enhance remission and quality of life. Preliminary evidence indicates RCCs play a particularly valuable role for those with OUD, but despite their strong conceptual basis and rapid largescale investment in their growth, little is known from a systematic research standpoint about their clinical and public health utility and cost-effectiveness. To advance the development of efficacy and effectiveness research on RCCs for persons who were or who are being maintained on medications for the treatment of OUD (P-MOUD), we propose to orchestrate activities on a national level to engage multiple stakeholders and produce actionable deliverables. This proposal draws and builds upon numerous professional and academic resources and experiences, including the existence of our already established recovery dissemination platform (i.e., the Recovery Research Institute (RRI); 6,000 Bulletin readers, 37,000 Twitter followers, 24,000 website visitors per month), which due to its reputation and experience has been contracted by SAMHSA to first sum up the evidence on recovery support services and then to facilitate the first multi- stakeholder discussion on a national level to advance the science of RSS. In the spirit of the patient maxim, “nothing about us without us”, we have formulated a plan of action that engages and involves key support- receiving stakeholders in multiple aspects of our network plan. Five types of activities are proposed (i.e., monthly seminar series, pilot funding, symposium presentations at national conferences, advisory board meetings with RCC staff and attendees, hands-on support to RCC personnel to track and analyze organizational data), each of which will result in concrete deliverables. In so doing, the RRI will become a known hub for the science on recovery support via RCCs, and will attract, collect and disseminate ancillary products that support the building of a cumulative RCC science that can explicate the role of RCCs in providing support specifically for P-MOUD.

项目摘要/摘要 阿片类药物危机导致美国平均预期寿命下降，需要宣布一项新的政策。 联邦公共卫生紧急事件。有证据表明，OUD是一种慢性健康状况，最好用 长期使用药物（MOUD）。在MOUD拯救生命、减少相关伤害并增强 缓解的可能性，与其他物质使用障碍相比，患有OUD的人往往 需要更多服务的人更多，感到更加孤立和边缘化，可用的恢复资产更少 (e.g.,工作，安全住房），并报告生活质量较低。这些持续的缺陷增加了生物行为压力 和预后悲观，反过来，治疗中断和随后复发的几率。有 需要更多的恢复支助服务，以帮助建立积极的社交网络， 教育、培训、就业和住房机会（统称为“恢复资本”）， 功能和生活质量。恢复社区中心（RCCs）是一个新兴的国家实体， 特别是帮助提供恢复资本的增长，并提高缓解和生活质量。初步 有证据表明，RCC对那些患有OUD的人起着特别有价值的作用，但尽管他们有很强的概念性， 基础和快速大规模投资的增长，很少有人知道从系统的研究角度来看， 其临床和公共卫生效用和成本效益。为了促进功效的发展， 对曾经或正在接受药物治疗的人进行的RCC有效性研究 为了处理OUD（P-MOUD），我们建议在国家一级协调活动， 利益相关者并产生可操作的交付成果。该提案借鉴并建立在众多专业人士的基础上。 和学术资源和经验，包括我们已经建立的复苏的存在， 传播平台（即，恢复研究所（RRI）; 6 000名公告读者，37 000名Twitter用户 追随者，每月24 000名网站访问者），由于其声誉和经验， 由SAMHSA首先总结恢复支持服务的证据，然后促进第一个多- 国家层面的利益相关者讨论，以推进RSS科学。本着耐心原则， “没有我们，就没有我们”，我们制定了一项行动计划，其中包括关键的支持- 在我们的网络计划的多个方面接受利益相关者。提出了五种类型的活动（即，每月 研讨会系列、试点供资、在国家会议上的专题讨论会介绍、咨询委员会会议， RCC工作人员和与会者，为RCC工作人员提供跟踪和分析组织数据的实际支持），每个 其中将产生具体的可交付成果。通过这样做，RRI将成为一个已知的科学中心， 通过RCC提供恢复支持，并将吸引、收集和传播支持建筑物的辅助产品 一个累积的RCC科学，可以解释RCC的作用，特别是提供支持P-MOUD。