WE-CARE - an innovative platform ofWomen Engaged in Comprehensive Addiction and Recovery Environments for SubstanceUse Women

项目摘要 患有酒精使用障碍（AUD）和物质使用障碍（SUD）的女性需要复杂的护理 需要，开始需要识别，然后与全面的护理计划， 通常包括同时治疗过量的酒精，阿片类药物，兴奋剂， 苯二氮卓类药物的使用，以及创伤。识别和治疗AUD和/或SUD的障碍 开始时缺乏医疗保健提供者（HCP）的筛查 以及育龄妇女对饮酒时怀孕的危险缺乏了解， 毒品HCP在支持患有AUD和/或SUD的女性方面面临的挑战包括耻辱感、缺乏时间 在每次预约进行筛选、评分和结果讨论期间， 女性SUD/AUD，缺乏循证干预知识，缺乏 与提供创伤知情护理的综合治疗设施建立伙伴关系。新型数字 提供普遍匿名筛查和促进预约遵守的战略出现在 有效一个移动的应用程序，可以提供匿名推荐，教育材料， 支持提供者和患者之间的沟通可以将普遍筛查扩展到分娩 在标准医疗预约时或之前。这一应用程序可以帮助缓解或消除 许多限制是由于缺乏时间、意愿或能力。 Benten Technologies计划设计、构建和测试一个基于移动的应用程序， 在综合戒毒和康复环境中的妇女 物质使用，将利用安全的，基于云的技术提供虚拟筛选， 转诊、教育和可能患有AUD和SUD的妇女之间的开放沟通渠道 和他们的供应商。该应用程序将通过整合新的工具来支持连接到护理 包括对酒精、非法药物、抑郁和焦虑的普遍电子筛查，以及 教育材料，一个匿名的主持论坛，和一个聊天机器人，并选择获得一个 匿名转介到综合药物和酒精治疗中心。后48小时内 通过应用程序收到转介请求，治疗中心将与妇女联系， 额外的问题和讨论她的担忧。第1阶段SBIR特定 目的是（1）对育龄妇女、HCP和相关人员进行形成性研究， 利益攸关方确定筛查、教育材料和 与护理的联系;（2）建立原型;（3）对300名妇女进行筛选，并对20名妇女进行试点测试 被识别为具有AUD和/或SUD的风险，以评估原型应用程序。

PROJECT SUMMARY Women with alcohol use disorder (AUD) and substance use disorder (SUD) have complex care needs that begin with a need for identification followed by linkage to a comprehensive care plan that frequently includes simultaneous treatment for excessive alcohol, opioid, stimulant, and benzodiazepine use, as well as trauma. Barriers to identification and treatment of AUD and/or SUD among women in primary care settings begin with a lack of screening by healthcare providers (HCPs) and lack of knowledge by child-bearing women about the dangers of conceiving while using alcohol or drugs. The HCP’s challenges to supporting women with AUD and/or SUD include stigma, lack of time during each appointment for screening, scoring and discussion of results, the sheer potential volume of women with SUD/AUD, lack of knowledge about evidence-based interventions, and scarcity of partnerships with a comprehensive treatment facility offering trauma-informed care. Novel digital strategies to provide universal anonymous screenings and promote appointment adherence appear effective. A mobile application that can provide anonymous referrals, educational materials, and support communication between providers and patients could expand universal screenings to delivery at or prior to a standard medical appointment. This application could then help to alleviate or remove many of the limitations due to a lack of time, willingness, or ability. Benten Technologies proposes to design, build and test a mobile-based application called Women Engaged in Comprehensive Addiction and Recovery Environments (WE-CARE) for Substance Use that will leverage secure, cloud-based technology to provide virtual screenings, referrals, education, and open communication channels between women with possible AUD and SUD and their providers. The application will support linkage to care through the integration of novel tools including universal e-screenings for alcohol, illicit drugs, depression, and anxiety, as well as educational materials, an anonymous moderated forum, and a chatbot, and the option to get an anonymous referral to a comprehensive drug and alcohol treatment center. Within 48 hours of receiving a referral request through the application, the treatment center will contact the women for additional intake questions and discussions about her concerns. The Phase 1 SBIR Specific Aims are to (1) Use formative research with child-bearing age women, HCPs, and relevant stakeholders to identify the needs and requirements for screenings, educational materials, and linkage to care; (2) Build the prototype, and (3) Screen 300 women and pilot test with 20 women identified with being at risk of having an AUD and/or SUD to evaluate the prototype application.