Using policy codesign to achieve multi-sector alignment in adolescent behavioral health

利用政策协同设计实现青少年行为健康的多部门协调

• 批准号: 10724024
• 负责人: Sarah Cusworth Walker
• 金额: $ 32.79万
• 依托单位: UNIVERSITY OF WASHINGTON
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-07-15 至 2026-05-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10724024
• 关键词: Address; Adolescent; Advocacy; Affect; Area; Articulation; Benchmarking; Caring; Child Mental Health; Collaborations; Communities; Complex; Connecticut; Country; County; County Government; Data; Engineering; Equilibrium; Evidence based practice; Failure; Focus Groups; Funding; Geography; Goals; Government; Growth; Health; Health Policy; Health Services Research; Health system; Human Resources; Individual; Intervention; Interview; Justice; Literature; Maps; Measures; Methodology; Methods; Modeling; National Institute of Drug Abuse; National Institute of Mental Health; New York; Observational Study; Outcome; Participant; Pathway Analysis; Phase; Pilot Projects; Policies; Policy Developments; Policy Maker; Policy Making; Politics; Positioning Attribute; Procedures; Process; Public Health; Public Policy; Recommendation; Reporting; Research; Research Personnel; Research Priority; Resources; Scholarship; Science; Science Policy; Services; Social Network; Structure; Substance Use Disorder; Surveys; Testing; Thinking; Translating; Translations; United States; United States National Institutes of Health; Washington; Youth; acceptability and feasibility; adolescent substance use; arm; behavioral health; behavioral health intervention; cohesion; community engaged research; design; disorder prevention; effectiveness trial; evidence base; health care delivery; ideation; implementation barriers; implementation science; improved; information gathering; innovation; interest; longitudinal design; member; prototype; satisfaction; service providers; substance use prevention; success; tool; usability; violence prevention; young adult

Project Summary Adolescent substance use disorder is a public health crisis with over 1 million youth and young adults affected each year in the United States. County-level policies are well-positioned to reduce adolescent substance use disorder through funding and regulatory policies; however, the extant literature documents multiple failures in attempts to effectively leverage policy mechanisms. The challenges of aligning political will, multisector collaboration, use of research evidence, and resource commitments are well-known problems in the public policy and public administration literature. To date, the field of behavioral health policy science does not have a well-supported method of policy design that overcomes downstream policy implementation challenges. We propose to study a method of policy formation, Policy Codesign, designed to anticipate multiple barriers in the downstream implementation of evidence-based, adolescent SUD services. The participant structure and process of Policy Codesign draws from the public policy model of coproduction as well as engineering-based codesign and is supported by promising, preliminary studies. The process includes well-defined policy formation stages within a multisector and community-engagement framework, including: Values mapping, Information gathering, Information integration, Prototyping, Testing, Implementation. The current single-arm, observational study with two geographically diverse counties in Washington State will inform the research procedures to prepare for a rigorous trial of Policy Codesign in counties in Washington State, New York, and Connecticut. The project’s specific aims are 1) to examine the acceptability of Policy Codesign and perceived feasibility of developed adolescent SUD policies, 2) to measure changes in social network growth, cohesion, and bridging activities among multiple sectors central to behavioral health policy implementation, and 3) to examine the perceived replicability of Policy Codesign among well-established behavioral health policy intermediaries. The project is innovative as the first test of a policy design strategy intended to solve downstream implementation problems in evidence-based, adolescent SUD prevention. If found to be effective, Policy Codesign would significantly advance the field’s ability to translate and sustain policy-based solutions to address adolescent substance use. The core investigative team (Walker, Ahrens, Owens) is well-suited to carry out the project with extensive practical expertise in real world behavioral health policy design and community-engaged research. The team is supported by leading policy (Purtle), implementation (Saldana, Palinkas, Aarons) and adolescent SUD treatment (Hogue) researchers widely regarded as the top experts in their fields, as well as behavioral health policy and health design organizations actively involved with county policymaking in adolescent behavioral health systems.

项目摘要 青少年物质使用障碍是一种公共健康危机，有100多万青少年和年轻人受到影响 每年在美国。县级政策在减少青少年药物使用方面处于有利地位 通过资金和监管政策的混乱；然而，现有的文献记录了在 试图有效地利用政策机制。协调政治意愿、多部门合作的挑战 协作、研究证据的使用和资源承诺是公众所熟知的问题 政策和公共管理文献。到目前为止，行为健康政策科学领域还没有 经过良好支持的政策设计方法，克服了下游政策执行方面的挑战。我们 建议研究一种政策形成的方法，即政策共同设计，旨在预测在 在下游实施以证据为基础的青少年SUD服务。参与者结构和 政策协同设计过程借鉴了共同生产和基于工程的公共政策模式 联合设计，并得到了有前景的初步研究的支持。该流程包括明确定义的策略 多部门和社区参与框架内的形成阶段，包括：价值观映射， 信息收集、信息集成、原型制作、测试、实施。目前的单臂， 对华盛顿州两个地理位置不同的县进行的观测研究将为这项研究提供信息 华盛顿州、纽约州和纽约州的县为政策共同设计的严格试验做准备的程序 康涅狄格州。该项目的具体目标是1)检查政策协同设计和感知的可接受性 制定青少年可持续发展政策的可行性，2)衡量社会网络增长、凝聚力、 以及作为行为健康政策执行核心的多个部门之间的桥梁活动，以及3) 在公认的行为健康政策中检验政策共同设计的感知可复制性 中间人。该项目具有创新性，是对旨在解决以下问题的政策设计战略的首次测试 以证据为基础的青少年SUD预防中的下游实施问题。如果发现是有效的， 政策协同设计将大大提高外地将基于政策的解决方案转化和维持的能力，以 解决青少年药物使用问题。核心调查团队(沃克、阿伦斯、欧文斯)非常适合 在现实世界的行为健康政策设计和设计方面拥有广泛的实践专业知识来执行项目 社区参与的研究。团队得到领导政策(Purtle)、实施(Saldana、 Palinkas，Aarons)和青少年sud治疗(Hogue)的研究人员被广泛认为是 他们的领域，以及行为健康政策和健康设计组织积极参与县 青少年行为健康系统中的政策制定。