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 青春期药物使用障碍是一种公共卫生危机，有超过100万年轻人和年轻人受到影响 每年在美国。县级政策的位置很好，可以减少青少年的使用 通过资金和监管政策的障碍；但是，文献记录了多个失败 试图有效利用政策机制。一致政治意志，多部门的挑战 协作，研究证据和资源承诺是公众中众所周知的问题 政策和公共管理文献。迄今为止，行为健康政策科学领域没有 良好支持的政策设计方法克服了下游政策实施挑战。我们 研究一种政策形成方法，政策代码的建议，旨在预期多个障碍 下游实施基于证据的青少年SUD服务。参与者的结构和 策略代码的过程从共同制作的公共政策模型以及基于工程的公共政策模型中获取 代码并得到了有希望的初步研究的支持。该过程包括定义明确的政策 多部门和社区参与框架内的编队阶段，包括：值映射， 信息收集，信息集成，原型制作，测试，实施。当前的单臂 华盛顿州有两个地理上不同县的观察性研究将为这项研究提供信息 为在华盛顿州，纽约州和 康涅狄格州。该项目的具体目的是1）检查政策代码和感知的策略代码的可接受性 已发达的青少年SUD政策的可行性，2）衡量社交网络增长的变化，凝聚力， 以及行为健康政策实施中心的多个部门之间的桥接活动，以及3） 检查策略代码符合良好的行为健康政策之间的可复制性 中介。该项目具有创新性，是旨在解决的政策设计策略的首次测试 基于证据的青少年SUD预防中的下游实施问题。如果发现有效， 政策代码将大大提高该领域的转化和维持基于政策的解决方案的能力 解决青少年使用物质。核心调查团队（Walker，Ahrens，Owens）非常适合 在现实世界行为健康政策设计方面具有广泛的实用专业知识以及 社区参与研究。团队得到领导政策（Purtle）的支持（Saldana，Saldana， Palinkas，Aarons）和青少年SUD治疗（Hogue）研究人员被广泛认为是顶级专家 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 青少年行为卫生系统的决策。