MassHEAL - Reducing overdose deaths by 40% (2019-2023)

MassHEAL%20-%20减少%20过量%20死亡%20by%2040%%20(2019-2023)

• 批准号: 10351640
• 负责人: JEFFREY H. SAMET
• 金额: $ 6.78万
• 依托单位: BOSTON MEDICAL CENTER
• 依托单位国家: 美国
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-04-17 至 2023-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10351640
• 关键词: Address; Adopted; Ally; Code; Communities; Community Actions; Data; Environment; Evidence based practice; Health; Health Services; Informatics; Intervention; Interview; Leadership; Literature; Local Government; Massachusetts; Municipalities; Pharmaceutical Preparations; Policies; Policy Maker; Process; Recommendation; Research; Research Personnel; Risk; Scanning; Thinking; Time; Translating; Translations; United States; Work; addiction; base; behavioral health; built environment; community planning; healing; informant; interest; land use; mHealth; member; mortality; opioid epidemic; opioid overdose; opioid use disorder; overdose death; prevent; uptake

PROJECT SUMMARY Communities across the United States are directly impacted by the opioid epidemic. Although there is a sense of urgency among researchers, policy makers and communities to reduce opioid overdose, community implementation of effective evidence-based practices (EBPs) remains suboptimal. This is in some part due to the fact that all health is local and, as such, community level factors influence intervention uptake. the work of the HEALing Communities Study (HCS) seeks to address the community level factors that influence uptake through a coalition building process that engages with a multitude of sectors. In HEALing Communities Study, Massachusetts (HCS MA) community implementation has revealed a number of municipal level factors that may have important implications for the translation of evidence-based practices locally. Zoning ordinances and codes have, specifically have implications for implementation plans in HCS MA communities such Holyoke and Lowell. Understanding municipal policies that influence implementation as well as effective strategies for working with municipal actors may inform local efforts to translate EBPs; just as important, engaging with local stakeholders may help to facilitate the sustainability of EBPs over time. This can only occur if diverse local actors in municipal governance are thinking about health and behavioral health in the context of municipal planning and policy (Drug Policy Alliance, 2019).The overarching objective of this supplement is to examine the municipal factors that are identified in the implementation plans and members of the HCS MA coalitions. Doing so will allow for us to understand how coalitions can not only navigate these factors, but also to develop recommendations that can inform how municipalities in Massachusetts can increase the uptake of EBPs. This proposed work will have broad implications for how communities in the HCS and nationwide can center health related issues in their municipal policies.

项目概要 美国各地的社区都受到阿片类药物流行的直接影响。 尽管研究人员、政策制定者和社区有一种紧迫感 减少阿片类药物过量，社区实施有效的循证实践 （EBP）仍然不理想。这在某种程度上是因为所有健康都是本地的，并且 因此，社区层面的因素会影响干预措施的采用。治愈的工作 社区研究 (HCS) 旨在解决影响吸收的社区层面因素 通过与多个部门合作的联盟建设过程。在治愈中 马萨诸塞州社区研究 (HCS MA) 社区实施揭示了 可能对翻译产生重要影响的市级因素的数量 当地循证实践。分区条例和法规特别有 对霍利奥克和洛厄尔等 HCS MA 社区实施计划的影响。 了解影响实施的市政政策以及有效的策略 与市政参与者合作可以为当地翻译 EBP 的工作提供信息；同样重要的是， 随着时间的推移，与当地利益相关者的合作可能有助于促进 EBP 的可持续性。这 只有当市政治理中的不同地方参与者都考虑健康和 城市规划和政策背景下的行为健康（药物政策联盟， 2019）。本补充的总体目标是研究影响城市发展的城市因素。 实施计划中确定的 HCS MA 联盟成员。这样做会 让我们了解联盟如何不仅能够驾驭这些因素，而且能够 制定建议，告知马萨诸塞州各市政府如何提高 EBP 的吸收。这项拟议的工作将对社区如何 HCS 和全国范围内可以将健康相关问题纳入其市政政策中。