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.

项目摘要 美国各地的社区受到阿片类药物流行的影响。 尽管研究人员，政策制定者和社区对 减少阿片类药物过量，社区实施有效的循证实践 （EBP）保持次优。这在某种程度上是由于所有健康都是本地的事实，并且 这样的社区层面因素会影响干预的吸收。康复的工作 社区研究（HCS）试图解决影响吸收的社区层面因素 通过与许多部门相关的联盟建设过程。在康复中 社区研究，马萨诸塞州（HCS MA）社区实施已显示 可能对翻译具有重要意义的市政级别因素的数量 循证实践在本地。分区条例和代码具有 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 对于与市政演员的合作，可能会为当地努力转化EBP的努力；同样重要， 与当地利益相关者互动可能有助于促进EBP的可持续性。这 只有在市政治理的各种地方参与者正在考虑健康和 在市政规划和政策的背景下的行为健康（药物政策联盟， 2019年）。该补充的总体目标是检查城市因素 在实施计划和HCS MA联盟的成员中确定。这样做会 允许我们了解联盟不仅可以导航这些因素，还可以 制定建议，可以告知马萨诸塞州的市政当局如何增加 EBP的吸收。这项拟议的工作将对社区中的社区产生广泛的影响 HCS和全国范围内可以将与健康相关的问题集中在其市政政策中。