Workforce and System Change to Treat Adolescent Opioid Use Disorder within Integrated Pediatric Primary Care

在综合儿科初级保健中治疗青少年阿片类药物使用障碍的劳动力和系统变革

基本信息

项目摘要

SUMMARY Adolescents are at increasing risk of overdose death. Since 2020, the overdose crisis has expanded most rapidly among younger populations, largely because of the recent reality that any illicit substance (e.g., counterfeit pharmaceuticals, methamphetamines) used by adolescents has the potential to contain lethal amounts of fentanyl. Preventing overdose deaths will require identifying and treating youth with any substance use disorder (SUD) or occasional opioid use – including but not limited to opioid use disorder (OUD) – due to potential fentanyl contamination. Access to experienced, qualified SUD/OUD treatment providers for adolescents is far below what is needed, with an even greater disparity noted than for adults needing treatment. Adding specialists to the workforce will help, but the urgency of the national overdose crisis requires innovative changes to current adolescent SUD/OUD care models to improve availability of effective assessment and treatment services. Primary Care Providers (PCPs) could fill a portion of the gap of the behavioral health workforce, but they often lack formal SUD training and resources and feel unqualified to diagnose and treat SUDs, particularly in youth. Integrated care models, where PCPs work closely with behavioral health specialists to deliver appropriate care to patients with SUD/OUD, are a promising but understudied approach in pediatric contexts. Therefore, with input from national experts and local stakeholders, the research team will conduct a Hybrid Type 2 effectiveness- implementation, cluster-randomized trial to study a multifaceted intervention to change the procedural and cultural norms of pediatric primary settings. This project capitalizes on the infrastructure established through a large-scale roll out of integrated behavioral health (IBH) in a statewide health system. Intervention components for this adolescent SUD IBH include task-shifting within primary care to facilitate delivery of brief SUD interventions, case management, electronic decision support tools, and stigma-reduction interventions. The primary purpose of the proposed intervention is to formally combine and build on the resources available through these interventions to shift primary care practice toward delivering effective adolescent SUD care and, ultimately, to prevent overdose deaths among adolescents.
总结 青少年过量死亡的风险越来越大。2020年以来,用药过量危机扩大最为迅速 在年轻人群中,主要是因为最近的现实是,任何非法物质(例如,假冒 青少年使用的药物,甲基苯丙胺)有可能含有致命数量的 芬太尼预防过量死亡将需要识别和治疗任何物质使用障碍的青年 (SUD)或偶尔使用阿片类药物-包括但不限于阿片类药物使用障碍(OUD)-由于潜在的芬太尼 污染.青少年获得经验丰富、合格的SUD/OUD治疗提供者的机会远远低于 与需要治疗的成年人相比,差距更大。将专家添加到 劳动力将有所帮助,但国家过量危机的紧迫性需要对目前的 青少年SUD/OUD护理模式,以提高有效评估和治疗服务的可用性。 初级保健提供者(PCP)可以填补行为健康工作人员的差距的一部分,但他们往往 缺乏正规的SUD培训和资源,并认为自己没有资格诊断和治疗SUD,特别是在年轻人中。 综合护理模式,PCP与行为健康专家密切合作,提供适当的护理 对于SUD/OUD患者,是一种有前途但未充分研究的儿科方法。因此随着 从国家专家和当地利益相关者的投入,研究小组将进行混合型2的有效性- 实施,群集随机试验,研究多方面的干预,以改变程序和 儿科初级设置的文化规范。该项目利用了通过 在全州卫生系统中大规模推广综合行为健康(IBH)。干预组成部分 对于这种青少年SUD,IBH包括初级保健中的任务转移,以促进短暂SUD的提供 干预措施、个案管理、电子决策支持工具和减少污名干预措施。的 拟议干预措施的主要目的是通过以下方式正式联合收割机并利用现有资源 这些干预措施将初级保健实践转向提供有效的青少年SUD护理,最终, 防止青少年过量死亡。

项目成果

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Matthew Aalsma其他文献

Matthew Aalsma的其他文献

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{{ truncateString('Matthew Aalsma', 18)}}的其他基金

Scaling up eConnect in Juvenile Probation Settings: a hybrid implementation-effectiveness trial of a digital suicide risk/behavior identification and linkage-to-treatment system
在青少年缓刑环境中扩大 eConnect:数字自杀风险/行为识别和与治疗系统联系的混合实施有效性试验
  • 批准号:
    10516385
  • 财政年份:
    2022
  • 资助金额:
    $ 57.35万
  • 项目类别:
Fatal Overdose Review Teams - Research to Enhance Surveillance Systems (FORTRESS)
致命过量用药审查小组 - 加强监测系统的研究 (FORTRESS)
  • 批准号:
    10590303
  • 财政年份:
    2022
  • 资助金额:
    $ 57.35万
  • 项目类别:
Alliance to Disseminate Addiction Prevention and Treatment (ADAPT): A Statewide Learning Health System to Reduce Substance Use among Justice-Involved Youth in Rural Communities.
传播成瘾预防和治疗联盟 (ADAPT):一个全州范围的学习健康系统,旨在减少农村社区参与司法的青少年的药物使用。
  • 批准号:
    10747060
  • 财政年份:
    2019
  • 资助金额:
    $ 57.35万
  • 项目类别:
Alliance to Disseminate Addiction Prevention and Treatment (ADAPT): A Statewide Learning Health System to Reduce Substance Use among Justice-Involved Youth in Rural Communities.
传播成瘾预防和治疗联盟 (ADAPT):一个全州范围的学习健康系统,旨在减少农村社区参与司法的青少年的药物使用。
  • 批准号:
    10610536
  • 财政年份:
    2019
  • 资助金额:
    $ 57.35万
  • 项目类别:
Alliance to Disseminate Addiction Prevention and Treatment (ADAPT): A Statewide Learning Health System to Reduce Substance Use among Justice-Involved Youth in Rural Communities.
传播成瘾预防和治疗联盟 (ADAPT):一个全州范围的学习健康系统,旨在减少农村社区参与司法的青少年的药物使用。
  • 批准号:
    10388161
  • 财政年份:
    2019
  • 资助金额:
    $ 57.35万
  • 项目类别:
Alliance to Disseminate Addiction Prevention and Treatment (ADAPT): A Statewide Learning Health System to Reduce Substance Use among Justice-Involved Youth in Rural Communities.
传播成瘾预防和治疗联盟 (ADAPT):一个全州范围的学习健康系统,旨在减少农村社区参与司法的青少年的药物使用。
  • 批准号:
    10621857
  • 财政年份:
    2019
  • 资助金额:
    $ 57.35万
  • 项目类别:
Alliance to Disseminate Addiction Prevention and Treatment (ADAPT): A Statewide Learning Health System to Reduce Substance Use among Justice-Involved Youth in Rural Communities.
传播成瘾预防和治疗联盟 (ADAPT):一个全州范围的学习健康系统,旨在减少农村社区参与司法的青少年的药物使用。
  • 批准号:
    10403069
  • 财政年份:
    2019
  • 资助金额:
    $ 57.35万
  • 项目类别:
Alliance to Disseminate Addiction Prevention and Treatment (ADAPT): A Statewide Learning Health System to Reduce Substance Use among Justice-Involved Youth in Rural Communities.
传播成瘾预防和治疗联盟 (ADAPT):一个全州范围的学习健康系统,旨在减少农村社区参与司法的青少年的药物使用。
  • 批准号:
    10442044
  • 财政年份:
    2019
  • 资助金额:
    $ 57.35万
  • 项目类别:
Alliance to Disseminate Addiction Prevention and Treatment (ADAPT): A Statewide Learning Health System to Reduce Substance Use among Justice-Involved Youth in Rural Communities.
传播成瘾预防和治疗联盟 (ADAPT):一个全州范围的学习健康系统,旨在减少农村社区参与司法的青少年的药物使用。
  • 批准号:
    10026085
  • 财政年份:
    2019
  • 资助金额:
    $ 57.35万
  • 项目类别:
The Impact of Behavioral Health Treatment Among Adolescent Offenders
行为健康治疗对青少年罪犯的影响
  • 批准号:
    9307704
  • 财政年份:
    2016
  • 资助金额:
    $ 57.35万
  • 项目类别:

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问题提示表对于 25 岁以下青少年和年轻成年患者的肿瘤生育力的有用性。
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Adolescent trauma produces enduring disruptions in sleep architecture that lead to increased risk for adult mental illness
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