Family-based Recovery Support Service Network for Youth OUD

青少年 OUD 家庭康复支持服务网络

• 批准号: 10057199
• 负责人: Aaron Hogue
• 金额: $ 262.42万
• 依托单位: PARTNERSHIP TO END ADDICTION
• 依托单位国家: 美国
• 财政年份: 2020
• 资助国家: 美国
• 起止时间: 2020-09-30 至 2024-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10057199
• 关键词: Adolescent; Affect; Assertiveness; Behavior; Behavioral; Caregivers; Caring; Child Rearing; Client; Clinical; Clinical Protocols; Companions; Custom; Decision Making; Development; Education; Electronic Mail; Enrollment; Environment; Evaluation; Expectancy; Family; Focus Groups; Goals; Government; Health Professional; Health Services Research; Individual; Infrastructure; Institution; Intervention; Measurement; Measures; Mental Health; Mentors; Modeling; Monoclonal Antibody R24; Morbidity - disease rate; Motivation; Network Infrastructure; Outcome; Parents; Pathway interactions; Persons; Phase; Physicians; Population; Prevalence; Product Labeling; Protocols documentation; Provider; Readiness; Recovery; Research; Research Activity; Research Infrastructure; Research Institute; Research Personnel; Research Support; Resource Development; Resources; Risk Factors; Scientist; Services; Specialist; Substance Use Disorder; Telephone; Testing; Text; Training; Youth; acute care; base; behavioral health; design; digital; emerging adult; family support; innovation; medication-assisted treatment; meetings; novel; opioid use disorder; outreach; peer; pilot trial; protective factors; psychoeducation; satisfaction; screening; service engagement; service intervention; service providers; skills; success; theories; treatment adherence; uptake

Project Summary (Abstract) Opioid use disorder (OUD) prevalence and morbidity rates have reached unprecedented levels among adolescents and emerging adults. Recovery support services (RSS) for persons with SUDs typically focus on the individual client after acute care. But for youth with SUDs, developmental theory underscores the primacy of family-level risk and protective factors, and family-based interventions have the strongest empirical support. Yet there is an alarming paucity of research, clinical resources, and generalizable metrics focused on family- based RSS for youth with OUD. Family Recovery Research Institute (FaRRI) will be a sustainable research network designed to develop and evaluate innovative family-based RSS across the youth OUD services cascade. FaRRI will conduct research on promoting family integration in youth OUD services with the goals of increasing service engagement and engendering supportive family environments for youth recovery. It will launch with two specific foci: (1) Innovations in family RSS interventions and metrics to assist youth OUD providers with integrating families in OUD services. It will focus on training and evaluation aimed at multiple levels: behavior specialists, physicians, support staff, and organization. For the current project we will develop a modular protocol (assertive family outreach, family session management skills, OUD psychoeducation and decision-making) to train providers in enlisting family resources to fortify their efforts to deliver medication- assisted treatment, promote treatment adherence, and broker supportive services; and a companion measure of youth and family integration in OUD services. (2) Innovations in measurement of direct-to-family RSS for families of youth with OUD. The current project will enhance existing remote-access RSS for caregivers of youth with SUDs (helpline, parent coaching, mobile messaging) by developing multidimensional metrics for family service engagement and outcomes. This proposed 5-year project would leverage the expertise of a multi-stakeholder advisory board to establish FaRRI network infrastructure and sustainability pathways for advancing family-based RSS research for youth OUD (Aim 1), generating new provider resources and metrics for family integration in youth OUD care (Aim 2), and generating new metrics for remote-access family-focused OUD recovery resources (Aim 3). At project end FaRRI will maintain a sustainable network of family-based RSS research activities, provider training and measurement resources, and mentoring; resources would be available to providers and families directly from FaRRI or as white-label products replicated by other RSS providers. Feasibility of achieving study aims is bolstered by study team expertise in research on family-based clinical and digital interventions to support youth OUD recovery; and a national advisory board of scientists, organizations that train youth OUD providers, government regulators of youth OUD services, behavioral health payors and marketers, and youth and families affected by OUD. FaRRI infrastructure will be buttressed by mentoring opportunities for junior-level providers and researchers working on FaRRI research goals.

项目摘要（摘要） 阿片类药物使用障碍的流行率和发病率已达到前所未有的水平， 青少年和成年人。针对SUD患者的恢复支持服务（RSS）通常侧重于 急性护理后的个体客户。但是对于患有SUD的年轻人，发展理论强调了 家庭一级的风险和保护性因素，以家庭为基础的干预措施有最强有力的经验支持。 然而，关注家庭的研究、临床资源和可推广的指标却令人担忧地缺乏。 基于RSS的青年与OUD。家庭恢复研究所（FaRRI）将是一个可持续的研究 旨在开发和评估青年OUD服务中基于家庭的创新RSS的网络 级联。FaRRI将开展关于促进家庭融入青年OUD服务的研究，目标是 增加服务参与，为青年康复创造支持性家庭环境。它将 启动时有两个具体重点：（1）在家庭RSS干预措施和衡量标准方面进行创新，以帮助青年OUD 提供者将家庭纳入OUD服务。它将侧重于培训和评价， 水平：行为专家，医生，支持人员和组织。对于当前项目，我们将开发 一个模块化的协议（自信的家庭外展，家庭会议管理技能，OUD心理教育和 培训提供者如何利用家庭资源，以加强他们提供药物的努力- 辅助治疗，促进治疗依从性，并提供支持性服务;以及配套措施 青年和家庭融入OUD服务。(2)直接面向家庭的RSS测量创新， 青少年家庭与OUD。目前的项目将加强现有的远程访问RSS， 青少年与SUD（网络，家长辅导，移动的消息）通过开发多维指标， 家庭服务参与和成果。这一拟议的5年项目将利用 多方利益相关者咨询委员会建立FaRRI网络基础设施和可持续发展途径， 推进以家庭为基础的青年OUD RSS研究（目标1），产生新的提供者资源和指标 家庭融入青少年OUD护理（目标2），并为远程访问家庭为重点的新指标， OUD回收资源（目标3）。在项目结束时，FaRRI将维持一个以家庭为基础的可持续网络， RSS研究活动、提供者培训和测量资源以及指导;资源将包括 直接从FaRRI或作为其他RSS复制的白标产品提供给提供者和家庭 提供商实现研究目标的可行性得到了研究小组在以家庭为基础的研究方面的专业知识的支持。 支持青少年OUD康复的临床和数字干预措施;以及国家科学家咨询委员会， 培训青年OUD提供者的组织，青年OUD服务的政府监管机构，行为健康 付款人和营销人员，以及受OUD影响的青年和家庭。FaRRI基础设施将得到以下方面的支持： 为初级供应商和研究人员提供指导机会，致力于FaRRI研究目标。