Patients, Populations, AND Processes: Multidisciplinary Approaches to Addiction Health Services Improvement

摘要/摘要 最近由卫生局局长办公室发布的《在美国面临成瘾》的报告是此类报告中的第一份 由卫生局局长发布，使滥用和使用物质的主要影响得到了鲜明的缓解 精神障碍和需要重新考虑目前在美国如何提供预防和治疗服务 各州。虽然物质滥用的个别方面正在改善，如戒烟和阿片类药物 在规定做法的情况下，巨大的服务缺口仍然存在，这使得 危险和有问题的物质使用。此外，这些负面影响对性别和性别造成了特别的负担。 少数民族和其他弱势群体和社区。 报告进一步指出，将专科药物滥用治疗与主流医学隔离开来， 对潜在更有效的公共卫生模式构成障碍，以减少与物质相关的危害。如果这个 景观流行性物质滥用、使用障碍及相关情况有待改善和耐心 公共卫生和安全成果得到加强，预防和治疗服务的提供需要重新思考。 自2005年以来举行的成瘾健康服务研究会议，每年都会把 研究人员、政策制定者和治疗提供者关注此类系统重新设计如何最大限度地 得到有效落实和持续。在目前的应用中，我们建议增强这个会议 通过具体侧重于改善性别和少数族裔以及其他边缘化群体的福祉 与危险和有问题的物质使用作斗争的团体，并鼓励代表不足的人参与 通过设立NIDA少数民族调查员奖和加强一名初级科学家 调查员指导计划。一批杰出的全体演讲者，讨论尖端健康 服务研究成果，协作关系的发展，以及对青少年职业生涯的支持 少数族裔调查人员被提议推进一项议程，扩大 药物滥用和使用障碍的预防和治疗服务。

Summary/Abstract The recent report issued by the Surgeon General's Office, “Facing Addiction in America,” the first of its kind issued by the Surgeon General, brought into stark relief the major impact of substance misuse and use disorders and the need to rethink how prevention and treatment services are currently delivered in the United States. While isolated aspects of substance misuse are improving, such as tobacco cessation and opioid prescribing practices, enormous service gaps persist that allow the ongoing and enormous negative impacts of risky and problem substance use. Further, these negative impacts put a particular burden on gender and ethnic minorities and other disadvantaged populations and communities. The isolation of specialist substance abuse treatment from mainstream medicine, the report further points out, presents a barrier to a potentially more effective public health model to reduce substance-related harms. If this landscape of epidemic substance misuse, use disorders, and related conditions is to improve and patient and public health and safety outcomes enhanced, prevention and treatment services delivery require rethinking. The Addiction Health Services Research conference, held since 2005, has annually brought together researchers, policy makers, and treatment providers to focus upon how such systems redesign might most effectively be implemented and sustained. In the current application, we propose to enhance this conference by specifically focusing on improving the well-being of gender and ethnic minorities and other marginalized groups struggling with risky and problem substance use and by encouraging participation by underrepresented scientists through establishment of a NIDA Minority Investigator Award and enhancement of a junior investigator mentoring program. A slate of distinguished plenary speakers, discussion of cutting-edge health services research findings, the development of collaborative relationships, and support of the careers of junior and minority investigators is proposed to move forward an agenda of broadening the positive impact of prevention and treatment services for substance misuse and use disorders.