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

摘要/摘要 卫生局局长办公室最近发布的报告《面对美国的成瘾问题》是此类报告中的第一份 由卫生部长发布，使物质滥用和使用的主要影响得到了明显的缓解， 需要重新思考目前在美国提供预防和治疗服务的方式 States.虽然药物滥用的个别方面正在改善，如戒烟和阿片类药物滥用， 处方做法，巨大的服务差距仍然存在，使持续和巨大的负面影响， 危险和问题物质的使用。此外，这些负面影响给性别和 少数民族和其他弱势群体和社区。 报告进一步指出，将药物滥用专家治疗与主流医学隔离开来， 对潜在的更有效的公共卫生模式提出了障碍，以减少与物质相关的危害。如果这 流行性物质滥用，使用障碍和相关条件的景观是改善和病人， 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。 成瘾健康服务研究会议自2005年以来每年举行一次， 研究人员，政策制定者和治疗提供者关注这种系统的重新设计如何最大限度地 有效实施和持续。在当前应用中，我们建议增强此会议 特别注重改善性别和少数民族以及其他边缘化群体的福祉， 与危险和问题药物使用作斗争的群体，并鼓励代表性不足的群体参与， 科学家通过建立一个NIDA少数民族研究者奖和加强一个初级 调查员指导方案。一系列杰出的全体发言人，讨论尖端的健康 服务研究成果，发展合作关系，并支持初级 和少数民族调查人员提出，以推进扩大积极影响的议程， 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.