Peer Recovery Innovation Network (PRIN)

项目摘要/摘要 美国正处于与阿片类药物相关的过量危机中，史无前例的10万人 美国在短短12个月内(2020年4月至2021年4月)死于药物过量。除了有证据表明 治疗阿片使用障碍(MOUD)的药物可降低发病率和死亡率，数据表明康复支持 服务(RSS)加强治疗启动和护理过渡，并可维持治疗参与度和 长期复苏。对等RSS(PRSS)是一个新兴的领域，旨在支持长期持续的 阿片类药物(OUD)和其他物质使用障碍(SUD)患者的康复过程。同龄人是个体 有在康复期间支持他人的专门培训的SUD的生活经验 通过提供与治疗的非临床联系，如指导、内科疾病转诊、 职业培训、住房和教育。然而，PRSS的证据基础仍然存在知识空白 这阻碍了他们更广泛地采用这种方法。 解决PRSS知识差距将为服务的发展和扩展提供信息，并加强 这是一种护理系统，可供有OUD的人用来启动和维持康复。然而，证据基础是 减贫战略在知识上仍然存在差距，阻碍了它们更广泛地采用这一方法。缺乏系统性 研究人员与以社区为基础的组织(例如PRSS)之间的整合和协作 组织)和不发达的未来恢复科学家渠道是解决问题的重大障碍 这些经验和实践上的差距。本申请中提出的研究网络涉及其中的每一个， 重点关注利益攸关方参与研究议程设置，加强PRSS的基础设施 恢复科学研究，并在我们的优先领域和优先领域加速增长PRSS证据基础 培训和远程指导(即通过技术提供)是实现这些目标的关键途径 目标。 申请对等恢复创新网络(PRIN)将通过以下方式扩展恢复科学 利用一种新的议程设置方法制定一项关于穆德治疗期间PRSS的研究计划，并 相关的合作实验室、培训和指导以及基础设施开发。我们的具体目标是： 目标1：建立恢复科学合作实验室，包括多个利益攸关方，包括具有 生命恢复体验，加快恢复科学创新的步伐；目标2：建立 在我们现有的物质使用培训和培训中实施康复科学培训和远程指导计划 远程指导中心，以迅速扩大复苏科学队伍；目标3：开展过程--结果-- 对同行恢复创新网络和恢复科学倡议进行基于执行情况的评价 以优化影响、效率和效力，促进恢复科学和监测 使用已定义的衡量标准的结果。

PROJECT SUMMARY/ABSTRACT The US is in the midst of an opioid-related overdose crisis made starkly clear by the unprecedented 100,000 drug overdose deaths in the US in just 12 months (April 2020-April 2021). In addition to the evidence that medication for opioid use disorder (MOUD) reduces morbidity and mortality, data suggest that recovery support services (RSS) enhance treatment initiation and care transitions and may sustain treatment engagement and long-term recovery. Peer RSS (PRSS) are an emerging domain designed to support long-term sustained recovery processes for those with opioid (OUD) and other substance use disorders (SUD). Peers are individuals with lived experience with an SUD who have specialized training in supporting others during their recovery process by providing non-clinical linkages to treatment such as mentorship, referrals for medical illnesses, occupational training, housing, and education. However, the evidence base for PRSS still has gaps in knowledge that hinder their broader adoption of this approach. Addressing PRSS knowledge gaps will inform development and expansion of services and strengthen the system of care that those with OUD may use to initiate and maintain recovery. However, the evidence base for PRSS still has gaps in knowledge that hinder their broader adoption of this approach. The lack of systematic integration and collaboration between researchers and community-based organizations (e.g., PRSS organizations) and an underdeveloped pipeline of future recovery scientists are significant barriers to addressing these empirical and practice gaps. The proposed research network in this application addresses each of these, with a focus on stakeholder engagement in research agenda-setting, enhancing the infrastructure for PRSS recovery science research, and accelerating the growth of the PRSS evidence base in our priority areas and populations, with training and telementoring (i.e., provided through technology) being key approaches to these goals. This application for a Peer Recovery Innovation Network (PRIN) will expand recovery science by developing a research program on PRSS during MOUD treatment using a novel agenda-setting approach and an associated Collaboratory, training and mentoring, and infrastructure development. Our Specific Aims are to: Aim 1: Establish the Recovery Science Collaboratory to include multiple stakeholders, including individuals with lived recovery experience, to accelerate the pace of innovation in recovery science; Aim 2: Establish the Recovery Science Training and Telementoring program within our existing substance use training and telementoring center, to rapidly expand the recovery science workforce; and Aim 3: Conduct process-, outcome-, and implementation-based evaluations of the Peer Recovery Innovation Network and recovery science initiatives in PRIN to optimize the impact, efficiency, and effectiveness for fostering recovery science and monitoring outcomes using defined measures.