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
• 负责人: Matthew Aalsma
• 金额: $ 39.79万
• 依托单位: INDIANA UNIV-PURDUE UNIV AT INDIANAPOLIS
• 依托单位国家: 美国
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-09-30 至 2025-04-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10747060
• 关键词: Address; Adolescent; Adoption; Affect; Biological Models; Caring; Cessation of life; Clinical Trials; Collaborations; Communities; Community Mental Health Centers; Cost Analysis; Cost Effectiveness Analysis; Cost effectiveness research; County; Data; Decision Making; Evaluation; Evidence based intervention; Funding; Future; Goals; Health; Health Alliance; Health Personnel; Health system; Healthcare; Indiana; Individual; Infrastructure; Intervention; Justice; Kentucky; Learning; Link; Maps; Midwestern United States; Modeling; National Institute of Drug Abuse; Ohio; Opioid; Outcome; Overdose; Participant; Pharmaceutical Preparations; Population; Prevention; Provider; Public Health; Research; Resource Allocation; Risk; Rural; Rural Community; Series; Services; Substance Use Disorder; Supervision; System; Testing; Time; Training; Work; Workforce Development; Youth; addiction; administrative database; behavioral health; care systems; community based research; cost; cost effectiveness; cost estimate; cost-effectiveness evaluation; data-driven model; design; disorder risk; evidence base; implementation cost; implementation evaluation; implementation science; improved; improved outcome; interest; juvenile justice system; opioid epidemic; opioid misuse; opioid overdose; opioid use; opioid use disorder; overdose death; parent project; prevent; probation; recidivism; reduced substance use; rural counties; screening; substance use; tool; uptake

PROJECT SUMMARY Indiana ranks 13th nationally in drug overdose deaths and Hoosiers at risk for opioid misuse and other substance use disorders (SUDs) are unlikely to receive necessary services; Indiana - a largely rural state - ranks 46th in number of behavioral health treatment providers per individuals suffering addictions. By targeting rural counties in a Midwest state, our research team seeks to address the national opioid crisis at its epicenter. We will also focus on a population among those at greatest risk for opioid-related harms: youth involved in the juvenile justice system (YJJ). Among arrested youth, 78% have recently used illicit substances. Our research has shown that YJJ die at 1.5 times the rate of youth who have never been arrested, and a leading cause of YJJ death is drug overdose. The primary goal of our proposed project, Alliances to Disseminate Addiction Prevention and Treatment (ADAPT), is to address barriers to effective SUDs treatment of YJJ as identified by the substance use care cascade. We will accomplish our goal by creating a Learning Health (LHS) alliance between the juvenile justice system (JJ) and community mental health centers (CMHCs) in 8 rural Indiana counties. These collaborative JJ-CMHC partnerships will facilitate SUD risk identification and service connection by JJ and enable timely initiation and engagement in evidence-based SUD treatment provided by CMHCs. We have employed a LHS alliance model to develop alliances between JJ and CMHCs. We have maximized opioid use prevention efforts by implementing a bundled treatment approach to improve screening, resource allocation, workforce development and evidence-based interventions (EBIs) that target a range of SUD risk levels. We hypothesize that ADAPT – a combination of the LHS alliances and dissemination of targeted SUD EBIs – will positively affect SUD and recidivism outcomes over time. We will begin our evaluation of this intervention. Thus, the goal of this supplement is to gather cost data on the LHS and EBI expansion. We will be evaluating the benefit of ADAPT by completing the main aims of this project. By gathering cost data, we will also be able to evaluate the cost effectiveness of this model and evaluate the implementation costs. We will utilize our expertise in implementation science, community-based research, clinical trials, cost-effectiveness research, and linking administrative databases, for research to assess the impact of these interventions on criminal recidivism and substance use outcomes, including transition to opiate use disorders and opiate overdose. By incorporating cost effectiveness and implementation models into this work, we will be well poised to sustain this intervention and expand it to additional jurisdictions.

项目概要 印第安纳州在药物过量死亡方面排名全国第 13 位，印第安纳州人面临阿片类药物滥用和其他问题的风险 物质使用障碍 (SUD) 不太可能获得必要的服务；印第安纳州——一个以农村为主的州—— 成瘾患者的行为健康治疗提供者数量排名第 46 位。通过定位 我们的研究团队在中西部一个州的农村县寻求解决其中心的全国阿片类药物危机。 我们还将重点关注阿片类药物相关危害风险最大的人群：参与阿片类药物相关活动的青少年 少年司法系统（YJJ）。在被捕的青少年中，78% 最近使用过非法药物。我们的研究 研究表明，YJJ 的死亡率是从未被捕的青少年的 1.5 倍，也是导致青少年死亡的主要原因 YJJ的死亡是吸毒过量。我们提议的项目的主要目标是传播成瘾联盟 预防和治疗 (ADAPT) 旨在解决有效 SUD 治疗 YJJ 的障碍，如 物质使用护理级联。我们将通过创建学习健康 (LHS) 联盟来实现我们的目标 印第安纳州 8 个农村地区少年司法系统 (JJ) 和社区精神卫生中心 (CMHC) 之间的联系 县。 JJ-CMHC 的这些合作伙伴关系将促进 SUD 风险识别和服务 JJ 连接并能够及时启动和参与由 JJ 提供的循证 SUD 治疗 CMHC。我们采用LHS联盟模式来发展JJ和CMHC之间的联盟。我们有 通过实施捆绑治疗方法来改善筛查，最大限度地预防阿片类药物使用， 针对一系列目标的资源分配、劳动力发展和循证干预措施 (EBI) SUD 风险级别。我们假设 ADAPT——LHS 联盟和传播的结合 有针对性的 SUD EBI——随着时间的推移，将对 SUD 和累犯结果产生积极影响。我们将开始我们的 对这种干预措施的评价。因此，本补充的目标是收集 LHS 和 EBI 的成本数据 扩张。我们将通过完成该项目的主要目标来评估 ADAPT 的好处。经过 收集成本数据后，我们还能够评估该模型的成本效益并评估 实施成本。我们将利用我们在实施科学、社区研究、 临床试验、成本效益研究以及连接管理数据库，以进行研究评估 这些干预措施对犯罪累犯和药物使用结果（包括向阿片类药物过渡）的影响 使用障碍和阿片类药物过量。通过将成本效益和实施模型纳入其中 通过工作，我们将做好维持这种干预并将其扩展到其他司法管辖区的准备。

项目成果

Who gets screened and who tests positive? Drug screening among justice-involved youth in a midwestern urban county.

谁接受筛查，谁检测呈阳性？

• DOI: 10.1186/s40352-024-00273-w
• 发表时间: 2024
• 期刊: Health & justice
• 影响因子: 3.5
• 作者: Clifton,RichelleL;Carson,Ian;Dir,AllysonL;Tu,Wanzhu;Zapolski,TamikaCB;Aalsma,MatthewC
• 通讯作者: Aalsma,MatthewC

Becoming an Agile Change Conductor.

• DOI: 10.3389/fpubh.2022.1044702
• 发表时间: 2022
• 期刊: FRONTIERS IN PUBLIC HEALTH
• 影响因子: 5.2
• 作者: Mehta, Jade;Aalsma, Matthew C. C.;O'Brien, Andrew;Boyer, Tanna J. J.;Ahmed, Rami A. A.;Summanwar, Diana;Boustani, Malaz
• 通讯作者: Boustani, Malaz

Evidence-based Treatment for Substance Use Disorders in Community Mental Health Centers: the ACCESS Program.

• DOI: 10.1007/s11414-023-09833-8
• 发表时间: 2023-07
• 期刊: JOURNAL OF BEHAVIORAL HEALTH SERVICES & RESEARCH
• 影响因子: 1.9
• 作者: Aalsma, Matthew C.;Adams, Zachary W.;Smoker, Michael P.;Marriott, Brigid R.;Ouyang, Fangqian;Meudt, Emily;Hulvershorn, Leslie A.
• 通讯作者: Hulvershorn, Leslie A.