PARTIAL SUPPORT OF BLUEPRINT FOR A NATIONAL PREVENTION INFRASTRUCTURE TO ADDRESS BEHAVIORAL HEALTH DISORDERS: A CONSENSUS STUDY

美国国家科学院、工程院和医学会(NASEM)-解决行为健康障碍的国家预防基础设施蓝图：一项预防药物使用和其他精神健康障碍(即行为健康障碍)的共识研究对改善人类和公共健康至关重要。多年来对行为健康状况的流行病学和病因学的研究使我们对风险和保护因素的理解取得了进展。虽然这项基础性研究已经转化为有效的预防战略，但并不是所有的战略都广泛地转化为有效的实践。大规模实施行为健康预防干预的最大障碍之一是国家和州一级缺乏支持这项工作的基础设施。预防方案往往嵌入更广泛的社会系统或环境(例如，学校、司法机构、社会服务机构、社区行为健康中心)，因此与其他服务机构争夺时间和资源。项目实施还面临基础设施方面的障碍，包括支持初级预防工作的资金和劳动力有限。此外，那些在现场从事这项工作的人可能并不总是能够获得或了解关于循证预防计划的信息。这可能导致州机构将其收到的联邦和州预防资金分配给地方，而没有就如何最有效地使用这些资金提供太多指导。NIH建议进行一项共识研究，以提供在国家和/或州一级发展和资助可持续基础设施所需步骤的路线图，以实施预防行为障碍的循证干预措施。路线图将概述必要的支持和步骤，以弥合循证预防干预措施与将其纳入临床实践和社区卫生之间的差距。

National Academies of Sciences, Engineering & Medicine (NASEM) - Blueprint For A National Prevention Infrastructure To Address Behavioral Health Disorders: A Consensus Study Preventing substance use and other mental health disorders (i.e., behavioral health disorders) is essential to improving human and public health. Years of research on the epidemiology and etiology of behavioral health conditions has resulted in progress in our understanding of risk and protective factors. While this foundational research has been translated into effective prevention strategies, not all strategies have not been widely translated into effective practice One of the biggest barriers to the wide-scale implementation of behavioral health prevention interventions is the lack of infrastructure at the national and state levels to support this work. Prevention programs are often embedded in broader societal systems or settings (e.g., schools, justice settings, social service settings, community behavioral health centers) and are, therefore, competing with other services for time and resources. There are also infrastructural barriers to program implementation, including limited financing and workforce to support the delivery of primary prevention. In addition, those on the ground, doing the work, may not always have access to or knowledge of information about evidence-based prevention programs. This may result in state agencies distributing federal and state funds they receive for prevention to localities without much guidance on how it can most effectively be used. NIH proposes a consensus study to provide a roadmap of steps needed to develop and finance a sustainable infrastructure at the national and/or state level for implementing evidence-based interventions for preventing behavioral disorders. The roadmap would outline the necessary supports and steps to bridge the gap between evidence-based prevention interventions and their uptake and incorporation into clinical practice and community health.