Training in Equity and Structural Solutions in Addictions (TESSA)

成瘾公平和结构性解决方案培训（TESSA）

• 批准号: 10625735
• 负责人: GEETANJALI CHANDER
• 金额: $ 19.36万
• 依托单位: UNIVERSITY OF WASHINGTON
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-07-01 至 2028-06-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10625735
• 关键词: Equity; Training; addiction

PROJECT ABSTRACT Inequity in addictions and their treatment are growing, ubiquitous threats to health and society. A global pandemic and large social movements, such as #BlackLivesMatter, have highlighted negative impacts of racism and discrimination for addictions and centered “structures as the root cause of inequities. Structural racism has fundamentally shaped responses to substance use in the U.S. Other structural factors, such as policies and systems like education, housing, criminal justice, and healthcare reinforce inequality and contribute to addictions disparities and inequities. However, structural factors in addictions, and how to increase equity in addictions care and outcomes, are grossly understudied. A new generation of addictions health services scholars is needed to address equity challenges rooted in structures. Consistent with the goals of NIDA’s Racial Equity Initiative, next generation scholars will need strong training in anti-racism and related research methods and fields that can alter structures that reinforce inequity (e.g., policy and implementation science) in addition to training in traditional health services and addictions-specific content and methodology. As the nation’s premier public university for research—home to a leading doctoral program in health services research, a top-ten medical school, nationally-recognized programs in implementation science and health policy, and one of only a handful of anti-racism centers in the nation—the University of Washington (UW) is well positioned to address these training needs. Thus, UW’s Department of Health Systems and Population and Division of General Internal Medicine seek NIDA funding to found the Training in Equity and Structural Solutions in Addictions (TESSA) Program to: 1) recruit 11 pre- and post-doctoral scholars with interest in addictions disparities, 2) deliver a specialized curriculum fostering a multidisciplinary understanding of addictions and their care, policy, implementation science, and anti-racism; 3) provide TESSA scholars mentored research opportunities focused on addictions equity in multidisciplinary research teams, 4) support TESSA scholars in developing research career training plans to enhance their skills and prepare them for research careers; and 5) evaluate the success of the program using explicit benchmarks and pre-defined outcomes. We have developed the TESSA program to train scholars in 17 core competencies addressing anti-racism, policy, and implementation science in addition to traditional health services and addictions content and methodology. If we continue to train addictions scholars without such a direct multidisciplinary approach, we are likely to see slow progress and missed opportunities to improve equity and reduce morbidity, mortality, and suffering associated with addictions. Investment in TESSA will result in a new generation of diverse, anti-racist and equity-focused addictions research scholars who are optimally prepared to develop and test novel strategies for prevention, treatment, and recovery, and implement effective strategies and policies into real-world settings through a lens of equity and anti-racism, advancing NIDA’s cross-cutting strategic goals and Racial Equity Initiative to reduce stigma and disparities in addictions.

项目摘要 成瘾中的不平等及其治疗正在增长，对健康和社会的普遍威胁。全球 大流行和大型社会运动，例如#BlackLivesMatter，强调了种族主义的负面影响 以及对添加和集中的“作为不平等的根本原因的歧视。结构性种族主义具有 从根本上形成对美国物质使用的反应，例如政策和政策和 教育，住房，刑事司法和医疗保健等系统加强了不平等，并导致成瘾 差异和不平等。但是，成瘾中的结构性因素以及如何增加成瘾中的股本 结果是广泛理解的。新一代成瘾的健康服务学者是 需要解决植根于结构的股权挑战。与NIDA种族平等的目标一致 倡议，下一代学者将需要在反种族主义和相关研究方法方面进行强有力的培训 可以改变加强不平等的结构（例如政策和实施科学）的领域 在传统卫生服务和成瘾的特定内容和方法方面进行培训。作为国家的总理 公立大学研究 - 卫生服务研究领先的博士学位课程 学校，全国认可的实施科学和健康政策方案，少数几个 在全国的反种族主义中心 - 华盛顿大学（UW）有好处解决这些问题 培训需求。这是威斯康星大学卫生系统和人口部以及一般内部部门 医学寻求NIDA资金，以发现成瘾中的公平和结构解决方案的培训（TESSA） 计划：1）招募11个对成瘾差异感兴趣的博士后和博士后学者，2） 专业课程培养对成瘾及其护理，政策， 实施科学和反种族主义； 3）为泰莎学者提供指导的研究机会 关于多学科研究团队中的成瘾资产，4）支持泰莎学者发展研究 职业培训计划，以提高他们的技能并为研究职业做好准备； 5）评估成功 该程序使用明确的基准和预定义的结果。我们已经制定了Tessa计划 培训17种核心能力的学者，以解决反种族主义，政策和实施科学的研究 传统的卫生服务和成瘾内容和方法论。如果我们继续培训成瘾学者 没有这种直接的多学科方法，我们很可能会看到进步缓慢，而错过的机会 提高股权并降低与成瘾有关的发病率，死亡率和苦难。对泰莎的投资 将导致新一代的潜水员，反种族主义者和以股权为中心的成瘾研究学者 最佳准备制定和测试用于预防，治疗和恢复和实施的新颖策略 通过公平和反种族主义的镜头，有效的策略和政策进入现实世界的环境 NIDA的横切战略目标和种族平等倡议，以减少成瘾中的污名和差异。