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 成瘾及其治疗方面的不平等现象日益严重，对健康和社会的威胁无处不在。全球 大流行病和#BlackLivesMatter等大型社会运动强调了种族主义的负面影响 以及对成瘾和以“为中心”的结构的歧视是不平等的根源。结构性种族主义 其他结构性因素，如政策和 教育、住房、刑事司法和医疗保健等制度加剧了不平等并助长了成瘾 差距和不平等。然而，成瘾的结构性因素，以及如何增加成瘾护理的公平性 和结果，是严重不足的。新一代的成瘾卫生服务学者是 需要解决植根于结构的公平挑战。符合NIDA种族平等的目标 倡议，下一代学者将需要在反种族主义和相关的研究方法， 可以改变强化不平等的结构的领域（例如，政策和执行科学）， 在传统保健服务和针对成瘾问题的内容和方法方面进行培训。作为国家总理 公立研究型大学-家庭在卫生服务研究领先的博士课程，十大医疗 学校，国家认可的实施科学和卫生政策的计划，只有少数之一， 反种族主义中心的国家-华盛顿大学（UW）是很好的定位，以解决这些问题 培训需求。因此，华盛顿大学的卫生系统和人口部以及一般内部事务部 医学寻求NIDA资助，以建立成瘾公平和结构解决方案培训（TESSA） 计划：1）招募11名对成瘾差异感兴趣的博士前和博士后学者，2）提供一个 专门课程，促进对成瘾及其护理，政策， 实施科学和反种族主义; 3）为TESSA学者提供指导研究机会，重点是 在多学科研究团队中的成瘾公平，4）支持TESSA学者开展研究 职业培训计划，以提高他们的技能，并为他们的研究生涯做好准备;和5）评估成功 使用明确的基准和预定义的结果。我们开发了TESSA计划 培训学者17个核心能力，解决反种族主义，政策和实施科学，此外， 传统的健康服务和成瘾的内容和方法。如果我们继续培养成瘾研究学者 如果没有这种直接的多学科方法，我们可能会看到进展缓慢，失去机会， 提高公平性，减少发病率、死亡率和与成瘾有关的痛苦。投资TESSA 将导致新一代的多样化，反种族主义和以公平为中心的成瘾研究学者，他们是 最佳准备开发和测试新的预防，治疗和恢复策略，并实施 通过公平和反种族主义的透镜，将有效的战略和政策纳入现实世界， NIDA的跨领域战略目标和种族平等倡议，以减少成瘾方面的耻辱和差异。