Exploring Implementation of Drug Abuse Prevention in Treatment Settings

传统上，预防和治疗服务是在单独的环境中提供的（Compton等人， 2005年）。通过提供有效的药物滥用预防服务， 儿童和青少年通过药物和精神健康治疗中心，他们的父母和其他家庭 会员是客户。这项探索性（R21）研究应回答有关以下可行性的初步问题： 通过治疗和人类服务机构传播预防方案，并产生有价值的 关于障碍、推动因素和适应的知识。这些知识可以用于后续项目 旨在测试各种战略，以提高采用测试和有效的预防（TEP）的努力， 现有的卫生服务机构，并评估必要的支持水平，以确保高质量的 实施. 本健康服务研究R21是根据PA 08-264提交的。它旨在填补一个重要的 卫生服务方面的差距研究机构采用和实施经过测试和有效的 以家庭为基础的预防方案。这项研究的独特之处在于它编织了一个行为的理论模型 开发一个过程，以支持测试和有效药物的高质量计划实施 药物滥用和精神健康治疗机构的滥用预防方案 我们建议传播一个有效的以家庭为基础的自学预防计划（保持联系 与您的青少年），以内城家庭通过现有的健康服务机构。保持连接是一个 以家庭为基础的自学干预，以预防与艾滋病毒/艾滋病有关的药物使用和危险性行为，以及 青春期暴力（Haggerty等人，2007年）。我们将研究住宿的实施情况 在七个分支机构的治疗保健服务（THS），一个完善的社区卫生服务连接 华盛顿州西雅图的代理商。社会发展模式（SDM）（Catalano & Hawkins，1996年; Hawkins & Weis， 1985年）提供了理论框架的行为变化，在社区机构假设， 促进采用经过检验和有效的预防方案。这项为期2年的探索性研究将1）使用 格拉斯哥的RE-AlM过程描述和评估传播工作的成功（格拉斯哥等人， 1999年），2）确定和评估成功传播的障碍和推动因素，以及3）使用等待名单控制 研究设计，以评估实施支持对RE-AlM的影响。

Traditionally, prevention and treatment services have been delivered in separate settings (Compton et al., 2005). Substantial economies could be realized by delivering effective drug abuse prevention services to children and teens through drug and mental health treatment centers where their parents and other family members are clients. This exploratory (R21) study should answer preliminary questions about the feasibility of disseminating prevention programs through treatment and human services agencies, and generate valuable knowledge about barriers, enablers, and adaptations. This knowledge can be used in subsequent projects designed to test various strategies for improving the adoption of tested and effective prevention (TEP) efforts in existing health services agencies and to evaluate the level of support necessary to ensure high-quality implementation. This health services research R21 is submitted in response to PA 08-264. It is designed to fill an important gap in health services research on the process of agency adoption and implementation of tested and effective family-based prevention programs. This study is unique in that it braids a theoretical model of behavior development with a process for supporting high-quality program implementation of tested and effective drug abuse prevention programs by drug abuse and mental health treatment agencies We propose to disseminate an efficacious family-based self-study prevention program (Staying Connected with Your Teen) to inner city families through an existing health services agency. Staying Connected is a family-based self-study intervention to prevent substance use, risky sexual behavior related to HIV/AIDS, and violence during adolescence (Haggerty et al., 2007). We will examine the implementation of Staying Connected in seven branches of Therapeutic Health Services (THS), a well-established community health agency in Seattle, WA. The social development model (SDM) (Catalano & Hawkins, 1996; Hawkins & Weis, 1985) provides the theoretical framework for behavioral change within community agencies hypothesized to promote the adoption of tested and effective prevention programs. This 2-year exploratory study will 1) use Glasgow's RE-AlM process to describe and evaluate the success of the dissemination effort (Glasgow et al., 1999), 2) identify and evaluate barriers and enablers to successful dissemination, and 3) use a waitlist control study design to evaluate the impact of implementation supports on RE-AlM.