Exploring Implementation of Drug Abuse Prevention in Treatment Settings

传统上，预防和治疗服务是在不同的环境中提供的(Compton等， 2005)。通过提供有效的药物滥用预防服务，可以实现实质性的经济 儿童和青少年通过他们的父母和其他家庭所在的毒品和心理健康治疗中心 会员是客户。这项探索性研究(R21)应该回答有关以下项目可行性的初步问题 通过治疗和公共服务机构传播预防方案，并产生有价值的 有关障碍、推动因素和适应方面的知识。这些知识可用于后续项目 旨在测试各种策略，以改进采用经过测试和有效的预防(TEP)工作 并评估确保高质量卫生服务所需的支助水平 实施。 本卫生服务研究R21是根据PA 08-264提交的。它旨在填补一个重要的 卫生服务研究中的差距机构采用和实施经过检验和有效的程序 以家庭为基础的预防方案。这项研究的独特之处在于它构建了一种行为的理论模型 开发用于支持高质量计划实施的经过测试和有效的药物 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)通过现有的健康服务机构提供给市中心的家庭。保持联系是一种 以家庭为基础的自学干预，以防止药物使用、与艾滋病毒/艾滋病有关的危险性行为以及 青春期暴力(Haggerty等人，2007年)。我们将审查留下来的执行情况 与治疗卫生服务(THS)的七个分支机构相连，这是一个完善的社区卫生 华盛顿州西雅图的经纪公司。社会发展模型(SDM)(Catalano&Hawkins，1996；Hawkins&Weis， 1985)为社区机构内的行为变化提供了理论框架，假设 促进采用经过检验和有效的预防计划。这项为期两年的探索性研究将1)使用 格拉斯哥的RE-ALM进程，以描述和评估传播努力的成功(格拉斯哥等人， 1999)，2)确定和评估成功传播的障碍和促进因素，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.