ENHANCING DRUG ABUSE TREATMENT BY MOBILE HEALTH SERVICE

本研究示范应用来自某高校集团 药物滥用研究科学家与一组 市政府机构的目标是发展和 评估创新的流动医疗服务单位方法，以加强 药物滥用治疗。重点是识别和招募 对于静脉注射吸毒者，该模式移动服务将扩大 提供药物滥用治疗、健康教育、外展服务和 为高患病率的目标市中心社区提供临床支持 药物滥用和其他不良健康状况指标。 该项目将包括两个移动单元，每个单元由一个大的 由一辆改装的面包车拖着的特别装备的旅行拖车。一支队伍将会 每天访问巴尔的摩市的4到5个地点，持续12到18天 几个月来提高服务的可获得性。第二个单位将保留 项目最初12-18个月的固定时间为 巴尔的摩人口统计上可比的地区，但将提供可比的 提供服务，并配备相应的人员。除了一般医疗保健外 服务，这两个单位将能够提供完整的门诊 向150-200名吸毒者提供治疗服务，包括尿液和艾滋病 测试、用药和药物滥用咨询。对项目的评估 将侧重于在以下方面与传统医疗服务进行比较 药物滥用治疗的可及性和有效性。具体研究 关于加强招募和药物滥用的问题 治疗保留将使用交叉设计与 最初是固定的卫生服务单位变成了流动的额外的 12-18个月在其人口限制的区域内，而 最初的移动医疗服务单位在ITS中变得固定 巴尔的摩市人口统计上可比的区域。

This research demonstration application from a group of university-based substance abuse research scientists collaborating with a group of municipal government agencies has the objective of developing and evaluating an innovative mobile health service unit approach to enhancing drug abuse treatment. With a focus upon the identification and recruitment of I.V. drug abusers, the model mobile service will expand the availability of drug abuse treatment, health education, outreach, and clinical support to targeted inner city communities with a high prevalence of substance abuse and other poor health status indicators. The project will-involve two mobile units, each consisting of a large specially equipped travel trailer towed by a converted van. One unit will visit 4 to 5 locations in the City of Baltimore each day for 12 to 18 months to increase service accessibility. The second unit will remain stationary for the initial 12-18 months of the project in a demographically comparable area of Baltimore but will deliver comparable services and be comparably staffed. In addition to general health care services, the two units will be capable of delivering full outpatient treatment services to 150-200 drug abusers, including urine and AIDS testing, medications, and drug abuse counseling. Evaluation of the project will focus upon a comparison with traditional health services in terms of drug abuse treatment accessibility and effectiveness. Specific research questions regarding the enhancement of recruitment and drug abuse treatment retention will be addressed using a crossover design with the initially stationary health service unit becoming mobile for an additional 12-18 months in its demographically circumscribed area while the originally mobile health service unit becomes stationary in its demographically comparable area of the City of Baltimore.