WE-CARE - an innovative platform ofWomen Engaged in Comprehensive Addiction and Recovery Environments for SubstanceUse Women

项目总结 患有酒精使用障碍(AUD)和物质使用障碍(SUD)的女性有复杂的护理 从身份识别开始的需求，然后是与全面护理计划的联系 通常包括同时治疗过量酒精、阿片类药物、兴奋剂和 苯二氮卓类药物的使用，以及创伤。AUD和/或SUD的识别和治疗障碍 初级保健环境中的妇女从缺乏医疗保健提供者(HCP)的筛查开始 育龄妇女对饮酒或饮酒时怀孕的危险缺乏认识 毒品。HCP在支持患有AUD和/或SUD的妇女方面面临的挑战包括耻辱、缺乏时间 在每次筛查、评分和讨论结果的预约期间，纯粹的潜在数量 患有SUD/AUD的妇女，缺乏循证干预知识，以及缺乏 与提供创伤知情护理的综合治疗机构建立伙伴关系。新奇数码 出现了提供普遍匿名筛选和促进遵守预约的战略 有效。一个移动应用程序，可以提供匿名推荐、教育材料和 提供者和患者之间的支持沟通可以将普遍筛查扩展到交付 在标准的医疗预约时或之前。这个应用程序可以帮助缓解或移除 许多限制是由于缺乏时间、意愿或能力造成的。 Benten Technologies计划设计、构建和测试一个基于移动的应用程序，名为 参与全面成瘾和康复环境(WE-CARE)的妇女 物质使用，将利用安全的基于云的技术来提供虚拟放映， 转介、教育和开放可能患有AUD和SUD的妇女之间的沟通渠道 以及他们的提供者。该应用程序将通过集成新工具来支持与护理的联系 包括对酒精、非法药物、抑郁和焦虑进行普遍的电子筛查，以及 教育材料，一个匿名主持的论坛，一个聊天机器人，以及获得一个 匿名转介到一家综合性的药物和酒精治疗中心。在48小时内 通过申请收到转介请求后，治疗中心将联系妇女进行 关于她所关心的问题和讨论的补充。阶段1特定于SBIR 目的是(1)对育龄妇女、HCP和相关人员进行形成性研究 利益相关者确定筛选、教育材料和 联动护理；(2)建立原型；(3)筛选300名妇女，并与20名妇女进行试点试验 被识别为存在使用AUD和/或SUD来评估原型应用程序的风险。

PROJECT SUMMARY Women with alcohol use disorder (AUD) and substance use disorder (SUD) have complex care needs that begin with a need for identification followed by linkage to a comprehensive care plan that frequently includes simultaneous treatment for excessive alcohol, opioid, stimulant, and benzodiazepine use, as well as trauma. Barriers to identification and treatment of AUD and/or SUD among women in primary care settings begin with a lack of screening by healthcare providers (HCPs) and lack of knowledge by child-bearing women about the dangers of conceiving while using alcohol or drugs. The HCP’s challenges to supporting women with AUD and/or SUD include stigma, lack of time during each appointment for screening, scoring and discussion of results, the sheer potential volume of women with SUD/AUD, lack of knowledge about evidence-based interventions, and scarcity of partnerships with a comprehensive treatment facility offering trauma-informed care. Novel digital strategies to provide universal anonymous screenings and promote appointment adherence appear effective. A mobile application that can provide anonymous referrals, educational materials, and support communication between providers and patients could expand universal screenings to delivery at or prior to a standard medical appointment. This application could then help to alleviate or remove many of the limitations due to a lack of time, willingness, or ability. Benten Technologies proposes to design, build and test a mobile-based application called Women Engaged in Comprehensive Addiction and Recovery Environments (WE-CARE) for Substance Use that will leverage secure, cloud-based technology to provide virtual screenings, referrals, education, and open communication channels between women with possible AUD and SUD and their providers. The application will support linkage to care through the integration of novel tools including universal e-screenings for alcohol, illicit drugs, depression, and anxiety, as well as educational materials, an anonymous moderated forum, and a chatbot, and the option to get an anonymous referral to a comprehensive drug and alcohol treatment center. Within 48 hours of receiving a referral request through the application, the treatment center will contact the women for additional intake questions and discussions about her concerns. The Phase 1 SBIR Specific Aims are to (1) Use formative research with child-bearing age women, HCPs, and relevant stakeholders to identify the needs and requirements for screenings, educational materials, and linkage to care; (2) Build the prototype, and (3) Screen 300 women and pilot test with 20 women identified with being at risk of having an AUD and/or SUD to evaluate the prototype application.