The Addiction Health Services Research (ASHR) conference

摘要/摘要 2016年由卫生局局长办公室发布的《美国面临成瘾》报告显示， 第一个由卫生局局长发布的此类文件，使这一重大影响得到了鲜明的缓解 药物滥用和使用障碍以及需要重新考虑如何预防和治疗 服务目前在美国提供。虽然物质滥用的孤立方面 正在改善，例如戒烟和阿片类药物处方做法，巨大的服务差距 坚持允许风险和问题实质的持续和巨大的负面影响 使用。此外，这些负面影响给性别和族裔少数群体带来了特别的负担， 其他弱势群体和社区。隔离专科药物滥用 报告进一步指出，来自主流医学的治疗是一种障碍 潜在更有效的公共卫生模式，以减少与物质相关的危害。如果这个 疫情物质滥用、使用障碍及相关状况有待改善和改善 加强患者和公共卫生和安全成果、预防和治疗服务 交付需要重新考虑。成瘾健康服务研究会议，自 2005年，每年都将研究人员、政策制定者和治疗提供者聚集在一起 关于如何才能最有效地实施和维持这些系统的重新设计。在 目前的应用，我们建议通过专门关注改进来加强这次会议 性别、少数族裔和其他被边缘化群体的福祉 危险和有问题的物质使用。我们鼓励未被充分代表的科学家参与 通过设立NIDA少数民族调查员奖和加强一名初级调查员 调查员指导计划。一批杰出的全体演讲者，讨论削减- 边缘卫生服务研究成果，协作关系的发展，以及 建议支持初级和少数族裔调查人员的职业生涯，以推动 扩大预防和治疗服务对实质的积极影响的议程 误用和使用障碍。

Summary/Abstract The 2016 report issued by the Surgeon General’s Office, “Facing Addiction in America,” the first of its kind issued by the Surgeon General, brought into stark relief the major impact of substance misuse and use disorders and the need to rethink how prevention and treatment services are currently delivered in the United States. While isolated aspects of substance misuse are improving, such as tobacco cessation and opioid prescribing practices, enormous service gaps persist that allow the ongoing and enormous negative impacts of risky and problem substance use. Further, these negative impacts put a particular burden on gender and ethnic minorities and other disadvantaged populations and communities. The isolation of specialist substance abuse treatment from mainstream medicine, the report further points out, presents a barrier to a potentially more effective public health model to reduce substance-related harms. If this landscape of epidemic substance misuse, use disorders, and related conditions is to improve and patient and public health and safety outcomes enhanced, prevention and treatment services delivery require rethinking. The Addiction Health Services Research conference, held since 2005, has annually brought together researchers, policy makers, and treatment providers to focus upon how such systems redesign might most effectively be implemented and sustained. In the current application, we propose to enhance this conference by specifically focusing on improving the well-being of gender and ethnic minorities and other marginalized groups struggling with risky and problem substance use. We encourage participation by underrepresented scientists through the establishment of a NIDA Minority Investigator Award and enhancement of a junior investigator mentoring program. A slate of distinguished plenary speakers, discussion of cutting- edge health services research findings, the development of collaborative relationships, and support of the careers of junior and minority investigators is proposed to move forward an agenda of broadening the positive impact of prevention and treatment services for substance misuse and use disorders.