Peer Recovery Innovation Network (PRIN)

项目总结/摘要 美国正处于与阿片类药物有关的过量危机之中，这一前所未有的10万人清楚地表明， 美国在短短12个月内（2020年4月至2021年4月）的药物过量死亡人数。除了有证据表明 阿片类药物使用障碍（MOUD）的药物治疗降低了发病率和死亡率，数据表明， 服务（RSS）可加强治疗启动和护理过渡，并可维持治疗参与， 长期复苏。Peer RSS（PRSS）是一个新兴的领域，旨在支持长期持续的 阿片类药物（OUD）和其他物质使用障碍（SUD）患者的康复过程。同伴是个体 有SUD的生活经验，在恢复期间接受过支持他人的专门培训 通过提供非临床的治疗联系，如指导，医疗疾病的转诊， 职业培训、住房和教育。然而，减贫战略的证据基础在知识方面仍有差距 这阻碍了他们更广泛地采用这种方法。 解决减贫战略文件的知识差距将为发展和扩大服务提供信息，并加强 OUD患者可以用来启动和维持恢复的护理系统。然而， 减贫和社会保障部门在知识方面仍然存在差距，阻碍了它们更广泛地采用这一办法。缺乏系统 研究人员和社区组织之间的整合和合作（例如，PRSS 组织）和未来恢复科学家的不发达管道是解决问题的重大障碍 这些经验和实践的差距。本申请中提出的研究网络解决了这些问题中的每一个， 重点是利益相关者参与研究领域的设置，加强PRSS的基础设施 恢复科学研究，并加快我们优先领域的PRSS证据基础的增长， 人口，培训和远程教育（即，通过技术提供）是实现这些目标的关键方法 目标. 这一申请的同行恢复创新网络（PRIN）将扩大恢复科学， 在MOUD治疗过程中使用新的药物设置方法制定PRSS研究计划， 相关的合作实验室、培训和指导以及基础设施开发。我们的具体目标是： 目标1：建立恢复科学合作实验室，纳入多个利益攸关方，包括具有以下特征的个人 现场康复经验，加快康复科学创新步伐;目标2：建立 在我们现有的物质使用培训中进行恢复科学培训和远程管理计划， 远程监护中心，以迅速扩大恢复科学的劳动力;和目标3：进行过程，结果， 对同伴康复创新网络和康复科学举措进行基于实施的评价 在PRIN中，优化促进恢复科学和监测的影响、效率和有效性 使用定义的测量结果。

PROJECT SUMMARY/ABSTRACT The US is in the midst of an opioid-related overdose crisis made starkly clear by the unprecedented 100,000 drug overdose deaths in the US in just 12 months (April 2020-April 2021). In addition to the evidence that medication for opioid use disorder (MOUD) reduces morbidity and mortality, data suggest that recovery support services (RSS) enhance treatment initiation and care transitions and may sustain treatment engagement and long-term recovery. Peer RSS (PRSS) are an emerging domain designed to support long-term sustained recovery processes for those with opioid (OUD) and other substance use disorders (SUD). Peers are individuals with lived experience with an SUD who have specialized training in supporting others during their recovery process by providing non-clinical linkages to treatment such as mentorship, referrals for medical illnesses, occupational training, housing, and education. However, the evidence base for PRSS still has gaps in knowledge that hinder their broader adoption of this approach. Addressing PRSS knowledge gaps will inform development and expansion of services and strengthen the system of care that those with OUD may use to initiate and maintain recovery. However, the evidence base for PRSS still has gaps in knowledge that hinder their broader adoption of this approach. The lack of systematic integration and collaboration between researchers and community-based organizations (e.g., PRSS organizations) and an underdeveloped pipeline of future recovery scientists are significant barriers to addressing these empirical and practice gaps. The proposed research network in this application addresses each of these, with a focus on stakeholder engagement in research agenda-setting, enhancing the infrastructure for PRSS recovery science research, and accelerating the growth of the PRSS evidence base in our priority areas and populations, with training and telementoring (i.e., provided through technology) being key approaches to these goals. This application for a Peer Recovery Innovation Network (PRIN) will expand recovery science by developing a research program on PRSS during MOUD treatment using a novel agenda-setting approach and an associated Collaboratory, training and mentoring, and infrastructure development. Our Specific Aims are to: Aim 1: Establish the Recovery Science Collaboratory to include multiple stakeholders, including individuals with lived recovery experience, to accelerate the pace of innovation in recovery science; Aim 2: Establish the Recovery Science Training and Telementoring program within our existing substance use training and telementoring center, to rapidly expand the recovery science workforce; and Aim 3: Conduct process-, outcome-, and implementation-based evaluations of the Peer Recovery Innovation Network and recovery science initiatives in PRIN to optimize the impact, efficiency, and effectiveness for fostering recovery science and monitoring outcomes using defined measures.