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制定减少伤害项目的国家最佳实践建议:从一个社区项目中汲取的经验教训。

Developing national best practice recommendations for harm reduction programmes: Lessons learned from a community-based project.

作者信息

Watson Tara Marie, Strike Carol, Challacombe Laurel, Demel Geoff, Heywood Diana, Zurba Nadia

机构信息

Dalla Lana School of Public Health, University of Toronto, 155 College Street, Toronto, Ontario, M5T 3M7, Canada.

Dalla Lana School of Public Health, University of Toronto, 155 College Street, Toronto, Ontario, M5T 3M7, Canada.

出版信息

Int J Drug Policy. 2017 Mar;41:14-18. doi: 10.1016/j.drugpo.2016.11.008. Epub 2016 Dec 24.

DOI:10.1016/j.drugpo.2016.11.008
PMID:28027482
Abstract

Through promotion of consistent, evidence-based policy and practice, best practice recommendations can improve service delivery. Nationally relevant best practice recommendations, including guidance for programmes that provide service to people who use drugs, are often created and disseminated by government departments or other national organisations. However, funding priorities do not always align with stakeholder- and community-identified needs for such recommendations, particularly in the case of harm reduction. We achieved success in developing and widely disseminating best practice documents for Canadian harm reduction programmes by bringing together a multi-stakeholder, cross-regional team of people with relevant and diverse experience and expertise. In this commentary, we summarise key elements of our experience to contribute to the literature more detailed and transparent dialogue about team processes that hold much promise for developing best practice resources. We describe our project's community-based principles and process of working together (e.g., regularly scheduled teleconferences to overcome geographic distance and facilitate engagement), and integrate post-project insights shared by our team members. Although we missed some opportunities for power-sharing with our community partners, overall team members expressed that the project offered them valuable opportunities to learn from each other. We aim to provide practical considerations for researchers, other stakeholders, and community members who are planning or already engaged in a process of developing best practice recommendations for programmes and interventions that address drug use.

摘要

通过推广一致的、基于证据的政策和实践,最佳实践建议可以改善服务提供。与国家相关的最佳实践建议,包括为吸毒者提供服务的项目指南,通常由政府部门或其他国家组织制定和传播。然而,资金优先事项并不总是与利益相关者和社区确定的此类建议需求相一致,特别是在减少伤害方面。我们通过组建一个由具有相关和多样经验及专业知识的多利益相关者、跨地区团队,成功地为加拿大减少伤害项目制定并广泛传播了最佳实践文件。在这篇评论中,我们总结了我们经验的关键要素,以便为关于团队流程的文献贡献更详细、透明的对话,这些流程在开发最佳实践资源方面大有可为。我们描述了我们项目基于社区的原则和合作过程(例如,定期安排电话会议以克服地理距离并促进参与),并整合了团队成员分享的项目后见解。尽管我们错过了一些与社区伙伴分享权力的机会,但总体而言,团队成员表示该项目为他们提供了相互学习的宝贵机会。我们旨在为正在计划或已经参与为解决吸毒问题的项目和干预措施制定最佳实践建议过程的研究人员、其他利益相关者和社区成员提供实际考虑因素。

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