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行为健康的NADA方案。将工具交到行为健康提供者手中:耳穴排毒专家的案例。

NADA Protocol for Behavioral Health. Putting Tools in the Hands of Behavioral Health Providers: The Case for Auricular Detoxification Specialists.

作者信息

Stuyt Elizabeth B, Voyles Claudia A, Bursac Sara

机构信息

Department of Psychiatry, University of Colorado Health Sciences Center, Pueblo, CO 81007, USA.

Department of Clinical Studies, AOMA Graduate School of Integrative Medicine, Austin, TX 78745, USA.

出版信息

Medicines (Basel). 2018 Feb 7;5(1):20. doi: 10.3390/medicines5010020.

Abstract

The National Acupuncture Detoxification Association (NADA) protocol, a simple standardized auricular treatment has the potential to provide vast public health relief on issues currently challenging our world. This includes but is not limited to addiction, such as the opioid epidemic, but also encompasses mental health, trauma, PTSD, chronic stress, and the symptoms associated with these conditions. Simple accessible tools that improve outcomes can make profound differences. We assert that the NADA protocol can have greatest impact when broadly applied by behavioral health professionals, Auricular Detoxification Specialists (ADSes). The concept of ADS is described and how current laws vary from state to state. Using available national data, a survey of practitioners in three selected states with vastly different laws regarding ADSes, and interviews of publicly funded programs which are successfully incorporating the NADA protocol, we consider possible effects of ADS-friendly conditions. Data presented supports the idea that conditions conducive to ADS practice lead to greater implementation. Program interviews reflect settings in which adding ADSes can in turn lead to improved outcomes. The primary purpose of non-acupuncturist ADSes is to expand the access of this simple but effective treatment to all who are suffering from addictions, stress, or trauma and to allow programs to incorporate acupuncture in the form of the NADA protocol at minimal cost, when and where it is needed. States that have changed laws to allow ADS practice for this standardized ear acupuncture protocol have seen increased access to this treatment, benefiting both patients and the programs.

摘要

国家针灸戒毒协会(NADA)方案是一种简单的标准化耳穴治疗方法,有潜力为当前困扰我们世界的诸多问题带来巨大的公共卫生缓解作用。这包括但不限于成瘾问题,比如阿片类药物流行,还涵盖心理健康、创伤、创伤后应激障碍、慢性压力以及与这些状况相关的症状。能改善治疗效果的简单易用工具可产生深远影响。我们断言,当行为健康专业人员,即耳穴戒毒专家(ADSes)广泛应用NADA方案时,其影响最为显著。文中描述了ADS的概念以及当前各州法律的差异。利用现有的全国数据,对三个在ADS相关法律差异极大的州的从业者进行了调查,并对成功纳入NADA方案的公共资助项目进行了访谈,我们探讨了有利于ADS的条件可能产生的影响。所呈现的数据支持这样一种观点,即有利于ADS实践的条件会带来更大程度的实施。项目访谈反映出增加ADSes反过来可改善治疗效果的情况。非针灸师ADSes的主要目的是让所有成瘾、受压或受创伤者都能更方便地获得这种简单而有效的治疗,并使项目能够以最低成本在需要时和需要的地方以NADA方案的形式纳入针灸治疗。已修改法律允许按照这种标准化耳针方案开展ADS实践的州,这种治疗的可及性有所提高,患者和项目都从中受益。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/af8b/5874585/766c8f1c32fa/medicines-05-00020-g001.jpg

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