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及时将个体与物质使用障碍治疗相联系:FindHelpNowKY.org 的开发、实施和评估。

Timely linkage of individuals to substance use disorder treatment: development, implementation, and evaluation of FindHelpNowKY.org.

机构信息

Kentucky Injury Prevention and Research Center, University of Kentucky, 333 Waller Ave., Suite 242, Lexington, KY, 40504, USA.

Department of Preventive Medicine and Environmental Health, University of Kentucky, College of Public Health, 111 Washington Ave, Lexington, KY, 40536, USA.

出版信息

BMC Public Health. 2019 Feb 11;19(1):177. doi: 10.1186/s12889-019-6499-5.

Abstract

BACKGROUND

Substance use disorders (SUD) have steadily increased over the last two decades. Seeking SUD treatment involves searching SUD treatment facility types (inpatient, outpatient and intensive outpatient, residential and family residential, and detoxification facilities) that offer specialized SUD treatment depending on individual needs and preferences. Referrals to SUD treatment require innovative strategies that rapidly link individuals to SUD treatment when they are at the critical stage of readiness. The aim of this study was to develop, implement, and evaluate a user-friendly SUD treatment facility opening availability website called FindHelpNowKY.org. The objectives of the study were to 1) recruit SUD treatment facility and partner participation; 2) develop platform, content, and analytics for the FindHelpNowKY.org website intervention with an information repository; 3) assess barriers and facilitators to implementation; and 4) evaluate the development and implementation of FindHelpNowKY.org.

METHODS

Website development stakeholders were identified and the website concept was developed. The logic model for FindHelpNowKY.org outlined resources, activities, and outputs as well as the associated short-term, medium-term, and long-term objectives, along with a website evaluation plan. Website usability and focus group testing was conducted. Information repository resource documents were compiled and categorized. An inventory of Kentucky-based SUD treatment facilities was compiled using various state and federal resources.

RESULTS

Development/implementation barriers were addressed, facilitators were identified, and the website was implemented; 83% of SUD treatment facilities were indexed on the website, and average website user time was 7 min. From February to October 2018, there were 29,000 visitors, and 30,000 unique searches. The most common website query was a friend or family member seeking long-term residential or outpatient treatment facilities accepting Medicaid or Medicare.

CONCLUSIONS

FindHelpNowKY.org has the potential to fill a critical need for timely access to available SUD treatment in the state. The website may be a valuable resource for health professionals that can enhance clinical workflow and reduce staff time conducting phone and website searches for available SUD treatment. The website is a promising tool for assessing current SUD treatment capacity vs. SUD treatment need. The FindHelpNow model can be used by other states to increase timely access to SUD treatment.

摘要

背景

在过去的二十年中,物质使用障碍(SUD)稳步增加。寻求 SUD 治疗需要根据个人的需求和偏好,选择提供专门 SUD 治疗的 SUD 治疗设施类型(住院、门诊和强化门诊、住院和家庭住院以及戒毒设施)。向 SUD 治疗的转介需要创新策略,以便在个人处于准备的关键阶段时迅速将其与 SUD 治疗联系起来。本研究的目的是开发、实施和评估一个名为 FindHelpNowKY.org 的易于使用的 SUD 治疗设施开放可用性网站。该研究的目的是:1)招募 SUD 治疗设施和合作伙伴参与;2)开发平台、内容和分析 FindHelpNowKY.org 网站干预措施,并建立信息库;3)评估实施的障碍和促进因素;4)评估 FindHelpNowKY.org 的开发和实施。

方法

确定了网站开发利益相关者,并开发了网站概念。FindHelpNowKY.org 的逻辑模型概述了资源、活动和产出,以及相关的短期、中期和长期目标,以及网站评估计划。对网站的可用性和焦点小组测试进行了测试。编译并分类了信息库资源文件。使用各种州和联邦资源编制了肯塔基州基于 SUD 的治疗设施清单。

结果

解决了开发/实施障碍,确定了促进因素,并实施了该网站;83%的 SUD 治疗设施在网站上被索引,用户平均网站使用时间为 7 分钟。从 2018 年 2 月到 10 月,有 29,000 名访客,30,000 次独特搜索。最常见的网站查询是朋友或家人寻找长期住院或门诊治疗设施,接受 Medicaid 或 Medicare。

结论

FindHelpNowKY.org 有可能满足该州及时获得可用 SUD 治疗的关键需求。该网站可能是卫生专业人员的宝贵资源,可以增强临床工作流程并减少工作人员为寻找可用 SUD 治疗而进行电话和网站搜索的时间。该网站是评估当前 SUD 治疗能力与 SUD 治疗需求的有前途的工具。FindHelpNow 模型可被其他州用于增加对 SUD 治疗的及时获得。

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