University of Wisconsin-Madison, 1513 University Avenue, Madison, WI, 53706, USA.
University of Wisconsin-Madison, 1067 Educational Sciences, Madison, WI, 53706-1706, USA.
J Behav Health Serv Res. 2021 Jul;48(3):400-409. doi: 10.1007/s11414-020-09700-w.
Individuals with substance use disorders (SUDs) who engage in post-withdrawal management (or detoxification) continuing care are more likely to remain drug free or sober and less likely to be incarcerated or die of overdose. Yet, just 21-35% of individuals receiving emergency withdrawal management services receive continuing care. This deficiency is occurring, while overdose rates are high, and limited evidence exists on how to improve this vital transition. To address this gap, withdrawal management service providers employed the LINK Care Transition Implementation System to improve withdrawal management to continuing care transition rates. This system integrates three evidence-based implementation science approaches: (a) practice bundle, (b) process checklist, and (c) standardized organizational change model. This integrated implementation approach improved withdrawal management to continuing care transition rates from 20 (baseline average) to 43% (post-intervention) in (n = 6) Wisconsin withdrawal management centers. This study provides insights into how to improve transitions to enhance SUD care and outcomes.
患有物质使用障碍（SUD）的个体在接受戒断后管理（或戒毒）持续护理后，更有可能保持戒毒或清醒，并且不太可能被监禁或死于药物过量。然而，只有 21-35%接受紧急戒断管理服务的个体接受持续护理。在药物过量率居高不下的情况下，这种缺陷正在发生，而且关于如何改善这一重要过渡的证据有限。为了解决这一差距，戒断管理服务提供商采用了 LINK 护理过渡实施系统来提高戒断管理到持续护理的过渡率。该系统整合了三种基于证据的实施科学方法：（a）实践包，（b）过程检查表，和（c）标准化组织变革模型。这种综合实施方法将戒断管理到持续护理的过渡率从 20%（基线平均值）提高到 6 个威斯康星州戒断管理中心的 43%（干预后）。这项研究提供了如何改善过渡以加强物质使用障碍护理和结果的见解。
