Regis Craig, Gaeta Jessie M, Mackin Sarah, Baggett Travis P, Quinlan Joan, Taveras Elsie M
Kraft Center for Community Health, Community Health Improvement, Massachusetts General Hospital, Boston, MA, United States.
Boston Health Care for the Homeless Program, Boston, MA, United States.
Front Public Health. 2020 Sep 25;8:501. doi: 10.3389/fpubh.2020.00501. eCollection 2020.
Opioid overdoses killed 47,600 people in the United States in 2017. Despite increasing availability of office-based addiction treatment programs, the prevalence of opioid overdose is historically high and disproportionately affects vulnerable populations, including people experiencing homelessness. Despite availability of effective treatment, many at greatest risk of death from overdose experience myriad barriers to care. Launched in 2018, the Community Care in Reach mobile health initiative uses a data-driven approach to bring harm reduction and medication for opioid use disorder directly to those at highest risk of near-term death. Proof-of-concept results suggest that mobile addiction services may serve as a model for expanding access to addiction care for the most vulnerable.
2017年，美国有47600人死于阿片类药物过量。尽管以办公室为基础的成瘾治疗项目越来越多，但阿片类药物过量的流行率仍处于历史高位，且对包括无家可归者在内的弱势群体影响尤甚。尽管有有效的治疗方法，但许多面临过量用药死亡风险最高的人在获得护理方面仍面临诸多障碍。2018年启动的“社区关怀拓展”移动健康倡议采用数据驱动的方法，将减少伤害措施和用于阿片类药物使用障碍的药物直接提供给近期死亡风险最高的人群。概念验证结果表明，移动成瘾服务可为最弱势群体扩大获得成瘾护理的机会提供一种模式。
