Family and Adolescent Clinical Technology & Science, Partnership to End Addiction, New York, NY, USA.
Adolescent Substance Use and Addiction Program, Boston Children's Hospital, Harvard Medical School, Boston, MA, USA.
J Marital Fam Ther. 2021 Apr;47(2):501-514. doi: 10.1111/jmft.12499. Epub 2021 Mar 24.
With opioid use at crisis levels, it is imperative to support youth ages with opioid use disorders (OUD) in taking medication and accessing behavioral services over long periods. This article presents a conceptual framework for telehealth strategies that can be adopted to increase family involvement across a four-stage continuum of youth OUD treatment and recovery: Treatment Preparation, Treatment Initiation, Treatment Stabilization, OUD Recovery. It first identifies provider-delivered tele-interventions that can enhance OUD services in each of the four stages, including family outreach, family engagement, family-focused intervention, and family-focused recovery maintenance. It then introduces several types of direct-to-family tele-supports that can be used to supplement provider-delivered interventions. These include both synchronous tele-supports (remote interactions that occur in real time) such as helplines, peer-to-peer coaching, and online support groups; and asynchronous tele-supports (communications that occur without participants being simultaneously present) such as automated text messaging, self-directed internet-based courses, and digital web support.
随着阿片类药物使用处于危机水平，必须支持青少年阿片类药物使用障碍（OUD）患者长期服用药物和接受行为服务。本文提出了一个远程医疗策略的概念框架，可以采用这些策略来增加家庭在青少年 OUD 治疗和康复的四个阶段连续体中的参与度：治疗准备、治疗启动、治疗稳定、OUD 康复。它首先确定了可以在四个阶段中的每个阶段增强 OUD 服务的提供者提供的远程干预措施，包括家庭外展、家庭参与、以家庭为中心的干预措施和以家庭为中心的康复维持。然后，它介绍了几种可以用来补充提供者提供的干预措施的直接面向家庭的远程支持。这些包括同步远程支持（实时发生的远程交互），如帮助热线、同伴指导和在线支持小组；以及异步远程支持（参与者不同时在场时发生的通信），如自动短信、自我指导的基于互联网的课程和数字网络支持。
