Columbia University School of Social Work, 1255 Amsterdam Ave., New York, NY 10027, United States of America; College of Education, Pennsylvania State University, University Park, PA, 16802 United States of America.
Clinical Psychiatric Social Work at Columbia University Irving Medical Center, Department of Psychiatry and Research Scientist at New York State Psychiatric Institute in the Division on Substance Use Disorders, 1051 Riverside Drive, New York, NY 10032, United States of America.
J Subst Abuse Treat. 2022 Feb;133:108550. doi: 10.1016/j.jsat.2021.108550. Epub 2021 Jun 25.
Due to the COVID-19 pandemic, regulations for substance use services changed to accommodate stay-at-home orders and physical distancing guidelines.
Using in-depth interviews (N = 14) and framework analysis, we describe how policymakers developed, adopted, and implemented regulations governing services for substance use disorders during COVID-19, and how policymakers' perceived the impacts of these regulations in New York State.
During the COVID-19 pandemic, policymakers shifted to more inclusive approaches of knowledge generation and co-production of recommendations. Barriers to adoption and implementation of new regulations included medication/services supply, lack of integration, stigma, and overcriminalization.
Findings from this study highlight the potential feasibility and benefits of co-produced policies for substance use services and the need for consistent service supply, better integration with health care services, reduced stigma, improved funding structures, best practice guidelines, criminal justice reform, and harm reduction support. These considerations should inform future policy maintenance and modifications to substance use services related to COVID-19.
由于 COVID-19 大流行，物质使用服务的规定发生了变化，以适应居家令和保持身体距离的指导方针。
使用深入访谈（N=14）和框架分析，我们描述了决策者如何在 COVID-19 期间制定、采用和实施物质使用障碍服务的法规，以及决策者如何看待这些法规在纽约州的影响。
在 COVID-19 大流行期间，决策者转向更具包容性的知识生成方法和联合制定建议。新法规采用和实施的障碍包括药物/服务供应、缺乏整合、污名化和过度刑事化。
本研究的结果强调了共同制定物质使用服务政策的潜在可行性和益处，以及对持续服务供应、更好地与医疗保健服务整合、减少污名化、改善资金结构、最佳实践指南、刑事司法改革和减少伤害支持的需求。这些考虑因素应告知未来与 COVID-19 相关的物质使用服务的政策维护和修改。
