Hogue Aaron, Bobek Molly, MacLean Alexandra, Schumm Jeremiah A, Wenzel Kevin, Fishman Marc
Partnership to End Addiction, New York, USA.
OneFifteen, Inc./Samaritan Behavioral Health, Inc., Wright State University, Dayton, USA.
HSOA J Addict Addict Disord. 2023;10(3). doi: 10.24966/aad-7276/100144. Epub 2023 Sep 29.
This article introduces the Relationship-Oriented Recovery System for Youth (RORSY) protocol, which is designed to increase uptake of Medications for Opioid Use Disorder (MOUD) and related services among adolescents and young adults. Youth exhibit alarmingly poor rates of MOUD initiation and adherence, OUD services involvement and long-term recovery success. RORSY attends to three developmentally unique recovery needs of this age group: assess and bolster youth recovery capital, prioritize involvement of concerned significant others, and use digital direct-to-consumer recovery supports. RORSY contains five evidence-informed intervention modules that can be flexibly tailored to meet the individual and relationship needs of a given youth: Relational Orientation, Youth Recovery Management Planning, Relational Recovery Management Planning, Relationship Skills Building, and Digital Recovery Support Planning. The article concludes with practice and policy recommendations for making relationship-building a top clinical priority for addressing youth OUD.
本文介绍了面向青少年的关系导向型康复系统（RORSY）方案，该方案旨在提高青少年和青年成年人对阿片类物质使用障碍药物（MOUD）及相关服务的接受程度。青少年在MOUD启动和依从性、阿片类物质使用障碍服务参与度以及长期康复成功率方面的表现令人担忧地差。RORSY关注该年龄组在发展方面独特的三种康复需求：评估并增强青少年的康复资本、优先让相关重要他人参与进来，以及使用数字化直接面向消费者的康复支持。RORSY包含五个基于证据的干预模块，可灵活调整以满足特定青少年的个人及关系需求：关系导向、青少年康复管理规划、关系康复管理规划、关系技能培养以及数字化康复支持规划。文章最后给出了实践和政策建议，以便将建立关系作为解决青少年阿片类物质使用障碍问题的首要临床重点。
