Filtering by: Community Settings
Sep
10
12:00 PM12:00
Substance Use Disorder, Addiction, Addiction Treatment Svcs, Community Settings, Implementation Strategies, Intervention, Qualitative Research

CDIAS PSMG: Jure Baloh

Supervision in addiction treatment programs: (Some) insights and future research ideas.

Jure Baloh, PhD, MHA
University of Arkansas for Medical Sciences

ABSTRACT:
Substance use disorders (SUDs) are a significant public health burden in the US, affecting almost 50 million individuals annually. Community specialty SUD treatment programs (“SUD programs”) are key treatment providers and while effective treatments for SUD exist, significant issues in the organization and delivery of SUD programs undermine the delivery of high-quality services. Supervisors in SUD programs are centrally positioned to support SUD counselors (frontline clinical providers) and ensure high service quality. In this presentation, we will provide an overview of supervision and its conceptualization, highlight recent findings from Arkansas, and outline (some) research directions for the future.

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Feb
25
12:00 PM12:00
Opioids, HIV Prevention, Criminal Justice, Agent-Based Models, Community Settings, Mortality, Intervention Development

PSMG: Anna Hotton & John Schneider

Agent-based models for understanding the impact of transitions between community and criminal justice settings on HIV transmission and opioid mortality: implications for intervention development

Anna Hotton, PhD, MPH
John Schneider, MD, MPH
University of Chicago Medicine

ABSTRACT:
Criminal justice involvement (CJI) has important public health and social consequences, affecting social and sexual network stability, employment and housing opportunities, and access to medical care, all of which can lead to cycles of socioeconomic marginalization and adverse health outcomes. CJI populations are disproportionately impacted by HIV and substance use disorders, which can be exacerbated by frequent cycling between communities and criminal justice settings. However, such settings also offer opportunities for delivery of treatment and prevention interventions, such as PrEP, ART, and medication assisted therapy to populations who may not otherwise access these services. Guidance is needed to determine how interventions for CJI populations can be most effectively deployed, but logistical and ethnical challenges make empirical research difficult in contexts that often include marginalized communities that are highly mobile, have significant loss to follow-up, and cycle frequently between criminal justice and community settings. Agent-based models (ABMs) can generate insights about the processes that drive HIV transmission and opioid related mortality and provide a platform for virtually evaluating potential candidate interventions, thus facilitating more efficient and focused intervention development. By illuminating mechanisms associated with intervention success and providing the ability to parameterize the relevant individual-level heterogeneity via detailed, local data, ABMs allow for exploration of complex interventions, enabling the investigation of specific intervention ingredients and mechanisms likely to have the most impact on the HIV and opioid epidemics in the US. We present early applications of ABMs for evaluating interventions for CJI populations with nascent examples in HIV and opioid mortality, and discuss implications for structural, policy, and network-based interventions.

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