为美国农村社区的阿片类药物危机发展一支了解创伤的劳动力队伍:案例研究

Dalia Chowdhury
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摘要

在美国,解决阿片类药物成瘾和过量相关住院人数激增的农村社区劳动力发展问题一直是一个未解决的问题。本研究旨在提出一个综合的,创伤知情的,行为的劳动力发展倡议在美国中西部农村设置。设计/方法/方法这是一项混合方法、两阶段的研究:第一阶段跟踪和分析涉及专家(n = 6)和专业人员(n = 8)的两次焦点小组会议,以制定培训方案;第二阶段提供培训(n = 101),根据未来专业人员的方案,并比较培训实施前后的能力。研究结果:在提供连接农村社区保健工作者的跨专业培训以应对当前阿片类药物危机方面,需要采取创伤综合方法,在综合和跨学科团队之间建立凝聚力。劳动力建设不仅需要在医疗服务提供者中实施最佳做法,而且需要在农村地区的社区精神卫生从业人员中实施最佳做法。创意/价值这是在农村社区开展的一项独特的创伤知情劳动力发展倡议。这样的研究非常有限,几乎不存在。需要在这一领域采取进一步的主动行动,以查明社区内可能妨碍执行的独特差异。
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Developing a trauma-informed workforce for the opioid crisis in a rural community in the United States: a case study
Purpose Workforce development in rural communities to address a surge in opioid addiction and overdose related hospitalizations has been an unaddressed issue in the USA. This study aims to present an integrated, trauma-informed, behavioral workforce development initiative in a midwestern rural setting in the USA. Design/methodology/approach This is a mixed method, two-phased study: the first phase tracked and analyzed two focus group conferences involving experts (n = 6) and professionals (n = 8) to develop a training protocol; the second phase provided a training (n = 101), based on the protocol to future professionals and compared competencies before and after the implementation of the training. Findings There is a need of a trauma integrated approach in providing interprofessional training connecting health-care workers in rural communities to address the current opioid crisis to bring about cohesion among integrated and interdisciplinary teams. Workforce building will need to implement best practices not only among medical providers but among community mental health practitioners in rural areas. Originality/value This is a unique trauma-informed workforce development initiative in a rural community. Such studies are extremely limited and almost non-existent. Further initiatives need to be taken in this field to identify unique differences within communities that may hinder implementation.
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