Abstract
AbstractThe opioid and methamphetamine crises in Oregon have a consequential impact on young families, as an increasing number of parents experience substance use disorder (SUD). As parental substance use escalates, the child welfare system (CWS) becomes overwrought with families who have complex needs. The burden placed on families and on the CWS indicates a need for prevention and treatment interventions for parental SUDs. In response to the worst statewide opioid and methamphetamine epidemics in the USA, a Hybrid Type 2 trial of PRE-FAIR—a prevention intervention for parents—is being implemented in five Oregon counties. Establishing strong partnerships within the communities helped identify the need to implement the evidence-based FAIR treatment model alongside PRE-FAIR. A strong focus on implementation includes meeting the needs of communities and establishing the infrastructure necessary for sustainment of the FAIR programs at the provider agencies. Despite implementation efforts to direct toward PRE-FAIR referrals, parents in need of treatment are being referred at a disproportionate rate, as are older parents who fall outside of study-eligibility. Both challenges have delayed the ability to enroll a sufficient number of participants for the prevention trial. This commentary describes the impact of the opioid and methamphetamine epidemics in Oregon as the crises relate to implementing prevention versus treatment interventions—highlighting the importance of addressing community needs and establishing strong partnerships, which has allowed creative strategies to increase PRE-FAIR recruitment.
Funder
National Institute on Drug Abuse
Publisher
Springer Science and Business Media LLC
Subject
Public Health, Environmental and Occupational Health
Reference13 articles.
1. Cruden, G., Crawford, S., & Saldana, L. (2021). Prevention adaptation of an evidence-based treatment for parents involved with child welfare who use substances. Frontiers in Psychology, 12, 689432. https://doi.org/10.3389/fpsyg.2021.689432
2. Edwards-Gaura, A., Whitaker, D., & Self-Brown, S. (2014). Can social networking be used to promote engagement in child maltreatment prevention programs? Two pilot studies. The Western Journal of Emergency Medicine, 15(5), 575–581. https://doi.org/10.5811/westjem.2014.4.21413
3. Ellis, M. S., Kasper, Z. A., & Cicero, T. J. (2018). Twin epidemics: The surging rise of methamphetamine use in chronic opioid users. Drug and Alcohol Dependence, 193, 14–20. https://doi.org/10.1016/j.drugalcdep.2018.08.029
4. Hedegaard, H., Miniño, A. M., Spencer, M. R., & Warner, M. (2021). Drug overdose deaths in the United States, 1999–2020. NCHS Data Brief, no 428. Hyattsville, MD: National Center for Health Statistics. https://doi.org/10.15620/cdc:112340
5. Mathews, T. J., & Hamilton, B. E. (2016). Mean age of mothers is on the rise: United States, 2000–2014. NCHS data brief, no 232. Hyattsville, MD: National Center for Health Statistics.
Cited by
1 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献