Community Substance Use Safety

Watts, Justin R.; McDaniels, Bradley; Rivera-Torres, Solymar; Resiak, Danielle; Mpofu, Elias; Redwine, Sonia

doi:10.1007/978-3-030-59687-3_6

Cited by 3 publications

(5 citation statements)

References 93 publications

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“…These programs typically involve interactive lessons delivered over multiple sessions, focusing on building social and emotional skills, enhancing decision-making abilities, and promoting positive peer relationships. Community-wide initiatives like the "Communities That Care (CTC)" model have shown promise in reducing youth substance use rates (Watts et al, 2020). CTC involves community mobilization, assessment of local needs and resources, selection and implementation of evidence-based prevention strategies, and ongoing evaluation to monitor program impact.…”

Section: Prevention Programs: Effectively Combatting Youth Substance Usementioning

confidence: 99%

Public health strategies for preventing youth substance use: A review of prevention programs and conceptual approaches

Chinyere Assumpta Onyenwe,

Chinyere Onwumere,

Ifeoma Pamela Odilibe

2024

Int. J. Biol. Pharm. Res. Updates

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Substance use among youth is a significant public health concern with far-reaching implications for individual health and societal well-being. This review provides a comprehensive review of public health strategies aimed at preventing youth substance use, focusing on the examination of prevention programs and conceptual approaches. Prevention programs targeting youth substance use vary widely in their approaches, ranging from school-based interventions to community-wide initiatives. This review evaluates the effectiveness of different prevention programs, considering factors such as program structure, content, and duration. It highlights evidence-based programs that have demonstrated success in reducing substance use initiation and promoting healthy behaviors among youth. Moreover, the review discusses various conceptual approaches underpinning youth substance use prevention efforts. These approaches encompass socio-ecological models, which emphasize the influence of multiple levels of factors including individual, interpersonal, community, and societal influences on substance use behavior. Additionally, the socio-cultural perspective underscores the significance of cultural norms, beliefs, and values in shaping youth attitudes towards substance use. Furthermore, this review examines the role of policy interventions and regulatory measures in preventing youth substance use, emphasizing the importance of creating supportive environments and implementing evidence-informed policies to curb access to substances and minimize risk factors associated with youth substance use. In conclusion, effective prevention of youth substance use requires a multifaceted approach that integrates evidence-based programs, conceptual frameworks, and policy interventions. By addressing risk factors at various levels and promoting protective factors, public health strategies can play a pivotal role in reducing the prevalence of youth substance use and fostering healthier communities.

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Section: Prevention Programs: Effectively Combatting Youth Substance Usementioning

confidence: 99%

Public health strategies for preventing youth substance use: A review of prevention programs and conceptual approaches

Chinyere Assumpta Onyenwe,

Chinyere Onwumere,

Ifeoma Pamela Odilibe

2024

Int. J. Biol. Pharm. Res. Updates

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“…Despite substance use disorder mitigation efforts [3], relapse rates remain high at 40-60% [3], with mortality from drug and alcohol use disorders at 6.9 deaths per 100,000 globally [4]. Harm minimization approaches appear to hold promise for those with a history of addiction or dependence not wishing to obtain abstinence [5,6]. Harm reduction approaches that support people with a poor prognosis for abstinence-based treatment would make for sustainable needle and syringe program (NSP) practices [5].…”

Section: Introductionmentioning

confidence: 99%

“…Harm minimization approaches appear to hold promise for those with a history of addiction or dependence not wishing to obtain abstinence [5,6]. Harm reduction approaches that support people with a poor prognosis for abstinence-based treatment would make for sustainable needle and syringe program (NSP) practices [5]. Sustainable NSPs are human-centered, cost-effective, socially embedded, aligned to the health policies of jurisdictions [6], and offered at sufficient intensity to achieve program goals and population outcomes in the long-term [7].…”

Section: Introductionmentioning

confidence: 99%

Sustainable Harm Reduction Needle and Syringe Programs for People Who Inject Drugs: A Scoping Review of Their Implementation Qualities

2021

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While substance use disorders (SUD) continue to be a global concern, harm reduction approaches can provide sustainable harm minimization to people who inject drugs (PWID) without requiring abstinence. Yet, the evidence for the sustainable implementation of harm reduction approaches is newly emerging. This scoping review sought to map the evidence on implementation qualities of sustainable harm reduction needle and syringe programs (NSPs). We searched the Cochrane Database of Systematic Reviews, PubMed, ProQuest Central, and Directory of Open Access Journals for empirical studies (a) with an explicit focus on harm minimization NSPs, (b) with a clearly identified study population, (c) that described the specific NSP implementation protocol, (d) that provided information on accessibility, affordability, and feasibility, and (e) were published in English between 2000–2020. Following narrative qualitative synthesis, the evidence suggests individual implementer characteristics directly influenced sustainable availability and scope of NSP provision while implementation processes explained the predictability and continuity of service provision across services. External factors including community perceptions of NSPs and policing activity influenced the sustainability of NSP implementation. The emerging evidence suggests that sustainable NSP programs for PWID require provider, consumer, and community engagement, supported by enabling health policies.

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“…Such workforce development initiatives could include community members trained as peer leaders and mentors, university and non-university organizations, cadetships, short-term training courses, and school-based training and university scholarships (Watts et al, 2020). In addition, they are identifying funding sources to cover tuition costs in historically impoverished areas where higher education is not an option for many youths in RNAC.…”

Section: Study Rationalementioning

confidence: 99%

“…Harm reduction (HR) programs offer various programs and services to mitigate the harms of drug use and have proven to impact individual and community health (Beyrer et al, 2009;Watts et al, 2020). According to the Centers for Disease Control and Prevention (CDC), more than 69,710 reported overdose deaths from opioids during the 12 months ending in November 2020 (CDC, 2021b).…”

Section: Harm Reductionmentioning

confidence: 99%

Sustainable Healthcare Provider OUD Assessment and Management in Rural Native American Communities (RNACs): Prevention, Treatment, and Recovery Approaches

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In the US, rural Native American communities (RNACs) experience excess morbidity in mental health disorders and mortality from opioid use disorder (OUD). This study used mixed methods to evaluate and analyze the primary data from 76 healthcare providers (HPs) from 24 states across the US (physicians = 7%), to identify HP knowledge and training regarding available prevention, treatment, and recovery (PTR) programs in treating OUD, assessment and management skills, and networking and collaboration capacity among the RNACs they serve. The HP completed the Opioid Survey for Health Care Providers online. A majority of HPs reported a need for knowledge and training regarding OUD treatments (92%). Less than half of the HPs provide intensive outpatient treatment; 40% contracted out for medication assisted treatment/medications for opioid use disorder (MAT/MOUD) services. Recovery support was low at 33% for adults and 38% for youth. HPs reported use of Narcan to be effective in reversing overdose (87%). Qualitative responses supported survey findings and described barriers, including lack of resources, inadequate staffing, insufficient funding, lack of training and OUD knowledge, stigma, and lack of tribal involvement and support. The study findings indicate HPs' need for information and training about OUD and networking and collaboration of healthcare settings to meet the needs of the RNAC they serve. Efforts are needed to improve on recovery programs with an emphasis on the youth. Culturally adapted MAT/MOUD approaches are needed to sustain long-term recovery care.

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Community Substance Use Safety

Cited by 3 publications

References 93 publications

Public health strategies for preventing youth substance use: A review of prevention programs and conceptual approaches

Public health strategies for preventing youth substance use: A review of prevention programs and conceptual approaches

Sustainable Harm Reduction Needle and Syringe Programs for People Who Inject Drugs: A Scoping Review of Their Implementation Qualities

Sustainable Healthcare Provider OUD Assessment and Management in Rural Native American Communities (RNACs): Prevention, Treatment, and Recovery Approaches

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