We found a match
Your institution may have rights to this item. Sign in to continue.
- Title
Commentary: Applying the Community Partners in Care Approach to the Opioid Crisis.
- Authors
Wells, Kenneth B.; Watkins, Katherine E.; Hurley, Brian; Tang, Lingqi; Jones, Felica; Gilmore, James
- Abstract
<bold>Background: </bold>Given national concern over rising mortality from opioid use disorders (OUD) and challenges to increasing OUD treatment access, a coalition approach may hold promise to improve access and outcomes for diverse populations. We present considerations of a community-partnered working group on adapting the Community Partners in Care (CPIC) study and coalition approach to OUD.<bold>Method: </bold>During January 2016 through January 2017, academic, provider, consumer and policy stakeholders reviewed options to adapt CPIC's Resources for Services (RS) for individual program technical assistance and Community Engagement and Planning (CEP) for coalition support to OUD treatments, integrating stakeholder input into design options with estimated sample sizes.<bold>Findings: </bold>The working group recommended Community Reinforcement and Family Treatment (CRAFT) as a stakeholder-support intervention to facilitate uptake and adherence to Medications for Addiction Treatment (MAT). Recommended implementation interventions for MAT/CRAFT were expert technical assistance supplemented by organizational readiness, and CEP for coalition support with a Learning Collaborative. Power estimation suggests that to compare implementation intervention effects on abstinence would require a somewhat larger enrolled sample and 3-4 times the screening sample as CPIC, and for mortality, at least 5-10 times the enrolled sample as CPIC.<bold>Discussion: </bold>Stakeholders viewed the CPIC design and interventions as feasible and acceptable as community-wide approaches for addressing the opioid epidemic, but comparing impacts on mortality would require large, multi-site trials.
- Subjects
DRUG abuse prevention; OPIOID abuse; COMMUNITY health services; OUTCOME assessment (Social services); COALITIONS; STAKEHOLDER theory
- Publication
Ethnicity & Disease, 2018, Vol 28, p381
- ISSN
1049-510X
- Publication type
editorial
- DOI
10.18865/ed.28.S2.381