Journal of Studies on Alcohol and Drugs. Supplement最新文献

{"title":"Development of a Needs-Based Planning Model to Estimate Required Capacity of a Substance Use Treatment System","authors":"B. Rush, J. Tremblay, David Brown","doi":"10.15288/jsads.2019.s18.51","DOIUrl":"https://doi.org/10.15288/jsads.2019.s18.51","url":null,"abstract":"Objective: Substance use services and supports have traditionally been funded without the benefit of a comprehensive, quantitative planning model closely aligned with population needs. This article describes the methodology used to develop and refine key features of such a model, gives an overview of the resulting Canadian prototype, and offers examples and lessons learned in pilot work. Method: The need for treatment was defined according to five categories of problem severity derived from national survey data and anticipated levels of help-seeking estimated from a narrative synthesis of international literature. A pan-Canadian Delphi procedure was used to allocate this help-seeking population across an agreed-upon set of treatment service categories, which included three levels each of withdrawal management, community, and residential treatment services. Projections of need and required service capacity for Canadian health planning regions were derived using synthetic estimation by age and gender. The model and gap analyses were piloted in nine regions. Results: National distribution of need was estimated as Tier 1: 80.7%; Tier 2: 10.4%; Tier 3: 6.1%; Tier 4: 2.6%; and Tier 5: 0.2%. Pilot work of the full estimation protocol, including gap analysis, showed the results triangulated with other indicators of need and were useful for local planning. Conclusions: Lessons learned from pilot testing were identified, including challenges with the model itself and those associated with its implementation. The process of estimation developed in this Canadian prototype, and the specifics of the model itself, can be adapted to other jurisdictions and contexts. Objectifs: Les services liés à l’usage de substances ont traditionnellement été financés sans l’apport d’un modèle quantitatif global de planification étroitement ajusté aux besoins de la population. Cet article décrit la méthodologie utilisée pour développer et préciser les éléments-clés d’un tel modèle, donne un aperçu du prototype canadien qui en a découlé et propose des exemples ainsi que les leçons qui ont émergé dans le cadre de l’essai pilote. Méthode : Le besoin de traitement a été défini selon cinq catégories de sévérité du problème, élaborées à partir des données d’une enquête nationale et des niveaux anticipés de recherche d’aide qui sont estimés à partir d’une synthèse narrative des écrits scientifiques internationaux. Une démarche pancanadienne employant la méthode Delphi a été adoptée pour répartir la population des personnes en recherche d’aide dans un ensemble de catégories de services de traitement identifiées de façon consensuelle, parmi lesquelles on retrouve la gestion du sevrage, les services dans la communauté et les traitements résidentiels, chacune des catégories comprenant trois niveaux de traitements. Les projections des besoins et de la capacité de services requise pour la planification au sein des régions sociosanitaires canadiennes ont été estimées selon l’âge et le genre","PeriodicalId":17103,"journal":{"name":"Journal of Studies on Alcohol and Drugs. Supplement","volume":"154 1","pages":"51 - 63"},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88997702","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Needs-Based Planning for Substance Use Treatment Systems: The New Generation of Principles, Methods, and Models.","authors":"Brian Rush, Joël Tremblay, Thomas F Babor","doi":"10.15288/jsads.2019.s18.5","DOIUrl":"10.15288/jsads.2019.s18.5","url":null,"abstract":"","PeriodicalId":17103,"journal":{"name":"Journal of Studies on Alcohol and Drugs. Supplement","volume":" ","pages":"5-8"},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6377024/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36941103","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Performance Measurement in Mental Health and Addictions Systems: A Scoping Review.","authors":"Karen Urbanoski, Dakota Inglis","doi":"10.15288/jsads.2019.s18.114","DOIUrl":"10.15288/jsads.2019.s18.114","url":null,"abstract":"<p><strong>Objective: </strong>The purpose of this study was to evaluate how performance is defined, conceptualized, and measured in mental health and addiction service systems around the world.</p><p><strong>Method: </strong>We conducted a systematic scoping review of English-language scientific and gray literature published from 2005 to 2015. Eligible documents (n = 222) described performance measurement systems and outlined the theory or empirical evidence for indicators. We used a structured approach for data extraction and descriptive and thematic analysis, supplemented with stakeholder consultation.</p><p><strong>Results: </strong>We identified seven themes in the literature: similarity in performance domains across frameworks; the ability of frameworks to inform care quality at client, program/facility, and system levels; the predominance of indicators of process and outcome, over structure; the lack of evidence on the links between domains and/or indicators; common, but limited, evaluation of family/caregiver involvement; equity as a cross-cutting domain of performance; and limited attention to performance measurement in peer support services.</p><p><strong>Conclusions: </strong>The literature on performance measurement in mental health and addictions services is vast, and a wide variety of indicators is available to those designing a measurement system. Evaluations of commonly used performance indicators have yielded mixed evidence on their ability to discriminate high- and low-performing service providers, and their sensitivity to changes in policies and practices. As performance measurement efforts grow in scope and complexity, work will be needed to ensure that indicators are fair, appropriate, and suited to support quality improvement in services of different types.</p>","PeriodicalId":17103,"journal":{"name":"Journal of Studies on Alcohol and Drugs. Supplement","volume":" ","pages":"114-130"},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6377020/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36896696","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Needs-Based Planning for Substance Use Treatment Systems: Progress, Prospects, and the Search for a New Perspective","authors":"T. Babor, B. Rush, J. Tremblay","doi":"10.15288/jsads.2019.s18.154","DOIUrl":"https://doi.org/10.15288/jsads.2019.s18.154","url":null,"abstract":"The articles presented in this issue of the Journal of Studies on Alcohol and Drugs (Supplement No. 18) describe the rapid improvements over the past decade in methods, theories, and data systems used for needs-based planning of addiction treatment services. In this concluding essay, the editors describe the progress, prospects, and implications of this new wave of research. It is concluded that these developments can be used to maximize the impact of treatment services at the population level. Les articles dans ce Supplément, décrivent les améliorations rapides ayant eu lieu au cours de la dernière décennie quant aux méthodes, théories et systèmes de données qui sont utilisés pour la planification des services de traitement de la dépendance en s’appuyant sur les besoins populationnels. Dans cet essai de conclusion, les éditeurs décrivent les progrès, les perspectives et les implications de cette nouvelle vague de travaux de recherche. Il est conclu que ces développements peuvent être utilisés afin de maximiser l’impact des services au plan populationnel. Los documentos presentados en este Suplemento describen las rápidas mejoras en la última década en métodos, teorías y sistemas de datos utilizados para la planificación basada en las necesidades de servicios de tratamiento de adicciones. En este ensayo final, los editores describen los avances, perspectivas e implicaciones de esta nueva ola de investigación. Se concluye que estos desarrollos se pueden utilizar para maximizar el impacto de los servicios de tratamiento a nivel de la población.","PeriodicalId":17103,"journal":{"name":"Journal of Studies on Alcohol and Drugs. Supplement","volume":"85 1","pages":"154 - 160"},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78211669","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"System Performance Measurement: Implications for Service Planning.","authors":"Marie-JosÉe Fleury","doi":"10.15288/jsads.2019.s18.152","DOIUrl":"10.15288/jsads.2019.s18.152","url":null,"abstract":"","PeriodicalId":17103,"journal":{"name":"Journal of Studies on Alcohol and Drugs. Supplement","volume":" ","pages":"152-153"},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6377012/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36896699","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Performance Measurement in Mental Health and Addictions Systems: A Scoping Review.","authors":"Karen Urbanoski, Dakota Inglis","doi":"10.15288/jsads.2019.s18.114","DOIUrl":"10.15288/jsads.2019.s18.114","url":null,"abstract":"<p><strong>Objective: </strong>The purpose of this study was to evaluate how performance is defined, conceptualized, and measured in mental health and addiction service systems around the world.</p><p><strong>Method: </strong>We conducted a systematic scoping review of English-language scientific and gray literature published from 2005 to 2015. Eligible documents (n = 222) described performance measurement systems and outlined the theory or empirical evidence for indicators. We used a structured approach for data extraction and descriptive and thematic analysis, supplemented with stakeholder consultation.</p><p><strong>Results: </strong>We identified seven themes in the literature: similarity in performance domains across frameworks; the ability of frameworks to inform care quality at client, program/facility, and system levels; the predominance of indicators of process and outcome, over structure; the lack of evidence on the links between domains and/or indicators; common, but limited, evaluation of family/caregiver involvement; equity as a cross-cutting domain of performance; and limited attention to performance measurement in peer support services.</p><p><strong>Conclusions: </strong>The literature on performance measurement in mental health and addictions services is vast, and a wide variety of indicators is available to those designing a measurement system. Evaluations of commonly used performance indicators have yielded mixed evidence on their ability to discriminate high- and low-performing service providers, and their sensitivity to changes in policies and practices. As performance measurement efforts grow in scope and complexity, work will be needed to ensure that indicators are fair, appropriate, and suited to support quality improvement in services of different types.</p>","PeriodicalId":17103,"journal":{"name":"Journal of Studies on Alcohol and Drugs. Supplement","volume":"19 1","pages":"114-130"},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6377020/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72678859","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Two Polar Considerations in Treatment System Planning: Infrastructure Development and Real-Time Management.","authors":"Arnie Aldridge","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":17103,"journal":{"name":"Journal of Studies on Alcohol and Drugs. Supplement","volume":" ","pages":"40-41"},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6377017/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36896264","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Needs-Based Planning for Substance Use Treatment Systems: The New Generation of Principles, Methods, and Models","authors":"B. Rush, J. Tremblay, T. Babor","doi":"10.15288/jsads.2019.s18.5","DOIUrl":"https://doi.org/10.15288/jsads.2019.s18.5","url":null,"abstract":"","PeriodicalId":17103,"journal":{"name":"Journal of Studies on Alcohol and Drugs. Supplement","volume":"97 1","pages":"5 - 8"},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90897041","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development of a Needs-Based Planning Model to Estimate Required Capacity of a Substance Use Treatment System.","authors":"Brian Rush, Joël Tremblay, David Brown","doi":"10.15288/jsads.2019.s18.51","DOIUrl":"10.15288/jsads.2019.s18.51","url":null,"abstract":"<p><strong>Objective: </strong>Substance use services and supports have traditionally been funded without the benefit of a comprehensive, quantitative planning model closely aligned with population needs. This article describes the methodology used to develop and refine key features of such a model, gives an overview of the resulting Canadian prototype, and offers examples and lessons learned in pilot work.</p><p><strong>Method: </strong>The need for treatment was defined according to five categories of problem severity derived from national survey data and anticipated levels of help-seeking estimated from a narrative synthesis of international literature. A pan-Canadian Delphi procedure was used to allocate this help-seeking population across an agreed-upon set of treatment service categories, which included three levels each of withdrawal management, community, and residential treatment services. Projections of need and required service capacity for Canadian health planning regions were derived using synthetic estimation by age and gender. The model and gap analyses were piloted in nine regions.</p><p><strong>Results: </strong>National distribution of need was estimated as Tier 1: 80.7%; Tier 2: 10.4%; Tier 3: 6.1%; Tier 4: 2.6%; and Tier 5: 0.2%. Pilot work of the full estimation protocol, including gap analysis, showed the results triangulated with other indicators of need and were useful for local planning.</p><p><strong>Conclusions: </strong>Lessons learned from pilot testing were identified, including challenges with the model itself and those associated with its implementation. The process of estimation developed in this Canadian prototype, and the specifics of the model itself, can be adapted to other jurisdictions and contexts.</p>","PeriodicalId":17103,"journal":{"name":"Journal of Studies on Alcohol and Drugs. Supplement","volume":"Sup 18 ","pages":"51-63"},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6377026/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41132107","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Need for Needs-Based Planning: A Commentary.","authors":"Jeremy W Bray","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":17103,"journal":{"name":"Journal of Studies on Alcohol and Drugs. Supplement","volume":" ","pages":"112-113"},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6377014/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36896695","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}