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首页> 外文期刊>Journal of public health management and practice: JPHMP >Multidisciplinary Team Reviews of Drug Overdose Deaths and the Use of Minigrants to Advance Recommendations: A Statewide Pilot in Rhode Island
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Multidisciplinary Team Reviews of Drug Overdose Deaths and the Use of Minigrants to Advance Recommendations: A Statewide Pilot in Rhode Island

机译：多学科团队评论药物过量死亡和使用流体的使用提前建议：罗德岛的全州飞行员

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Context: Rhode Island has been significantly impacted by the opioid epidemic, ranking 11th in unintentional drug overdose rates in the United States in 2017. Illicit fentanyl was involved in the majority of these deaths. Program: To enhance surveillance of this epidemic, the RI Department of Health piloted in-depth, multidisciplinary, and multiagency team reviews of drug overdose deaths. The goals were to identify gaps in policies and programming and develop recommendations to prevent future deaths. Time-sensitive minigrants were offered to nonprofit organizations as a novel way to further the recommendations put forth from these reviews. Implementation: Legal agreements between select state agencies and institutions enabled broad team representation and the sharing of information during each meeting. Reviews, revolving around a common theme, were conducted for up to 10 deaths each quarter. Recommendations for prevention were generated by the team and summarized in a report to the Governor's Overdose Prevention and Intervention Task Force and the public within 1 month of each meeting. Announcements of minigrant opportunities and funding to advance the community-specific recommendations were paired with each meeting. Evaluation: From November 2016 through May 2018, the pilot team convened 7 times, generated 78 recommendations, and distributed 31 minigrants. Early process evaluations of these grants have shown positive impact within local environments. Following the pilot phase, state legislation for these reviews was passed in June 2018. Discussion: The RI Department of Health was able to successfully pilot a multidisciplinary review process for overdose deaths and has recently institutionalized this process through legislation. The successful implementation of many of the team's community-oriented recommendations, supported through a minigrant process, highlights the impact that small financial investments can have to address the opioid epidemic and may be a model for other jurisdictions seeking to advance recommendations from these types of reviews.
机译：背景信息：罗德岛受到阿片类疫情的显着影响，2017年美国在美国无意的药物过量速度排名。非法芬太尼参与了这些死亡的大部分。计划：加强对这种流行病的监测，RI健康部门进入深入，多学科和多元化团队审查药物过量死亡。目标是确定政策和规划的差距，并制定预防防止未来死亡的建议。将非营利组织提供的时间敏感的流体分类为进一步提出这些评论的建议。实施：选择国家机构和机构之间的法律协议使广泛的团队代表性和每次会议期间的信息分享。每季度循环围绕共同主题循环评论，每季度最多可达10人死亡。预防建议由团队产生，并在每次会议的1个月内向总督过度预防和干预工作队和公众的报告总结。宣布发条机会和资助进入社区特定建议与每次会议配对。评价：2016年11月至2018年5月，试点小组召开了7次，产生了78项建议，并分发了31个流体饲养员。这些补助金的早期过程评估在本地环境中显示出积极的影响。在试点阶段，这些审查的国家立法于2018年6月通过。讨论：RI卫生部能够成功飞行多学科审查进程，以便通过立法制度化这一进程。成功实施了许多团队的社区型建议，通过流产过程支持，突出了小型金融投资必须要解决阿片类药物流行病的影响，并且可能是寻求从这些类型评论推荐建议的其他司法管辖区的模型。

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