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Public/Population Health Approach to Substance Use Disorders (SUD)

This article discusses the importance of implementing a public health approach to address substance use disorders (SUD), focusing on upstream and downstream interventions, working across sectors, and targeting marginalized groups. It explores key considerations for intervention, community outreach, provider education, system changes, and program evaluation and improvement.

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Public/Population Health Approach to Substance Use Disorders (SUD)

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  1. Public/Population Health Approach to Substance Use Disorders (SUD) • The greatest good for the most people • Upstream and downstream interventions • Working within the healthcare sector at different levels and cross multiple sectors • Focusing on marginalized, underserved groups of greatest risk • Sharing data and best practices widely 090719

  2. Public/Population Health Approach to Substance Use Disorders (SUD) • Is there a heavy disease burden? Severity & extent of problem? • Is there an evidence-based best practice for intervention? • Do we have resources for intervention? Staff, Space? • Do we have community partners to collaborate? • Do we need a formal or legal agreement?

  3. Public/Population Health Approach to Substance Use Disorders (SUD) • Determine the Burden of Substance Abuse and Service Barriers to Develop Plan of Action • Outreach to Inform and Influence the Public • Outreach to Educate and Prepare Providers • Work with Communities for Systems Change • Evaluate and Improve Quality of Care and Evidenced-Based Programs

  4. Determine the Burden of Substance Abuse • Identify people who are most at risk for substance use disorders (SUDs) • Identify modifiable risk factors to reduce the incidence of substance abuse/dependency • Identify disparities in the prevalence of abuse among ethnic, racial, gender, age groups and develop interventions for at risk • Identify barriers that prevent people from choosing healthy behaviors/lifestyles, including social determinants of health • Develop and enhance state substance abuse prevention and treatment action plans

  5. Outreach to Inform and Influence the Public • Increase awareness of the relationship between substance abuse and adverse health, social, and environmental factors • Create local communication campaigns to motivate/facilitate people to engage in healthy lifestyles and reduce stigma related to drug use and treatment • Develop and deliver relevant educational materials, media campaigns and other community outreach • Promote partnerships with community groups to educate the public regarding substance use • Conduct specific programs and projects with incentives to reach those most affected and most vulnerable

  6. Outreach to Educate and Prepare Providers • Work with health care providers to ensure that they educate their patients about the importance of disease prevention (Harm Reduction) relative to substance abuse • Work with health care professionals to ensure that appropriate treatment services are available and accessible in the most efficient manner possible • Educate providers on evidenced-based best practices and local resources available and necessary to aid Substance Abuse prevention and treatment • Work with counselors, MD/NP/PAs, hospitals, community health centers, schools and other providers to ensure awareness and use of ASAM/SAMHSA standards of care

  7. Work with Communities for System Changes • Work with community organizations in coalitions/councils to develop and promote healthy lifestyles and resources needed to address substance abuse prevention and treatment • Work with public and private decision-makers to develop policies to engage evidence-based approaches to substance abuse prevention and treatment and maximize their availability and funding (upstream & downstream; within healthcare sector and across related sectors) • Work with sub-populations of communities (e.g., justice involved individuals, homeless, co-diagnosed) most at risk of SUD, with emphasis on stigma prevention/reduction • Work with government leaders and agencies to coordinate community services around the prevention & treatment of substance use/misuse/abuse

  8. Evaluate and Improve Programs • Analyze data such as vital statistics, program discharge data, and surveillance data to measure program impact and use findings for program improvement • Identify/implement strategies that strengthen community resiliency, rehabilitation & recovery for substance abuse • Increase research and evaluation on prevention and interventions for substance abuse and develop and disseminate best practice guidelines • Network with community providers to assess and enhance recovery program access and outcomes and collaborate to ensure continuous performance improvement

  9. For More Information NMDOH Epidemiology/Substance Abuse Unit https://nmhealth.org/about/erd/ibeb/sap/ CDC Persons Who Inject Drugs https://www.cdc.gov/pwid/index.html SAMHSA Medication Assisted Treatment https://www.samhsa.gov/medication-assisted-treatment Contra Costra Spectrum of Prevention https://cchealth.org/prevention/spectrum/

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