SYNOPSIS

A public health emergency exists in the United States as a result of rising overdose deaths related to Opioid Use Disorder (OUD). With the rise of OUD has also come an increase in the number of children exposed to parents who suffer from an OUD. There is a pressing need for parenting interventions for individuals with OUD to provide safe environments for the children being reared in the face of this epidemic. Research on parenting with an OUD is sparse, but it is impractical to move linearly from basic research to program development and implementation given the urgent need for intervention - a trajectory that prior research has established takes approximately 17 years. We have created an outline of strategies that can be used to accelerate the pace of science so that parenting practices are more immediately improved for this population. First, we summarize what is already known about OUD and parenting to characterize mechanisms that existing interventions have targeted and optimal settings for the wide dissemination of implementable interventions. Next, we identify existing interventions that either specifically target parents with OUD or mechanisms specific to parents with OUD. We describe four different approaches for accelerating the pace of science to improve the lives of parents with OUD and their children. By doing so, we hope to provide a roadmap for future researchers and practitioners to deliver more timely evidence-based interventions to address the additional burden placed on families and communities due to the rise in OUD in the United States.

概要

由于阿片类药物使用障碍（OUD）引起的过量服用死亡人数上升，导致美国出现了公共卫生突发事件。随着OUD的增加，暴露于遭受OUD的父母的儿童数量也随之增加。迫切需要对OUD个体进行育儿干预，以为面对这种流行病的儿童提供安全的环境。使用OUD进行育儿的研究很少，但是鉴于迫切需要干预，从基础研究线性地转移到程序开发和实施是不切实际的-现有研究已经建立了大约17年的轨迹。我们创建了可用于加快科学步伐的战略纲要，以便针对该人群更迅速地改善育儿习惯。第一，我们总结了有关OUD和育儿的已知知识，以表征现有干预措施针对广泛实施可实施干预措施的目标和最佳设置的机制。接下来，我们确定现有的干预措施，这些干预措施要么专门针对OUD的父母，要么针对OUD父母的特定机制。我们描述了四种不同的方法来加快科学步伐，以改善OUD父母及其子女的生活。通过这样做，我们希望为未来的研究人员和从业人员提供一个路线图，以提供更及时的基于证据的干预措施，以解决由于美国OUD的增加而给家庭和社区带来的额外负担。