Journal of studies on alcohol and drugs. Supplement JCR分区-刊鹿论文编译

Two Polar Considerations in Treatment System Planning: Infrastructure Development and Real-Time Management

Abstract:

40 PRIVATE MARKETS FAIL TO ACHIEVE either a sufficient supply of substance use disorder (SUD) services overall or an appropriate allocation of the right services to the right individuals at the right time. Prototypically, low-income individuals do not wield sufficient means to incentivize a robust supply of SUD services. Another market failure is the mismatch of needs and services. The famous “drinker’s pyramid” serves as a useful model, with most of the population being low risk, some being moderate or high risk, and a small group having a severe disease (Babor et al., 1999; Rush et al., 2014). Different “services” are needed for these different risk groups, with prevention and intervention services being the least likely to be supported by private markets. Meanwhile, demographics, socioeconomics, and geography often yield underserved populations. In the face of this market failure, public planners must take into account the fractured or non-existent market in their nations. Such planning can take many forms but must have clear, measurable objectives that are unique to their populations and culture, infrastructure, and resource constraints. Ritter et al. (2019), Rush and Urbanoski (2019), and Storbjörk and Stenius (2019) offer principles for planning systems with better quality, efficiency, a seamless continuum of care, and fully enfranchised populations. In recent years, the Inter-American Drug Abuse Control Commission of the Organization of American States (OASCICAD) has made efforts to improve the specialty treatment systems in constituent countries by increasing the use of evidence-based practices and improving infrastructure. As part of an independent evaluation of the projects of OAS and several countries, I observed firsthand their successful efforts to institutionalize training and certifications of individual service providers by government departments. Taking El Salvador as an example, 88 organizations around the country saw at least one of their staff trained and certified by the new program in its first year of operation (2011–2012). These organizations represented almost the whole universe of treatment programs registered with the federal government. Two thirds of them were nonprofit, nongovernmental organizations (NGOs), and the governmental organizations were associated with either the national health system or the COMMENTARY

Author Listing： Arnie Aldridge

Volume： Sup 18

Pages： 40 - 41

DOI： 10.15288/jsads.2019.s18.40

Language： English

Journal： Journal of Studies on Alcohol and Drugs. Supplement

Journal of studies on alcohol and drugs. Supplement

影响因子：0.0

是否综述期刊：否

是否OA：否

是否预警：不在预警名单内

发行时间：-

ISSN：1946-584X

发刊频率：-

收录数据库：Scopus收录

出版国家/地区：-

出版社：Alcohol Research Documentation, Inc.

期刊介绍

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自引率	0.0%
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偏重研究方向	Medicine-Medicine (all)
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时间	预警情况
2025年03月发布的2025版	不在预警名单中
2024年02月发布的2024版	不在预警名单中
2023年01月发布的2023版	不在预警名单中
2021年12月发布的2021版	不在预警名单中
2020年12月发布的2020版	不在预警名单中

JCR分区 WOS分区等级：Q0区

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WOS期刊SCI分区（2021-2022年最新版）

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