Addressing Substance Use and Misuse in East Texas: Stakeholder-Driven Needs and Priorities
- PMID: 36429934
- PMCID: PMC9690065
- DOI: 10.3390/ijerph192215215
Addressing Substance Use and Misuse in East Texas: Stakeholder-Driven Needs and Priorities
Abstract
Background-This project sought to assess needs, perceived challenges, and priorities regarding substance use disorder (SUD) in East Texas and develop a community-driven research agenda to address those challenges. Methods-Data were gathered through nine focus-group discussions (FGDs) with stakeholders: people living with SUD, families, medical providers, counselors, representatives of community-based organizations, and law enforcement officers. We asked participants how substance use manifests in their communities, which challenges they confronted in coping with substance use and misuse, and in which order their needs should be prioritized. Findings were reported at community forums to confirm the list of challenges and prioritize needs. Results-Five themes emerged from the FGDs indicating major challenges: (a) access to SUD treatment and recovery resources, (b) mental health and resiliency, (c) education, training, and professional development to facilitate treatments, (d) care and service coordination, and (e) community/social support for people living with SUD and their families. Conclusions-Significant resources such as financing, collaboration across silos, and community education are needed to effectively manage this public health problem. Our findings can inform research and outreach to help East Texans develop interventions, research programs, and educational opportunities for clinicians, community-based organizations, law enforcement officers, and counselors to build capacity for SUD prevention, treatment, and recovery.
Keywords: SUD; community based; community health; prevention; public health; recovery; stakeholders; substance misuse; substance use; treatment.
Conflict of interest statement
The authors declare no conflict of interest.
References
-
- Centers for Disease Control and Prevention. National Center for Health Statistics Multiple Cause of Death 1999–2016 on CDC WONDER Online Database. Data are from the Multiple Cause of Death Files, 1999–2016, as compiled from data provided by the 57 vital statistics jurisdictions through the Vital Statistics Cooperative Program. [(accessed on 23 September 2022)]; Available online: http://wonder.cdc.gov.
-
- U.S. Department of Health and Human Services HHS Acting Secretary Declares Public Health Emergency to Address National Opioid Crisis. [(accessed on 29 August 2022)]; Available online: https://public3.pagefreezer.com/browse/HHS.gov/31-12-2020T08:51/https:/w....
-
- Spencer M.R., Garnett M.F., Miniño A.M. National Center for Health Statistics; Hyattsville, MD, USA: 2022. [(accessed on 29 August 2022)]. Urban–rural differences in drug overdose death rates, 2020. NCHS Data Brief, no 440. Available online: https://stacks.cdc.gov/view/cdc/118601. - PubMed
-
- Ahmad F.B., Cisewski J.A., Rossen L.M., Sutton P. National Center for Health Statistics; Hyattsville, MD, USA: 2022. [(accessed on 29 August 2022)]. Provisional drug overdose death counts. Available online: https://www.cdc.gov/nchs/nvss/vsrr/drug-overdose-data.htm.
-
- Monnat S., Rigg K. The opioid crisis in rural and Small Town America. Carsey Res. 2018;135 doi: 10.34051/p/2020.332. - DOI
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources
Medical