Disruptions to U.S. local public health’s role in population-based substance use prevention and response during COVID-19

Abstract Background COVID-19 dramatically limited the scale and scope of local health department (LHD) work, redirecting resources to the response. However, the need for essential public health services—including substance use prevention—was not reduced. Methods We examined six quantitative data sou...

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Main Authors: Kellie Hall, Francis Higgins, Karla Feeser Beach, Kabaye Diriba, Mandy Sladky, Timothy C. McCall
Format: Article
Language:English
Published: BMC 2022-11-01
Series:Substance Abuse Treatment, Prevention, and Policy
Subjects:
Online Access:https://doi.org/10.1186/s13011-022-00499-7
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author Kellie Hall
Francis Higgins
Karla Feeser Beach
Kabaye Diriba
Mandy Sladky
Timothy C. McCall
author_facet Kellie Hall
Francis Higgins
Karla Feeser Beach
Kabaye Diriba
Mandy Sladky
Timothy C. McCall
author_sort Kellie Hall
collection DOAJ
description Abstract Background COVID-19 dramatically limited the scale and scope of local health department (LHD) work, redirecting resources to the response. However, the need for essential public health services—including substance use prevention—was not reduced. Methods We examined six quantitative data sources, collected between 2016 and 2021, to explore the impact of the COVID-19 pandemic on LHD substance use-related services. Results Before the pandemic, the proportion of LHDs providing some level of substance use prevention services was increasing, and many were expanding their level of provision. During the pandemic, 65% of LHDs reduced their level of substance use-related service provision, but the proportion of LHDs providing some level of services remained steady from prior to COVID-19. Conclusion We discuss policy recommendations to mitigate the risk of service disruptions during future public health emergencies, including direct and flexible funding for LHDs and federal directives declaring substance use prevention services as essential.
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spelling doaj.art-76b4c8bd7fd34b9ea2b36c3789b4eba02022-12-22T04:39:17ZengBMCSubstance Abuse Treatment, Prevention, and Policy1747-597X2022-11-011711910.1186/s13011-022-00499-7Disruptions to U.S. local public health’s role in population-based substance use prevention and response during COVID-19Kellie Hall0Francis Higgins1Karla Feeser Beach2Kabaye Diriba3Mandy Sladky4Timothy C. McCall5National Association of County and City Health OfficialsNational Association of County and City Health OfficialsMathematica Policy ResearchSubstance Abuse and Mental Health Services AdministrationPublic Health – Seattle & King CountyNational Association of County and City Health OfficialsAbstract Background COVID-19 dramatically limited the scale and scope of local health department (LHD) work, redirecting resources to the response. However, the need for essential public health services—including substance use prevention—was not reduced. Methods We examined six quantitative data sources, collected between 2016 and 2021, to explore the impact of the COVID-19 pandemic on LHD substance use-related services. Results Before the pandemic, the proportion of LHDs providing some level of substance use prevention services was increasing, and many were expanding their level of provision. During the pandemic, 65% of LHDs reduced their level of substance use-related service provision, but the proportion of LHDs providing some level of services remained steady from prior to COVID-19. Conclusion We discuss policy recommendations to mitigate the risk of service disruptions during future public health emergencies, including direct and flexible funding for LHDs and federal directives declaring substance use prevention services as essential.https://doi.org/10.1186/s13011-022-00499-7Local public healthOverdose preventionCOVID-19
spellingShingle Kellie Hall
Francis Higgins
Karla Feeser Beach
Kabaye Diriba
Mandy Sladky
Timothy C. McCall
Disruptions to U.S. local public health’s role in population-based substance use prevention and response during COVID-19
Substance Abuse Treatment, Prevention, and Policy
Local public health
Overdose prevention
COVID-19
title Disruptions to U.S. local public health’s role in population-based substance use prevention and response during COVID-19
title_full Disruptions to U.S. local public health’s role in population-based substance use prevention and response during COVID-19
title_fullStr Disruptions to U.S. local public health’s role in population-based substance use prevention and response during COVID-19
title_full_unstemmed Disruptions to U.S. local public health’s role in population-based substance use prevention and response during COVID-19
title_short Disruptions to U.S. local public health’s role in population-based substance use prevention and response during COVID-19
title_sort disruptions to u s local public health s role in population based substance use prevention and response during covid 19
topic Local public health
Overdose prevention
COVID-19
url https://doi.org/10.1186/s13011-022-00499-7
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