Introduction
Dallas in Texas is among the common rampant drug users in the U.S. In order to address this problem, community health nurses can utilize the reach of social media to create powerful methods for prevention and intervention. Throughout this study, a social media initiative designed to curb drug usage among Dallas’s youth. The campaign uses social marketing initiatives and other evidence-based approaches to reach the target audience and inform them about the dangers of substance addiction. The program seeks to encourage young adults to make healthy lifestyle decisions by fostering a network of support through collaboration with local organizations and key stakeholders. This campaign shows how community health nurses may use technology to promote population health, which is especially important as social media’s role in healthcare continues to rise.
Community Health Nursing Diagnosis Statement and Health Inequity
Community Health Nursing Diagnosis Statement
The prevalence of mental health problems is exacerbated by the stress, isolation, and lack of therapeutic alternatives that accompany drug abuse. Substance abuse and mental health problems are becoming more prevalent as fewer and fewer people are aware of how to receive help. In Dallas, Texas, drug misuse is widespread, particularly among the city’s youth, the poor, and those with mental illness (Edwards, 2017). Un aware of the dangers of drug use, less access to health care, and use drugs more frequently. The absence of resources for prevention and treatment, especially for those who are most at risk, is the main factor causing injustice and imbalance in Dallas, Texas.
Recognizing the underlying causes of substance misuse and mental illness and implementing effective solutions will help reduce their prevalence. A community nurse typically has the goal of bettering the community as a whole. My goals as a community health nurse will be to improve access to mental health resources, stress management techniques, and medical treatment generally, and to raise public awareness about these issues (Priddy et al., 2018). To properly address this issue, however, healthcare providers and community groups must work together.
Explanation of Health Inequity or Health Disparity
To a greater extent over others, members of some geographical groups in Dallas, Texas are more likely to engage in drug misuse. As a result, these communities may be harmed by the lack of resources aimed at preventing and reducing substance usage. Substance abuse is more prevalent in Dallas, Texas’s low-income neighborhoods and communities of color, according to a study by Dallas County Health and Human Services (Edwards, 2017). These populations may be more prone to substance abuse and health issues because to a lack of access to healthcare and other resources. Drug abuse and the resulting lack of access to health care and other services are major contributors to Dallas, Texas’s health disparities. For those who struggle with substance abuse, the cost of treatment is frequently prohibitive. People who struggle to quit using drugs frequently lack access to counseling, which increases their risk of overdose and other serious health consequences according to Lee et al. (2020).
In addition, the hazards of drug usage in different parts of Dallas, Texas, are not widely known. This could make those with mental health issues and young people more susceptible to substance abuse. Due to a lack of education and resources aimed at prevention, people in these areas may be unaware of the dangers of drug use and have no idea where to turn for help. Addressing the underlying causes of health disparity and health disparities due to substance misuse is essential for preventing and reducing substance usage in Dallas, Texas. Community health nurses, who work in their neighborhoods to spread knowledge about the risks of substance abuse, can be helpful in this regard. Dallas, Texas residents and their surrounding communities can benefit greatly from community health nursing’s focus on prevention and early intervention when it comes to the negative health effects of substance abuse (Edwards, 2017).
Additionally, addicts are more likely to experience discrimination in the workplace or other settings, limiting their opportunities and further exacerbating health disparities, thus developing various mental disorders like substance-induced psychosis (Schuler et al., 2018). Additionally, some government policies remarkably stigmatize individuals abusing illegal drugs, making it even worse for addicts to seek help and access comprehensive healthcare services. Limited support and access to quality healthcare services may lead the addicts to develop mental health issues that significantly affect their lives. In addition, the community with many addicts is usually underserved, underfunded by the government, or has limited resources and may not have access to substance abuse prevention programs or effective treatment options.
Primary Community and Prevention Resources
Dallas, Texas, has several important community and prevention resources to help stop and reduce substance abuse, a health concern. People who are addicted to narcotics can get assistance from public health initiatives, support groups, and programs designed specifically for this purpose.
Drug Treatment Programs
People struggling with drug abuse need drug treatment programs. These programs offer a wide range of services, such as rehab programs, treatment with medication, counseling, and support groups ((Pourmarzi et al., 2019). Outpatient, residential, and intensive outpatient programs are just few of the many available in Dallas for those seeking help for drug abuse. The Dallas County Substance Abuse Program (DCSAP) is a good example of a facility that helps people who are struggling with drug abuse get the help they need.
Prevention Programs
Prevention of drug abuse from ever starting is a major goal for drug abuse prevention programs. Young adults and adolescents at high risk for substance abuse are the target group to these services. According to Abe et al. (2019), most prevention programs focus on education and skill-building to help people make healthy and avoid risky decisions. There are many resources in Dallas, Texas, aimed at preventing youth involvement in unlawful activities. Programs like these can be found in the community or in schools. Drug Abuse Resistance Education (DARE) initiative is an example of an anti-drug education program used in schools.
Through the provision of positive role models, support, and guidance, mentoring programs, at-risk youth are able to effectively reduce the prevalence of substance misuse in their communities (Williams et al., 2019). A way of how mentoring programs can help prevent substance abuse is building positive relationships. Substance abuse is mitigated when people have less opportunity for social isolation and higher levels of self-esteem. Youth benefit from mentors’ ability to cultivate meaningful connections by gaining a feeling of community and belonging.
Public Health Campaigns
Efforts to better the public’s health typically involve campaigns that inform the public about the dangers of substance abuse and promote positive behavioral changes. These campaigns mostly utilize a wide variety of media, including television, radio, and social media, to reach a wide audience (Snijder et al., 2018). Campaigns designed to improve public health either in on a particular group or aim their attention more broadly. In Dallas, Texas, various public health programs are now running, like “Speak They Hear You.” This campaign is intended to assist parents, and other caregivers in conversing with their children about the dangers of substance addiction.
Support Groups
Support groups are the primary community and preventative resources in Dallas, Texas, to help prevent and minimize drug misuse. Individuals who are struggling with substance misuse can get the moral, social, and emotional assistance they need at a nearby support group. Snijder et al. (2018) notes that one of the greatest benefits of support groups is that they help individuals who may feel isolated or judged due to their substance usage become part of a community. People who join support groups can find someone to talk to about their experiences. For those without a large social support system, such a feeling of belonging is invaluable. Those experiencing difficulties with substance abuse have access to numerous services in Dallas, Texas. Dallas is gateway to a member of Alcoholics Anonymous (AA), a fellowship that helps alcoholics and others close to them via a twelve-step program. Members of the program are encouraged to attend meetings, share their experiences, and work through the Twelve Steps in order to achieve and maintain self – control.
Substance abuse health inequalities and inequities persist in Dallas despite the city’s wealth (Lee et al., 2020). Many people in need, particularly those with limited financial resources or those dealing with mental health issues, may be unable to take advantage of these resources or may have difficulty accessing care for other reasons, such as not knowing where to go or how to get there. This highlights the need to continue increasing availability of such tools and addressing the social determinants of health that contribute to substance addiction in these areas. Overall, the key community and prevention resources in Dallas, Texas, to prevent and minimize drug usage, include drug treatment programs, prevention programs, support groups, and public health campaigns. To ensure everyone has access to the tools and support necessary to prevent and treat substance misuse, however, considerable health disparities and inequities still need to be addressed.
Underlying Causes of Substance Abuse in Dallas, Texas
People in Dallas, Texas takes drugs for a variety of reasons. These causes must be addressed to prevent and reduce drug usage in the community. Poverty is one of the key reasons because it can produce a lot of stress and problems that might lead to drug usage. To alleviate their feelings of helplessness or confinement, some poor people may turn to drugs or alcohol users (Mack et al., 2017). Because of this, people who are poor may find it more difficult to access the health care and social services they need, which makes it harder for them to get the therapy they need to kick their drug addiction.
Another main cause is people’s limited access to healthcare, particularly mental health therapies. If proper treatment and medication are not given, people with mental health issues may self-medicate with alcohol or drugs. Addicts without medical coverage or financial resources may also be hesitant to seek help. In addition to this, another underlying reason of substance addiction in Dallas, Texas (Edwards, 2017) is a lack of knowledge regarding the dangers linked with substance misuse. Many people do not comprehend the impacts of consuming substances like alcohol or drugs, and they may not be aware of the available solutions to aid them in resolving problems associated to substance addiction. This lack of education might lead to greater experimenting with substances like alcohol or drugs, increasing the likelihood of developing an addiction.
Substance abuse is also linked to factors in people’s social and cultural environments. Example: when people are around those who are already using drugs or alcohol, they may feel pressured to give it a try themselves. They can be subjected to harmful substances in specific circumstances, such as parties or other social events (Jones et al., 2020). People may find it harder to recognize the negative effects of drug or alcohol use and get help for addiction if their culture makes it harder for them to do so.
Evidence-Based Practice for Preventing and Reducing Substance Abuse
Prevention and reduction of drug use is a complex public health issue requiring a variety of approaches. For effective community-wide responses to drug misuse, evidence-based practice is crucial. Evidence-based practices are those that have been repeatedly examined by scientists to determine their efficacy. Methods that have been shown to successfully minimize and prevent drug usage are discussed in this section for the city of Dallas.
Screening and Brief Intervention
Substance abuse can be prevented and reduced through the use of screening and brief intervention (SBI). Substance abuse prevention through brief intervention (SBI) entails locating people who are vulnerable to developing an addiction and then giving them with a brief intervention to help them avoid developing an addiction in the first place (Johnson, 2020). By spotting these people early and providing them with intervention services, we can prevent substance misuse from ever beginning. The intervention may include teaching, motivational interviewing, and therapy referrals if those options prove inadequate. Substance addiction among Dallas, Texas’s youth and the city’s mentally ill can be reduced with better education about the risks of using drugs.
Medication-Assisted Treatment
Medication-assisted therapy (MAT) is yet another option backed up by evidence. In addition to talk therapy and other behavioral techniques, certain medications, such as methadone, buprenorphine, and naltrexone, are sometimes used as part of the treatment for substance abuse. It has been established that MAT is successful in minimizing the number of opioids consumed as well as the number of overdoses caused by opioids (Oesterle et al., 2019). Thus, young people and persons with mental health problems in Dallas, Texas, who cannot control themselves even after obtaining information about how to do so may be aided by using medicine to lessen their substance usage.
Community-Based Prevention Programs
Another set of strategies that has been found to be effective in preventing and decreasing drug misuse is community-based preventive initiatives. These programs are aimed to stop persons at risk, particularly young people and people with mental health problems, from misusing drugs (SAMHSA, 2019). Community-based preventive programs can take many forms, including those offered in schools, after-school settings, and wider communities. These initiatives can also help dismantle the cultural and social norms that contribute to drug misuse. So that kids don’t observe drug usage at parties, for instance, authorities are cracking down on such events and imposing rigorous regulations.
In addition to evidence-based methods, environmental modifications and new policies are regular components of effective preventative interventions. Raising the price of alcohol and tobacco goods through taxing is one example of an environmental and policy adjustment that effectively prevents and reduces substance dependence. Other environmental measures include limiting access, increasing prices, and enforcing laws to minimize drug trafficking and sales. Avoiding and treating substance dependence can be facilitated by behavioral therapies, which have been found to be successful. Cognitive-behavioral therapy (CBT) is a method of behavioral treatment for substance dependence that focuses on identifying and altering dysfunctional patterns of thought and action, as described by Magill et al. (2019). It has been shown that cognitive behavioral therapy (CBT) is a valuable aid to medicines for the treatment of substance abuse problems. Hence, in Dallas, Texas, dangerous substance abusers’ behaviors can be evaluated and adjusted using medicine to help reduce substance use.
Motivational interviewing is another type of behavioral treatment that has shown promise in lowering and preventing substance abuse. The goal of the client-centered technique known as motivational interviewing is to increase an individual’s drive to alter their behavior by emphasizing the benefits that will accrue to them as a result of making the desired changes. Exploring an individual’s ambivalence toward change and working with that individual to uncover their reasons for change are both components of this method. In addition to these successful behaviors, several other tactics can effectively prevent and reduce the use of addictive substances. Campaigns of the type known as community-based social marketing, for instance, are beneficial in promoting healthy behaviors and reducing the abuse of substances. Campaigns utilizing social media have the potential to be highly effective in reaching broad and varied audiences with focused prevention messages.
In conclusion, it is essential to use various practices and tactics supported by empirical research if one wishes to effectively avoid and cut back on substance usage. Behavioral therapies, community-based preventive programs, changes to the environment and policies, and other environmental and policy changes are all effective ways that can be utilized to prevent and reduce substance misuse. In addition, using social media and other communication technologies can efficiently reach big audiences consisting of various people with preventative messages specifically tailored to them. Overall, a systematic approach is necessary to prevent and reduce substance addiction, as this is the only way to effectively treat and prevent substance use disorders. This is the only way to prevent and reduce substance abuse successfully. Using a combination of these strategies, it is possible to boost a community’s health and well-being while also reducing the prevalence of substance abuse.
Data on Preventing and Reducing Substance Abuse in Dallas Texas
According to the Texas Department of State Health Services, 2,770 individuals died as a result of drug overdoses in the year 2020. The Dallas–Fort Worth–Arlington metropolitan area was the scene of a disproportionately high number of these fatalities. According to the Texas Health and Human Services Commission, alcohol is the state’s drug that is abused at a higher rate than any other substance. According to Glantz et al. (2020) research, prescription medications and marijuana rank in second and third, respectively. According to the Dallas County Health and Human Services Department, the number of people who have died in Dallas County as a result of an overdose of a substance has climbed in recent years, with 517 deaths in 2019 alone. In addition, the department reports that the death rate due to drug overdoses in Dallas County is greater for those between the ages of 25 and 34, people who are non-Hispanic Black, and males.
Abuse of substances can lead to a wide variety of negative health effects, including mental health problems, chronic diseases, and infectious diseases such as HIV and Hepatitis C. In addition to the deaths that can occur as a result of overdoses, these negative health effects can also include deaths (Abe et al., 2019). Substance abuse also has ramifications for society and the economy, such as an increase in the rate of crime and a reduction in the amount of work that is completed by workers. According to the statistics, substance misuse is a major issue affecting the public’s health in the city of Dallas, Texas, and the methods of prevention and intervention need to be more comprehensive. In addition, the effects of the COVID-19 pandemic on the patterns of substance misuse are not yet completely established, which means that the numbers for 2023 may be different. The drug overdose fatality rate in Dallas County is the second highest in the Dallas–Fort Worth metropolitan area, at 14.4 deaths per 100,000 residents. Between the years 2018 and 2020, there was an observed increase in the number of deaths (Texas, 2022).
Community Health Nursing Social Media Campaign Strategy
The objective of the Social Media Campaign
Developing a social media campaign strategy to address substance abuse can be a powerful tool to promote community health nursing. The objective of the social media campaign is to prevent and reduce drug use in Dallas, Texas. In order to accomplish this, we will spread awareness about the dangers of substance usage, push for constructive lifestyle changes, and streamline access to help for people who are struggling with addiction.
Population-Focused Social Marketing Interventions
Influencer Marketing
Influencer marketing is a social media technique that involves working with people with many following on social media platforms such as Instagram, TikTok, and Twitter to convey a message about health. The influencer could be a famous person, a star athlete, or a prominent citizen. The idea is to harness the influencer’s credibility and reach to make the health message more apparent and have an immense effect.
To employ influencer marketing in our social media campaign, we would find important people in the Dallas area who care a lot about reducing drug usage and have a significant following. We would give the people with much influence accurate, evidence-based information about the hazards and impacts of drug use and urge them to talk about their own tales and experiences with addiction. We would also give the influencer information on services and aid for people battling with addiction. We encourage them to advocate healthy lifestyle choices like exercising, eating healthily, and practicing mindfulness. Influencer marketing would help communicate the message about health to more individuals, especially young people who are most likely to use drugs. Furthermore, putting a face to the health message would make it more approachable and memorable.
Peer-to-Peer Education
Those at risk for substance abuse can learn about the dangers of addiction and develop advocacy skills by participating in peer-to-peer education programs (IvyPanda, 2022). By fostering an environment where they feel accepted, providing them with emotional and practical support, and arming them with the resources they need to overcome their illness, addiction sufferers can be healed.
To use peer-to-peer teaching in our social media campaign, we would develop an online community where people battling with addiction may join, share their experiences, and provide each other support and encouragement. We would also present truthful, evidence-based information about the risks and impacts of drug use and advocate healthy lifestyle choices including exercise, good diet, and practicing mindfulness. Peer-to-peer education would improve the health message by giving persons battling with addiction a sense of community and support. Most importantly, it would equip people to help those at risk of substance misuse make better decisions about their own lives by sharing their own experiences and insights.
Justification for the Social Marketing Interventions
Influencer marketing and peer-to-peer education are also fantastic strategies to leverage social marketing to share our health message. Influencer marketing works best with young people who are most prone to attempt drugs because they are more likely to be influenced by what their friends and role models say and do. Addicts gain a lot from peer-to-peer education because it helps them feel accepted and supported by the group, and it gives them the tools they need to take control of their own recovery and make positive changes.
In conclusion, the social media campaign in Dallas, Texas, aims to prevent and reduce substance abuse by using influencer marketing and peer-to-peer education to disseminate information about the risks of substance abuse, inspire people to make healthier lifestyle choices, and provide access to treatment for those who need it. These social marketing methods have been found to boost the impact of health education messaging; consequently, they should not be shunned. There will be less harm caused to individuals, families, and society as a whole due to substance misuse if these policies are implemented.
Social Media Platform Appropriate for Communicating with the Target Population
Instagram is a wonderful medium for speaking to young adults about preventive health care because it is a social media network they already use. When it comes to sharing photos, videos, and other forms of media, Instagram is the app of choice among today’s youth. As of January 2022, 71% of Instagram’s 1.25 billion monthly active users were under the age of 35, according to the platform’s statistics.
Instagram’s visual nature makes it a good fit for spreading preventative healthcare awareness messages. This makes it a great resource for disseminating visually appealing and informative health-related content, which is especially useful for capturing the attention of young adults. Also, Instagram supports the use of hashtags, which can extend the impact of health messages beyond the initial followers.
The Instagram health message about preventing and reducing drug use can significantly help young adults. Many young adults are at risk of abusing drugs, especially since peer pressure and stress from school, work, and relationships are so standard. By giving young adults informative and interesting content that has to do with preventing and reducing substance abuse, they can learn more about the risks of substance abuse and the benefits of making healthy choices, as cited by Edwards (2017). Ultimately, this can help young adults in Dallas, Texas have better physical and mental health.
The benefit of Health Message on Drug Addicts
Substance abuse victims might benefit greatly from health messages that encourage them to get help, alter their behavior, and boost their general health and well-being. Health messaging may make a difference for people battling substance abuse by increasing understanding, inspiring action, dispelling myths, and giving resources and support. Using the social media platform mentioned earlier will bring people from different works of life to support those who need it.
Best Practices for Implementing social media Tools for Health Marketing
According to IvyPanda (2022), using social media tools to promote health can effectively keep young adults from using drugs and reduce their drug use. Even so, basic practices must be adhered to guarantee that the intended audience receives the message. Some of the most effective uses of social media in health promotion include the following:
- Know your audience: For social media campaigns to work, you must know whom you are trying to reach. To make content that resonates with your audience, you need to know their interests, needs, and preferences.
- Social media success requires using evidence-based messaging, which ensures that the information disseminated is accurate.
- Use of social media influencers to help you reach a much larger audience. These notable persons have a big online following and can spread the word about the campaign.
- Make use of interesting content. Videos, photographs, and infographics are just a few examples of interesting content that may be used in social media campaigns.
- Provide resources and support: To aid young adults and other substance abusers in their fight against substance abuse, social media campaigns should offer information and encouragement. Support groups and treatment center listings may also be included.
- Monitor and evaluate: The social media campaign’s success can only be gauged by constantly checking and analyzing the data. Campaign success may be gauged by looking at metrics like engagement, reach, and conversions, from which adjustments can be made.
To sum up, by following these best practices, social media tools can be effectively used for health marketing to prevent and reduce substance use among young adults and other substance abusers in Dallas, Texas.
Social Media Campaign Implementation Plan
Stakeholder Roles and Responsibilities
Involvement and coordination from many parties are crucial to the campaign’s success (IvyPanda, 2022). Community leaders, healthcare providers, online opinion leaders, and young adults are among the campaign’s most important target audiences. The following is a breakdown of the duties and responsibilities that belong to each stakeholder:
- Community leaders: Help promote the campaign and get people involved by giving them support and resources.
- Healthcare professionals: Provide their knowledge and advice on health messages and the best ways to stop people from using drugs.
- Social media influencers use their platform to share campaign messages and encourage healthy living.
- Young Adults: Tell their friends about and actively participate in the campaign.
- Organizations- Substance misuse social media campaigns, may benefit significantly from the involvement of government offices, profit and non-profit organizations, and community groups. They know the relevant people to reach, have the resources to do it, and can effectively convey the message. Loyal followers of quality brands will automatically support the campaign when the companies join the bandwagon.
Potential Partnerships
The success of the campaign can be increased by public-private partnerships (Edwards, 2017). Collaborations could involve the government, NGOs, healthcare providers, universities, and companies. Partnerships can help the campaign reach and affect more people, get more resources and help, and last longer.
Timeline
The campaign will start in three parts over six months. In the first step, the campaign will be made and planned, including setting up social media accounts and making content. In the second phase, the campaign will focus on making and sharing content, working with stakeholders, and spreading the word. The last step will be to evaluate how well the campaign worked and plan for future ones.
Evaluation
The campaign’s effectiveness will be evaluated using social media analytics, surveys, and focus groups. Social media analytics will measure the reach and engagement of the campaign. Surveys will be used to evaluate changes in knowledge and attitudes toward substance abuse among young adults. Focus groups will also give information about how the campaign worked and what could be done better.
I will evaluate the effectiveness of the campaign based on the extent of awareness, decreased number of addicts, social media impressions, engagement rates, website visits or referrals to treatment programs, and collection of data. A slow but steady growth in followers and analytics indicates more visits to social media platforms. There has not been any distinct change in the statistics in Dallas County.
Costs
The campaign’s implementation costs will vary based on the resources and relationships involved. But, compared to other marketing tactics, social media platforms are comparatively inexpensive. The essential expenses will be the time and resources required to create and distribute content and any fees related to partnerships and advertising. Finally, the implementation plan has the potential to be an effective instrument for promoting preventative healthcare and lowering substance addiction among young adults in Dallas, Texas. Cooperation among diverse stakeholders, public and commercial partnerships, and effective evaluation methods are critical to the social media campaign execution plan’s success.
Reflections
How Social Media Marketing Supports the Community Health Nurse’s Efforts to Promote Healthier Populations
Social media marketing is a powerful tool that the community health nurse in Dallas, Texas, can use to help make people healthier. Community health nurses can reach many people, including young adults who are more likely to use drugs, with health information through social media platforms. Social media allows community health nurses to connect with their target audience, have meaningful conversations, and encourage healthy lifestyle changes. Using social media, community health nurses can make their health campaigns more visible and reach more people. This can improve the health of the community as a whole. Social media also lets community health nurses collect and analyze data about how well their campaigns work. This lets them make decisions based on the data and keep getting better. This can also help determine where the campaign might need to be changed or adjusted to better meet the target audience’s needs.
How My Social Media Campaign Could Apply to My Future Nursing Practice
As a future nurse, I can use the strategies and best practices for social media marketing to promote preventive health measures and reduce drug abuse in my community. I can contact young adults and spread information about how drugs harm your health through social media sites like Instagram and Facebook. I can also tell people about local support groups, resources, and services to help them with drug trouble. I can collaborate with community groups, public health departments, and governmental entities to develop and implement social media campaigns aimed at reducing drug abuse. By working with these people, I can determine the target audience and create messages that speak to their needs and worries.
Conclusion
Drug misuse is a serious problem among young adults, but the Dallas, Texas, social media campaign has been shown to be an effective solution. The campaign attempts to increase awareness, train individuals, and give them resources for prevention and treatment. Two methods that have been proposed for using social marketing to reach a specific group are peer-led education and social media influencers. The campaign’s success will be measured by looking at analytics from social media and survey data. Using social media, community health nurses in Dallas, Texas, can assist locals in making healthier lifestyle choices and refraining from substance addiction. Public and commercial sectors can work together to carry out the campaign, with clear expectations for their contributions. The costs of the campaign include staff time, equipment, and resources. A social media campaign similar to this one might be used as a blueprint for how nurses can contribute to future efforts to address health issues in their communities.
References
Abe, C. M., Aguwa, M., Zhao, M., Sullivan, J., Porsa, E., & Nijhawan, A. E. (2019). Hepatitis C virus infection in the Dallas County jail: implications for screening, prevention, and linkage to care. Public Health Reports, 134(6), 626–633. https://journals.sagepub.com/doi/pdf/10.1177/0033354919874081
Edwards. J. (2017). Ph.D. Public Health Infrastructure Dallas County Health and Human Services. The following partners led the HORIZONS: The Dallas County Community Health Needs Assessment effort. https://www.researchgate.net/publication/320962033_Horizons_Dallas_County_Community_Health_Needs_Assessment
Glantz, M. D., Bharat, C., Degenhardt, L., Sampson, N. A., Scott, K. M., Lim, C. C., … & WHO World Mental Health Survey Collaborators. (2020). The epidemiology of alcohol use disorders cross-nationally: Findings from the World Mental Health Surveys. Addictive behaviors, 102, 106128. https://www.sciencedirect.com/science/article/pii/S0306460319304897
IvyPanda. (2022). Community Health Nursing Diagnosis Statement. https://ivypanda.com/essays/community-health-nursing-diagnosis-statement/
Johnson, K. L. (2020). Substance Screening, Brief Intervention, and Referral to Treatment in Rural Primary Care. https://archive.hshsl.umaryland.edu/handle/10713/13018
Jones, C. M., Clayton, H. B., Deputy, N. P., Roehler, D. R., Ko, J. Y., Esser, M. B., … & Hertz, M. F. (2020). Prescription opioid misuse and use of alcohol and other substances among high school students—Youth Risk Behavior Survey, United States, 2019. MMWR supplements, 69(1), 38. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7440199/
Lee, H., Kim, D., Lee, S., & Fawcett, J. (2020). The concepts of health inequality, disparities and equity in the era of population health. Applied Nursing Research, 56, 151367. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7521436/
Mack, K. A., Jones, C. M., & Ballesteros, M. F. (2017). Illicit drug use, disorders, and overdose deaths in metropolitan and nonmetropolitan areas—United States. American journal of transplantation, 17(12), 3241-3252. https://www.sciencedirect.com/science/article/pii/S160061352225254X
Magill, M., Ray, L., Kiluk, B., Hoadley, A., Bernstein, M., Tonigan, J. S., & Carroll, K. (2019). A meta-analysis of cognitive-behavioral therapy for alcohol or other drug use disorders: Treatment efficacy by contrast condition. Journal of consulting and clinical psychology, 87(12), 1093. https://psycnet.apa.org/record/2019-60860-001
Oesterle, T. S., Thusius, N. J., Rummans, T. A., & Gold, M. S. (2019, October). Medication-assisted treatment for opioid-use disorder. In Mayo Clinic Proceedings (Vol. 94, No. 10, pp. 2072-2086). Elsevier. Retrieved from https://www.sciencedirect.com/science/article/pii/S0025619619303933
Pourmarzi, D., Hall, L., Hepworth, J., Smirnov, A., Rahman, T., & FitzGerald, G. (2019). Clinical effectiveness, cost-effectiveness and acceptability of community‐based treatment of hepatitis C virus infection: a mixed method systematic review. Journal of Viral Hepatitis, 26(4), 432–453. Retrieved from https://onlinelibrary.wiley.com/doi/abs/10.1111/jvh.13045?casa_token=c3cqZolyHC4AAAAA:QoX9C-_sqi-lYPKSQT-7yX4ouED8RF0UDIk3RUjNgxCI6FrsmxklSJcycZNgfohpLN7CvyoLadXYDxuuxQ
Priddy, S. E., Howard, M. O., Hanley, A. W., Riquino, M. R., Friberg-Felsted, K., & Garland, E. L. (2018). Mindfulness meditation in treating substance use disorders and preventing future relapse: neurocognitive mechanisms and clinical implications. Substance abuse and rehabilitation, pp. 103–114.
SAMHSA. (2019). Substance Use and Mental Health Estimates from the 2014-2018 National Surveys on Drug Use and Health: NSDUH Metro Brief – Dallas. https://www.samhsa.gov/data/sites/default/files/NSDUHMetroBriefReports/NSDUHMetroBriefReports/NSDUH-Metro-Dallas.pdf
Schuler, M. S., Rice, C. E., Evans-Polce, R. J., & Collins, R. L. (2018). Disparities in substance use behaviors and disorders among adult sexual minorities by age, gender, and sexual identity. Drug and alcohol dependence, 189, 139-146.
Snijder, M., Stapinski, L., Lees, B., Newton, N., Champion, K., Chapman, C., … & Teesson, M. (2018). Substance use prevention programs for indigenous adolescents in the United States of America, Canada, Australia, and New Zealand: protocol for a systematic review. JMIR Research Protocols, 7(2), e9012. https://www.researchprotocols.org/2018/2/e38/
Texas, H. N. (2022, June 1). Healthy North TexasIndicators.Death Rate Due to Drug Poisoning County Dallas. https://www.healthyntexas.org/index.php?module=indicators&controller=index&action=view&indicatorId=2370&localeId=2631
Williams, A. R., Nunes, E. V., Bisaga, A., Levin, F. R., & Olfson, M. (2019). Development of a cascade of care for responding to the opioid epidemic. The American journal of drug and alcohol abuse, 45(1), 1–10.
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