Implementation of the Treatment and Recovery Portfolio of the 'From Harm to Hope' drug strategy in England: Results from a process evaluation

RAND | 2026-04-22 | health

Topics: Europe, Indo-Pacific, Trade, Health

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English Summary

This RAND process evaluation assesses the implementation of the 'From Harm to Hope' Treatment and Recovery Portfolio in England, analyzing the centralized distribution of £780 million in funding to local authorities. The study uses a mixed-methods approach to determine if the national strategy was executed as intended, focusing on the mechanisms by which central government guidance influenced local service delivery. Key findings identify specific pathways that are effective and highlight structural challenges in the current funding and governance model. The report provides critical policy recommendations aimed at improving the central delivery structure to optimize the national drug strategy and enhance local treatment outcomes.

中文摘要

本RAND過程評鑑旨在評估英格蘭「從危害到希望」治療與康復方案的實施情況，重點分析了中央向地方當局集中分配7.8億英鎊的資金機制。本研究採用混合方法論，旨在判斷國家策略是否如預期執行，特別關注中央政府指導如何影響當地服務提供。主要發現指出了哪些路徑是有效的，同時也揭示了當前資金和治理模式中的結構性挑戰。本報告提出了關鍵的政策建議，旨在改善中央交付結構，從而優化國家藥物策略並提升當地的治療成效。

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