{"id":1171,"date":"2025-06-28T20:23:08","date_gmt":"2025-06-28T19:23:08","guid":{"rendered":"https:\/\/medicine.st-andrews.ac.uk\/digitas\/?page_id=1171"},"modified":"2025-07-02T12:38:52","modified_gmt":"2025-07-02T11:38:52","slug":"implementation-science-and-systems-thinking","status":"publish","type":"page","link":"https:\/\/medicine.st-andrews.ac.uk\/digitas\/activities\/implementation-science-and-systems-thinking\/","title":{"rendered":"Implementation science and systems thinking"},"content":{"rendered":"\n<div class=\"wp-block-media-text is-stacked-on-mobile\" style=\"grid-template-columns:33% auto\"><figure class=\"wp-block-media-text__media\"><img loading=\"lazy\" decoding=\"async\" width=\"240\" height=\"254\" src=\"https:\/\/medicine.st-andrews.ac.uk\/digitas\/wp-content\/uploads\/sites\/36\/2025\/07\/impsci_arrows.png\" alt=\"\" class=\"wp-image-1657 size-full\" \/><\/figure><div class=\"wp-block-media-text__content\">\n<p>Improving alcohol and other drug services requires more than new interventions, it demands a deep understanding of the complex systems in which these services operate. Implementation science and systems thinking offer powerful, complementary approaches to support innovation in this space.<\/p>\n<\/div><\/div>\n\n\n\n<p>By identifying the factors that influence the uptake, adaptation, and sustainability of evidence-based practices, <em>implementation science<\/em> provides tools to tailor solutions to real-world contexts.<\/p>\n\n\n\n<p><em>Systems thinking<\/em> complements this by examining how components of the service ecosystem (policies, organisations, and frontline behaviours) interact, enabling the design of interventions that align with, rather than resist, the dynamics of local systems.<\/p>\n\n\n\n<p>Presented here are examples of DigitAS projects grounded in these approaches.<\/p>\n\n\n\n<div class=\"wp-block-query alignwide is-layout-flow wp-block-query-is-layout-flow\">\n<div class=\"wp-block-group is-layout-flow wp-block-group-is-layout-flow\" style=\"margin-top:0;margin-bottom:0;padding-top:var(--wp--preset--spacing--50);padding-right:0;padding-bottom:var(--wp--preset--spacing--50);padding-left:0\"><ul class=\"columns-2 alignfull wp-block-post-template is-layout-grid wp-container-core-post-template-is-layout-523d4961 wp-block-post-template-is-layout-grid\"><li class=\"wp-block-post post-796 post type-post status-publish format-standard has-post-thumbnail hentry category-imp_sci_systems\">\n<figure style=\"aspect-ratio:16\/9; padding-bottom:var(--wp--preset--spacing--20);margin-bottom:0;\" class=\"wp-block-post-featured-image\"><a href=\"https:\/\/medicine.st-andrews.ac.uk\/digitas\/2024\/04\/13\/telemedicine-mediated-medication-assisted-treatment-model-development-tmat1\/\" target=\"_self\"  ><img loading=\"lazy\" decoding=\"async\" width=\"1600\" height=\"890\" src=\"https:\/\/medicine.st-andrews.ac.uk\/digitas\/wp-content\/uploads\/sites\/36\/2024\/04\/telemedicine-illustration-e1751294493101.png\" class=\"attachment-post-thumbnail size-post-thumbnail wp-post-image\" alt=\"Telemedicine-delivered medication for opioid use disorder (TMOUD)\" style=\"width:100%;height:100%;object-fit:cover;\" srcset=\"https:\/\/medicine.st-andrews.ac.uk\/digitas\/wp-content\/uploads\/sites\/36\/2024\/04\/telemedicine-illustration-e1751294493101.png 1600w, https:\/\/medicine.st-andrews.ac.uk\/digitas\/wp-content\/uploads\/sites\/36\/2024\/04\/telemedicine-illustration-e1751294493101-300x167.png 300w, https:\/\/medicine.st-andrews.ac.uk\/digitas\/wp-content\/uploads\/sites\/36\/2024\/04\/telemedicine-illustration-e1751294493101-1024x570.png 1024w, https:\/\/medicine.st-andrews.ac.uk\/digitas\/wp-content\/uploads\/sites\/36\/2024\/04\/telemedicine-illustration-e1751294493101-768x427.png 768w, https:\/\/medicine.st-andrews.ac.uk\/digitas\/wp-content\/uploads\/sites\/36\/2024\/04\/telemedicine-illustration-e1751294493101-1536x854.png 1536w\" sizes=\"auto, (max-width: 1600px) 100vw, 1600px\" \/><\/a><\/figure>\n\n\n<div class=\"wp-block-group is-vertical is-nowrap is-layout-flex wp-container-core-group-is-layout-97ba36a5 wp-block-group-is-layout-flex\" style=\"margin-top:var(--wp--preset--spacing--20);padding-top:0\"><h2 style=\"color:#005953;\" class=\"has-link-color wp-elements-7031e3997edb32151e4f3352c2cfecde wp-block-post-title has-text-color has-large-font-size wp-container-content-32e3a40d\"><a href=\"https:\/\/medicine.st-andrews.ac.uk\/digitas\/2024\/04\/13\/telemedicine-mediated-medication-assisted-treatment-model-development-tmat1\/\" target=\"_self\" >Telemedicine-delivered medication for opioid use disorder (TMOUD)<\/a><\/h2>\n\n<div style=\"color:#000000;\" class=\"wp-block-post-excerpt has-text-color has-small-font-size wp-container-content-32e3a40d\"><p class=\"wp-block-post-excerpt__excerpt\">Working with service providers across the US, Canada, UK, and Ireland, we co-developed a process- and service-focused model for the implementation Telemedicine-mediated Medication Assisted Treatment for Opioid Use Disorder&#8230;<\/p><p class=\"wp-block-post-excerpt__more-text\"><a class=\"wp-block-post-excerpt__more-link\" href=\"https:\/\/medicine.st-andrews.ac.uk\/digitas\/2024\/04\/13\/telemedicine-mediated-medication-assisted-treatment-model-development-tmat1\/\">&gt;&gt;&gt; Continue reading<\/a><\/p><\/div>\n\n\n<div style=\"height:0px\" aria-hidden=\"true\" class=\"wp-block-spacer wp-container-content-32e3a40d\"><\/div>\n<\/div>\n\n<\/li><li class=\"wp-block-post post-967 post type-post status-publish format-standard has-post-thumbnail hentry category-imp_sci_systems\">\n<figure style=\"aspect-ratio:16\/9; padding-bottom:var(--wp--preset--spacing--20);margin-bottom:0;\" class=\"wp-block-post-featured-image\"><a href=\"https:\/\/medicine.st-andrews.ac.uk\/digitas\/2025\/06\/23\/substance-use-and-mental-health-interventions-using-digital-technology\/\" target=\"_self\"  ><img loading=\"lazy\" decoding=\"async\" width=\"1600\" height=\"900\" src=\"https:\/\/medicine.st-andrews.ac.uk\/digitas\/wp-content\/uploads\/sites\/36\/2025\/06\/peaceplus_16_9.png\" class=\"attachment-post-thumbnail size-post-thumbnail wp-post-image\" alt=\"Substance Use and Mental Health Interventions using Digital Technology (SUMIT)\" style=\"width:100%;height:100%;object-fit:cover;\" srcset=\"https:\/\/medicine.st-andrews.ac.uk\/digitas\/wp-content\/uploads\/sites\/36\/2025\/06\/peaceplus_16_9.png 1600w, https:\/\/medicine.st-andrews.ac.uk\/digitas\/wp-content\/uploads\/sites\/36\/2025\/06\/peaceplus_16_9-300x169.png 300w, https:\/\/medicine.st-andrews.ac.uk\/digitas\/wp-content\/uploads\/sites\/36\/2025\/06\/peaceplus_16_9-1024x576.png 1024w, https:\/\/medicine.st-andrews.ac.uk\/digitas\/wp-content\/uploads\/sites\/36\/2025\/06\/peaceplus_16_9-768x432.png 768w, https:\/\/medicine.st-andrews.ac.uk\/digitas\/wp-content\/uploads\/sites\/36\/2025\/06\/peaceplus_16_9-1536x864.png 1536w\" sizes=\"auto, (max-width: 1600px) 100vw, 1600px\" \/><\/a><\/figure>\n\n\n<div class=\"wp-block-group is-vertical is-nowrap is-layout-flex wp-container-core-group-is-layout-97ba36a5 wp-block-group-is-layout-flex\" style=\"margin-top:var(--wp--preset--spacing--20);padding-top:0\"><h2 style=\"color:#005953;\" class=\"has-link-color wp-elements-7031e3997edb32151e4f3352c2cfecde wp-block-post-title has-text-color has-large-font-size wp-container-content-32e3a40d\"><a href=\"https:\/\/medicine.st-andrews.ac.uk\/digitas\/2025\/06\/23\/substance-use-and-mental-health-interventions-using-digital-technology\/\" target=\"_self\" >Substance Use and Mental Health Interventions using Digital Technology (SUMIT)<\/a><\/h2>\n\n<div style=\"color:#000000;\" class=\"wp-block-post-excerpt has-text-color has-small-font-size wp-container-content-32e3a40d\"><p class=\"wp-block-post-excerpt__excerpt\">A \u20ac6.8 million project utilising digital healthcare to transform support for people living with substance use and mental health challenges across the Republic of Ireland, Northern Ireland, and Scotland. DigitAS is leading on the application of implementation science to this cross-border project.<\/p><p class=\"wp-block-post-excerpt__more-text\"><a class=\"wp-block-post-excerpt__more-link\" href=\"https:\/\/medicine.st-andrews.ac.uk\/digitas\/2025\/06\/23\/substance-use-and-mental-health-interventions-using-digital-technology\/\">&gt;&gt;&gt; Continue reading<\/a><\/p><\/div>\n\n\n<div style=\"height:0px\" aria-hidden=\"true\" class=\"wp-block-spacer wp-container-content-32e3a40d\"><\/div>\n<\/div>\n\n<\/li><li class=\"wp-block-post post-1186 post type-post status-publish format-standard has-post-thumbnail hentry category-imp_sci_systems\">\n<figure style=\"aspect-ratio:16\/9; padding-bottom:var(--wp--preset--spacing--20);margin-bottom:0;\" class=\"wp-block-post-featured-image\"><a href=\"https:\/\/medicine.st-andrews.ac.uk\/digitas\/2025\/06\/28\/global-perspectives-on-telemedicine-enabled-medication-for-opioid-use-disorder\/\" target=\"_self\"  ><img loading=\"lazy\" decoding=\"async\" width=\"1600\" height=\"900\" src=\"https:\/\/medicine.st-andrews.ac.uk\/digitas\/wp-content\/uploads\/sites\/36\/2025\/06\/earth_at_night_16x9.png\" class=\"attachment-post-thumbnail size-post-thumbnail wp-post-image\" alt=\"Global perspectives on telemedicine-enabled medication for opioid use disorder\" style=\"width:100%;height:100%;object-fit:cover;\" srcset=\"https:\/\/medicine.st-andrews.ac.uk\/digitas\/wp-content\/uploads\/sites\/36\/2025\/06\/earth_at_night_16x9.png 1600w, https:\/\/medicine.st-andrews.ac.uk\/digitas\/wp-content\/uploads\/sites\/36\/2025\/06\/earth_at_night_16x9-300x169.png 300w, https:\/\/medicine.st-andrews.ac.uk\/digitas\/wp-content\/uploads\/sites\/36\/2025\/06\/earth_at_night_16x9-1024x576.png 1024w, https:\/\/medicine.st-andrews.ac.uk\/digitas\/wp-content\/uploads\/sites\/36\/2025\/06\/earth_at_night_16x9-768x432.png 768w, https:\/\/medicine.st-andrews.ac.uk\/digitas\/wp-content\/uploads\/sites\/36\/2025\/06\/earth_at_night_16x9-1536x864.png 1536w\" sizes=\"auto, (max-width: 1600px) 100vw, 1600px\" \/><\/a><\/figure>\n\n\n<div class=\"wp-block-group is-vertical is-nowrap is-layout-flex wp-container-core-group-is-layout-97ba36a5 wp-block-group-is-layout-flex\" style=\"margin-top:var(--wp--preset--spacing--20);padding-top:0\"><h2 style=\"color:#005953;\" class=\"has-link-color wp-elements-7031e3997edb32151e4f3352c2cfecde wp-block-post-title has-text-color has-large-font-size wp-container-content-32e3a40d\"><a href=\"https:\/\/medicine.st-andrews.ac.uk\/digitas\/2025\/06\/28\/global-perspectives-on-telemedicine-enabled-medication-for-opioid-use-disorder\/\" target=\"_self\" >Global perspectives on telemedicine-enabled medication for opioid use disorder<\/a><\/h2>\n\n<div style=\"color:#000000;\" class=\"wp-block-post-excerpt has-text-color has-small-font-size wp-container-content-32e3a40d\"><p class=\"wp-block-post-excerpt__excerpt\">In partnership with the International Society of Addiction Medicine, DigitAS conducted the first global survey of addiction experts explore implementation of telemedicine in opioid use disorder, identifying key barriers and facilitators across diverse economic contexts. Our findings reveal that while TMOUD uptake surged during the COVID-19 pandemic, access remains inequitable&#8230;<\/p><p class=\"wp-block-post-excerpt__more-text\"><a class=\"wp-block-post-excerpt__more-link\" href=\"https:\/\/medicine.st-andrews.ac.uk\/digitas\/2025\/06\/28\/global-perspectives-on-telemedicine-enabled-medication-for-opioid-use-disorder\/\">&gt;&gt;&gt; Continue reading<\/a><\/p><\/div>\n\n\n<div style=\"height:0px\" aria-hidden=\"true\" class=\"wp-block-spacer wp-container-content-32e3a40d\"><\/div>\n<\/div>\n\n<\/li><li class=\"wp-block-post post-1190 post type-post status-publish format-standard has-post-thumbnail hentry category-imp_sci_systems\">\n<figure style=\"aspect-ratio:16\/9; padding-bottom:var(--wp--preset--spacing--20);margin-bottom:0;\" class=\"wp-block-post-featured-image\"><a href=\"https:\/\/medicine.st-andrews.ac.uk\/digitas\/2025\/06\/28\/increasing-engagement-of-opioid-users-in-treatment-through-online-consultations\/\" target=\"_self\"  ><img loading=\"lazy\" decoding=\"async\" width=\"1600\" height=\"900\" src=\"https:\/\/medicine.st-andrews.ac.uk\/digitas\/wp-content\/uploads\/sites\/36\/2025\/06\/medic_remote_consult.png\" class=\"attachment-post-thumbnail size-post-thumbnail wp-post-image\" alt=\"Increasing opioid treatment engagement through online consultations\" style=\"width:100%;height:100%;object-fit:cover;\" srcset=\"https:\/\/medicine.st-andrews.ac.uk\/digitas\/wp-content\/uploads\/sites\/36\/2025\/06\/medic_remote_consult.png 1600w, https:\/\/medicine.st-andrews.ac.uk\/digitas\/wp-content\/uploads\/sites\/36\/2025\/06\/medic_remote_consult-300x169.png 300w, https:\/\/medicine.st-andrews.ac.uk\/digitas\/wp-content\/uploads\/sites\/36\/2025\/06\/medic_remote_consult-1024x576.png 1024w, https:\/\/medicine.st-andrews.ac.uk\/digitas\/wp-content\/uploads\/sites\/36\/2025\/06\/medic_remote_consult-768x432.png 768w, https:\/\/medicine.st-andrews.ac.uk\/digitas\/wp-content\/uploads\/sites\/36\/2025\/06\/medic_remote_consult-1536x864.png 1536w\" sizes=\"auto, (max-width: 1600px) 100vw, 1600px\" \/><\/a><\/figure>\n\n\n<div class=\"wp-block-group is-vertical is-nowrap is-layout-flex wp-container-core-group-is-layout-97ba36a5 wp-block-group-is-layout-flex\" style=\"margin-top:var(--wp--preset--spacing--20);padding-top:0\"><h2 style=\"color:#005953;\" class=\"has-link-color wp-elements-7031e3997edb32151e4f3352c2cfecde wp-block-post-title has-text-color has-large-font-size wp-container-content-32e3a40d\"><a href=\"https:\/\/medicine.st-andrews.ac.uk\/digitas\/2025\/06\/28\/increasing-engagement-of-opioid-users-in-treatment-through-online-consultations\/\" target=\"_self\" >Increasing opioid treatment engagement through online consultations<\/a><\/h2>\n\n<div style=\"color:#000000;\" class=\"wp-block-post-excerpt has-text-color has-small-font-size wp-container-content-32e3a40d\"><p class=\"wp-block-post-excerpt__excerpt\">Funded by the Scottish Government&#8217;s Digital Lifelines Initiative and ministerial Drug Deaths Taskforce, this 20-month project explored clinical and care elements that enhance the therapeutic relationship and potential sources of risk&#8230;<\/p><p class=\"wp-block-post-excerpt__more-text\"><a class=\"wp-block-post-excerpt__more-link\" href=\"https:\/\/medicine.st-andrews.ac.uk\/digitas\/2025\/06\/28\/increasing-engagement-of-opioid-users-in-treatment-through-online-consultations\/\">&gt;&gt;&gt; Continue reading<\/a><\/p><\/div>\n\n\n<div style=\"height:0px\" aria-hidden=\"true\" class=\"wp-block-spacer wp-container-content-32e3a40d\"><\/div>\n<\/div>\n\n<\/li><li class=\"wp-block-post post-1203 post type-post status-publish format-standard has-post-thumbnail hentry category-imp_sci_systems\">\n<figure style=\"aspect-ratio:16\/9; padding-bottom:var(--wp--preset--spacing--20);margin-bottom:0;\" class=\"wp-block-post-featured-image\"><a href=\"https:\/\/medicine.st-andrews.ac.uk\/digitas\/2025\/06\/28\/risk-management-framework\/\" target=\"_self\"  ><img loading=\"lazy\" decoding=\"async\" width=\"1600\" height=\"900\" src=\"https:\/\/medicine.st-andrews.ac.uk\/digitas\/wp-content\/uploads\/sites\/36\/2025\/06\/tmoud3.png\" class=\"attachment-post-thumbnail size-post-thumbnail wp-post-image\" alt=\"Telemedicine for opioid use disorder risk management framework\" style=\"width:100%;height:100%;object-fit:cover;\" srcset=\"https:\/\/medicine.st-andrews.ac.uk\/digitas\/wp-content\/uploads\/sites\/36\/2025\/06\/tmoud3.png 1600w, https:\/\/medicine.st-andrews.ac.uk\/digitas\/wp-content\/uploads\/sites\/36\/2025\/06\/tmoud3-300x169.png 300w, https:\/\/medicine.st-andrews.ac.uk\/digitas\/wp-content\/uploads\/sites\/36\/2025\/06\/tmoud3-1024x576.png 1024w, https:\/\/medicine.st-andrews.ac.uk\/digitas\/wp-content\/uploads\/sites\/36\/2025\/06\/tmoud3-768x432.png 768w, https:\/\/medicine.st-andrews.ac.uk\/digitas\/wp-content\/uploads\/sites\/36\/2025\/06\/tmoud3-1536x864.png 1536w\" sizes=\"auto, (max-width: 1600px) 100vw, 1600px\" \/><\/a><\/figure>\n\n\n<div class=\"wp-block-group is-vertical is-nowrap is-layout-flex wp-container-core-group-is-layout-97ba36a5 wp-block-group-is-layout-flex\" style=\"margin-top:var(--wp--preset--spacing--20);padding-top:0\"><h2 style=\"color:#005953;\" class=\"has-link-color wp-elements-7031e3997edb32151e4f3352c2cfecde wp-block-post-title has-text-color has-large-font-size wp-container-content-32e3a40d\"><a href=\"https:\/\/medicine.st-andrews.ac.uk\/digitas\/2025\/06\/28\/risk-management-framework\/\" target=\"_self\" >Telemedicine for opioid use disorder risk management framework<\/a><\/h2>\n\n<div style=\"color:#000000;\" class=\"wp-block-post-excerpt has-text-color has-small-font-size wp-container-content-32e3a40d\"><p class=\"wp-block-post-excerpt__excerpt\">Telemedicine offers the potential to increase access to, and uptake of, treatment for opioid use disorder. Implementation and delivery require assessment and management of clinical risk. DigitAS have developed an evidence-based, six-domain risk management framework for telemedicine-enabled addiction treatment&#8230;<\/p><p class=\"wp-block-post-excerpt__more-text\"><a class=\"wp-block-post-excerpt__more-link\" href=\"https:\/\/medicine.st-andrews.ac.uk\/digitas\/2025\/06\/28\/risk-management-framework\/\">&gt;&gt;&gt; Continue reading<\/a><\/p><\/div>\n\n\n<div style=\"height:0px\" aria-hidden=\"true\" class=\"wp-block-spacer wp-container-content-32e3a40d\"><\/div>\n<\/div>\n\n<\/li><li class=\"wp-block-post post-1211 post type-post status-publish format-standard has-post-thumbnail hentry category-imp_sci_systems\">\n<figure style=\"aspect-ratio:16\/9; padding-bottom:var(--wp--preset--spacing--20);margin-bottom:0;\" class=\"wp-block-post-featured-image\"><a href=\"https:\/\/medicine.st-andrews.ac.uk\/digitas\/2025\/06\/28\/digital-addictions-services-dade-2\/\" target=\"_self\"  ><img loading=\"lazy\" decoding=\"async\" width=\"1600\" height=\"900\" src=\"https:\/\/medicine.st-andrews.ac.uk\/digitas\/wp-content\/uploads\/sites\/36\/2025\/06\/emcdda-internet-based-drug-treatment.png\" class=\"attachment-post-thumbnail size-post-thumbnail wp-post-image\" alt=\"Digital Addiction Services (DADE)\" style=\"width:100%;height:100%;object-fit:cover;\" srcset=\"https:\/\/medicine.st-andrews.ac.uk\/digitas\/wp-content\/uploads\/sites\/36\/2025\/06\/emcdda-internet-based-drug-treatment.png 1600w, https:\/\/medicine.st-andrews.ac.uk\/digitas\/wp-content\/uploads\/sites\/36\/2025\/06\/emcdda-internet-based-drug-treatment-300x169.png 300w, https:\/\/medicine.st-andrews.ac.uk\/digitas\/wp-content\/uploads\/sites\/36\/2025\/06\/emcdda-internet-based-drug-treatment-1024x576.png 1024w, https:\/\/medicine.st-andrews.ac.uk\/digitas\/wp-content\/uploads\/sites\/36\/2025\/06\/emcdda-internet-based-drug-treatment-768x432.png 768w, https:\/\/medicine.st-andrews.ac.uk\/digitas\/wp-content\/uploads\/sites\/36\/2025\/06\/emcdda-internet-based-drug-treatment-1536x864.png 1536w\" sizes=\"auto, (max-width: 1600px) 100vw, 1600px\" \/><\/a><\/figure>\n\n\n<div class=\"wp-block-group is-vertical is-nowrap is-layout-flex wp-container-core-group-is-layout-97ba36a5 wp-block-group-is-layout-flex\" style=\"margin-top:var(--wp--preset--spacing--20);padding-top:0\"><h2 style=\"color:#005953;\" class=\"has-link-color wp-elements-7031e3997edb32151e4f3352c2cfecde wp-block-post-title has-text-color has-large-font-size wp-container-content-32e3a40d\"><a href=\"https:\/\/medicine.st-andrews.ac.uk\/digitas\/2025\/06\/28\/digital-addictions-services-dade-2\/\" target=\"_self\" >Digital Addiction Services (DADE)<\/a><\/h2>\n\n<div style=\"color:#000000;\" class=\"wp-block-post-excerpt has-text-color has-small-font-size wp-container-content-32e3a40d\"><p class=\"wp-block-post-excerpt__excerpt\">Funded by the European Monitoring Centre for Drugs and Drug Addiction (now EUDA), this project aimed to produce a practical, treatment focussed typology of digital health interventions for drug addiction as well as systematic and rapid reviews to support evidence for these interventions.<\/p><p class=\"wp-block-post-excerpt__more-text\"><a class=\"wp-block-post-excerpt__more-link\" href=\"https:\/\/medicine.st-andrews.ac.uk\/digitas\/2025\/06\/28\/digital-addictions-services-dade-2\/\">&gt;&gt;&gt; Continue reading<\/a><\/p><\/div>\n\n\n<div style=\"height:0px\" aria-hidden=\"true\" class=\"wp-block-spacer wp-container-content-32e3a40d\"><\/div>\n<\/div>\n\n<\/li><li class=\"wp-block-post post-1410 post type-post status-publish format-standard has-post-thumbnail hentry category-imp_sci_systems\">\n<figure style=\"aspect-ratio:16\/9; padding-bottom:var(--wp--preset--spacing--20);margin-bottom:0;\" class=\"wp-block-post-featured-image\"><a href=\"https:\/\/medicine.st-andrews.ac.uk\/digitas\/2025\/06\/30\/co-production-in-addiction-treatment-services\/\" target=\"_self\"  ><img loading=\"lazy\" decoding=\"async\" width=\"2079\" height=\"1169\" src=\"https:\/\/medicine.st-andrews.ac.uk\/digitas\/wp-content\/uploads\/sites\/36\/2025\/06\/collaboration_16x9.png\" class=\"attachment-post-thumbnail size-post-thumbnail wp-post-image\" alt=\"Co-production in  addiction treatment services\" style=\"width:100%;height:100%;object-fit:cover;\" srcset=\"https:\/\/medicine.st-andrews.ac.uk\/digitas\/wp-content\/uploads\/sites\/36\/2025\/06\/collaboration_16x9.png 2079w, https:\/\/medicine.st-andrews.ac.uk\/digitas\/wp-content\/uploads\/sites\/36\/2025\/06\/collaboration_16x9-300x169.png 300w, https:\/\/medicine.st-andrews.ac.uk\/digitas\/wp-content\/uploads\/sites\/36\/2025\/06\/collaboration_16x9-1024x576.png 1024w, https:\/\/medicine.st-andrews.ac.uk\/digitas\/wp-content\/uploads\/sites\/36\/2025\/06\/collaboration_16x9-768x432.png 768w, https:\/\/medicine.st-andrews.ac.uk\/digitas\/wp-content\/uploads\/sites\/36\/2025\/06\/collaboration_16x9-1536x864.png 1536w, https:\/\/medicine.st-andrews.ac.uk\/digitas\/wp-content\/uploads\/sites\/36\/2025\/06\/collaboration_16x9-2048x1152.png 2048w\" sizes=\"auto, (max-width: 2079px) 100vw, 2079px\" \/><\/a><\/figure>\n\n\n<div class=\"wp-block-group is-vertical is-nowrap is-layout-flex wp-container-core-group-is-layout-97ba36a5 wp-block-group-is-layout-flex\" style=\"margin-top:var(--wp--preset--spacing--20);padding-top:0\"><h2 style=\"color:#005953;\" class=\"has-link-color wp-elements-7031e3997edb32151e4f3352c2cfecde wp-block-post-title has-text-color has-large-font-size wp-container-content-32e3a40d\"><a href=\"https:\/\/medicine.st-andrews.ac.uk\/digitas\/2025\/06\/30\/co-production-in-addiction-treatment-services\/\" target=\"_self\" >Co-production in  addiction treatment services<\/a><\/h2>\n\n<div style=\"color:#000000;\" class=\"wp-block-post-excerpt has-text-color has-small-font-size wp-container-content-32e3a40d\"><p class=\"wp-block-post-excerpt__excerpt\">Co-production involves sharing power and decision-making between professionals and people who use(d) drugs and alcohol to ensure their services are acceptable and accessible. This scoping review described recent literature on co-production in addiction services, and identified examples of best practice.<\/p><p class=\"wp-block-post-excerpt__more-text\"><a class=\"wp-block-post-excerpt__more-link\" href=\"https:\/\/medicine.st-andrews.ac.uk\/digitas\/2025\/06\/30\/co-production-in-addiction-treatment-services\/\">&gt;&gt;&gt; Continue reading<\/a><\/p><\/div>\n\n\n<div style=\"height:0px\" aria-hidden=\"true\" class=\"wp-block-spacer wp-container-content-32e3a40d\"><\/div>\n<\/div>\n\n<\/li><li class=\"wp-block-post post-1604 post type-post status-publish format-standard has-post-thumbnail hentry category-imp_sci_systems\">\n<figure style=\"aspect-ratio:16\/9; padding-bottom:var(--wp--preset--spacing--20);margin-bottom:0;\" class=\"wp-block-post-featured-image\"><a href=\"https:\/\/medicine.st-andrews.ac.uk\/digitas\/2025\/07\/01\/digital-exclusion-homelessness-and-opioid-use-disorder\/\" target=\"_self\"  ><img loading=\"lazy\" decoding=\"async\" width=\"1600\" height=\"900\" src=\"https:\/\/medicine.st-andrews.ac.uk\/digitas\/wp-content\/uploads\/sites\/36\/2025\/07\/broken_link_16x9.png\" class=\"attachment-post-thumbnail size-post-thumbnail wp-post-image\" alt=\"Digital exclusion, homelessness, and opioid use disorder\" style=\"width:100%;height:100%;object-fit:cover;\" srcset=\"https:\/\/medicine.st-andrews.ac.uk\/digitas\/wp-content\/uploads\/sites\/36\/2025\/07\/broken_link_16x9.png 1600w, https:\/\/medicine.st-andrews.ac.uk\/digitas\/wp-content\/uploads\/sites\/36\/2025\/07\/broken_link_16x9-300x169.png 300w, https:\/\/medicine.st-andrews.ac.uk\/digitas\/wp-content\/uploads\/sites\/36\/2025\/07\/broken_link_16x9-1024x576.png 1024w, https:\/\/medicine.st-andrews.ac.uk\/digitas\/wp-content\/uploads\/sites\/36\/2025\/07\/broken_link_16x9-768x432.png 768w, https:\/\/medicine.st-andrews.ac.uk\/digitas\/wp-content\/uploads\/sites\/36\/2025\/07\/broken_link_16x9-1536x864.png 1536w\" sizes=\"auto, (max-width: 1600px) 100vw, 1600px\" \/><\/a><\/figure>\n\n\n<div class=\"wp-block-group is-vertical is-nowrap is-layout-flex wp-container-core-group-is-layout-97ba36a5 wp-block-group-is-layout-flex\" style=\"margin-top:var(--wp--preset--spacing--20);padding-top:0\"><h2 style=\"color:#005953;\" class=\"has-link-color wp-elements-7031e3997edb32151e4f3352c2cfecde wp-block-post-title has-text-color has-large-font-size wp-container-content-32e3a40d\"><a href=\"https:\/\/medicine.st-andrews.ac.uk\/digitas\/2025\/07\/01\/digital-exclusion-homelessness-and-opioid-use-disorder\/\" target=\"_self\" >Digital exclusion, homelessness, and opioid use disorder<\/a><\/h2>\n\n<div style=\"color:#000000;\" class=\"wp-block-post-excerpt has-text-color has-small-font-size wp-container-content-32e3a40d\"><p class=\"wp-block-post-excerpt__excerpt\">People experiencing homelessness face significant barriers to accessing digital health services, including opioid use disorder care. Simply providing devices is insufficient; issues like mobility, privacy, distrust, and systemic inequities persist. Effective digital inclusion must go beyond access &#8211; embracing co-production, trust-building, and attention to power imbalances and lived realities.<\/p><p class=\"wp-block-post-excerpt__more-text\"><a class=\"wp-block-post-excerpt__more-link\" href=\"https:\/\/medicine.st-andrews.ac.uk\/digitas\/2025\/07\/01\/digital-exclusion-homelessness-and-opioid-use-disorder\/\">&gt;&gt;&gt; Continue reading<\/a><\/p><\/div>\n\n\n<div style=\"height:0px\" aria-hidden=\"true\" class=\"wp-block-spacer wp-container-content-32e3a40d\"><\/div>\n<\/div>\n\n<\/li><li class=\"wp-block-post post-1609 post type-post status-publish format-standard has-post-thumbnail hentry category-imp_sci_systems\">\n<figure style=\"aspect-ratio:16\/9; padding-bottom:var(--wp--preset--spacing--20);margin-bottom:0;\" class=\"wp-block-post-featured-image\"><a href=\"https:\/\/medicine.st-andrews.ac.uk\/digitas\/2025\/07\/01\/are-addiction-treatment-services-ready-for-big-data-and-ai\/\" target=\"_self\"  ><img loading=\"lazy\" decoding=\"async\" width=\"1600\" height=\"900\" src=\"https:\/\/medicine.st-andrews.ac.uk\/digitas\/wp-content\/uploads\/sites\/36\/2025\/07\/big_data_16x9.png\" class=\"attachment-post-thumbnail size-post-thumbnail wp-post-image\" alt=\"Are addiction treatment services ready for big data and AI?\" style=\"width:100%;height:100%;object-fit:cover;\" srcset=\"https:\/\/medicine.st-andrews.ac.uk\/digitas\/wp-content\/uploads\/sites\/36\/2025\/07\/big_data_16x9.png 1600w, https:\/\/medicine.st-andrews.ac.uk\/digitas\/wp-content\/uploads\/sites\/36\/2025\/07\/big_data_16x9-300x169.png 300w, https:\/\/medicine.st-andrews.ac.uk\/digitas\/wp-content\/uploads\/sites\/36\/2025\/07\/big_data_16x9-1024x576.png 1024w, https:\/\/medicine.st-andrews.ac.uk\/digitas\/wp-content\/uploads\/sites\/36\/2025\/07\/big_data_16x9-768x432.png 768w, https:\/\/medicine.st-andrews.ac.uk\/digitas\/wp-content\/uploads\/sites\/36\/2025\/07\/big_data_16x9-1536x864.png 1536w\" sizes=\"auto, (max-width: 1600px) 100vw, 1600px\" \/><\/a><\/figure>\n\n\n<div class=\"wp-block-group is-vertical is-nowrap is-layout-flex wp-container-core-group-is-layout-97ba36a5 wp-block-group-is-layout-flex\" style=\"margin-top:var(--wp--preset--spacing--20);padding-top:0\"><h2 style=\"color:#005953;\" class=\"has-link-color wp-elements-7031e3997edb32151e4f3352c2cfecde wp-block-post-title has-text-color has-large-font-size wp-container-content-32e3a40d\"><a href=\"https:\/\/medicine.st-andrews.ac.uk\/digitas\/2025\/07\/01\/are-addiction-treatment-services-ready-for-big-data-and-ai\/\" target=\"_self\" >Are addiction treatment services ready for big data and AI?<\/a><\/h2>\n\n<div style=\"color:#000000;\" class=\"wp-block-post-excerpt has-text-color has-small-font-size wp-container-content-32e3a40d\"><p class=\"wp-block-post-excerpt__excerpt\">This project identified eight key challenges to the ethical and effective use of big data and AI in opioid use disorder treatment, including transparency, clinical validation, consent, trust, and digital bias. It calls on clinicians and policymakers to critically engage with these technologies to ensure equitable and meaningful implementation.<\/p><p class=\"wp-block-post-excerpt__more-text\"><a class=\"wp-block-post-excerpt__more-link\" href=\"https:\/\/medicine.st-andrews.ac.uk\/digitas\/2025\/07\/01\/are-addiction-treatment-services-ready-for-big-data-and-ai\/\">&gt;&gt;&gt; Continue reading<\/a><\/p><\/div>\n\n\n<div style=\"height:0px\" aria-hidden=\"true\" class=\"wp-block-spacer wp-container-content-32e3a40d\"><\/div>\n<\/div>\n\n<\/li><li class=\"wp-block-post post-1613 post type-post status-publish format-standard has-post-thumbnail hentry category-imp_sci_systems\">\n<figure style=\"aspect-ratio:16\/9; padding-bottom:var(--wp--preset--spacing--20);margin-bottom:0;\" class=\"wp-block-post-featured-image\"><a href=\"https:\/\/medicine.st-andrews.ac.uk\/digitas\/2025\/07\/01\/covid-19-and-substance-use-disorders-syndemic-responses-to-a-global-pandemic\/\" target=\"_self\"  ><img loading=\"lazy\" decoding=\"async\" width=\"1600\" height=\"900\" src=\"https:\/\/medicine.st-andrews.ac.uk\/digitas\/wp-content\/uploads\/sites\/36\/2025\/07\/textbook_add_treat_16x9.png\" class=\"attachment-post-thumbnail size-post-thumbnail wp-post-image\" alt=\"COVID-19 and Substance Use Disorders: Syndemic Responses to a Global Pandemic\" style=\"width:100%;height:100%;object-fit:cover;\" srcset=\"https:\/\/medicine.st-andrews.ac.uk\/digitas\/wp-content\/uploads\/sites\/36\/2025\/07\/textbook_add_treat_16x9.png 1600w, https:\/\/medicine.st-andrews.ac.uk\/digitas\/wp-content\/uploads\/sites\/36\/2025\/07\/textbook_add_treat_16x9-300x169.png 300w, https:\/\/medicine.st-andrews.ac.uk\/digitas\/wp-content\/uploads\/sites\/36\/2025\/07\/textbook_add_treat_16x9-1024x576.png 1024w, https:\/\/medicine.st-andrews.ac.uk\/digitas\/wp-content\/uploads\/sites\/36\/2025\/07\/textbook_add_treat_16x9-768x432.png 768w, https:\/\/medicine.st-andrews.ac.uk\/digitas\/wp-content\/uploads\/sites\/36\/2025\/07\/textbook_add_treat_16x9-1536x864.png 1536w\" sizes=\"auto, (max-width: 1600px) 100vw, 1600px\" \/><\/a><\/figure>\n\n\n<div class=\"wp-block-group is-vertical is-nowrap is-layout-flex wp-container-core-group-is-layout-97ba36a5 wp-block-group-is-layout-flex\" style=\"margin-top:var(--wp--preset--spacing--20);padding-top:0\"><h2 style=\"color:#005953;\" class=\"has-link-color wp-elements-7031e3997edb32151e4f3352c2cfecde wp-block-post-title has-text-color has-large-font-size wp-container-content-32e3a40d\"><a href=\"https:\/\/medicine.st-andrews.ac.uk\/digitas\/2025\/07\/01\/covid-19-and-substance-use-disorders-syndemic-responses-to-a-global-pandemic\/\" target=\"_self\" >COVID-19 and Substance Use Disorders: Syndemic Responses to a Global Pandemic<\/a><\/h2>\n\n<div style=\"color:#000000;\" class=\"wp-block-post-excerpt has-text-color has-small-font-size wp-container-content-32e3a40d\"><p class=\"wp-block-post-excerpt__excerpt\">Written during the height of the COVID-19 pandemic, this chapter explores the syndemic impacts on addiction, highlighting rising substance use and mental health challenges. It presents a systems-based framework for understanding addiction within wider social and structural contexts, advocating for multidisciplinary, future-focused responses to complex health crises.<\/p><p class=\"wp-block-post-excerpt__more-text\"><a class=\"wp-block-post-excerpt__more-link\" href=\"https:\/\/medicine.st-andrews.ac.uk\/digitas\/2025\/07\/01\/covid-19-and-substance-use-disorders-syndemic-responses-to-a-global-pandemic\/\">&gt;&gt;&gt; Continue reading<\/a><\/p><\/div>\n\n\n<div style=\"height:0px\" aria-hidden=\"true\" class=\"wp-block-spacer wp-container-content-32e3a40d\"><\/div>\n<\/div>\n\n<\/li><\/ul>\n\n\n<div style=\"margin-top:0;margin-bottom:0;height:var(--wp--preset--spacing--40)\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n<nav class=\"wp-block-query-pagination is-content-justification-space-between is-layout-flex wp-container-core-query-pagination-is-layout-b2891da8 wp-block-query-pagination-is-layout-flex\" aria-label=\"Pagination\">\n\n\n<a href=\"\/digitas\/wp-json\/wp\/v2\/pages\/1171?query-37-page=2\" class=\"wp-block-query-pagination-next\">Next Page<span class='wp-block-query-pagination-next-arrow is-arrow-arrow' aria-hidden='true'>\u2192<\/span><\/a>\n<\/nav><\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Improving alcohol and other drug services requires more than new interventions, it demands a deep understanding of the complex systems in which these services operate. Implementation science and systems thinking offer powerful, complementary approaches to support innovation in this space. By identifying the factors that influence the uptake, adaptation, and sustainability of evidence-based practices, implementation [&hellip;]<\/p>\n","protected":false},"author":5884,"featured_media":0,"parent":1125,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"class_list":["post-1171","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/medicine.st-andrews.ac.uk\/digitas\/wp-json\/wp\/v2\/pages\/1171","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicine.st-andrews.ac.uk\/digitas\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/medicine.st-andrews.ac.uk\/digitas\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/medicine.st-andrews.ac.uk\/digitas\/wp-json\/wp\/v2\/users\/5884"}],"replies":[{"embeddable":true,"href":"https:\/\/medicine.st-andrews.ac.uk\/digitas\/wp-json\/wp\/v2\/comments?post=1171"}],"version-history":[{"count":0,"href":"https:\/\/medicine.st-andrews.ac.uk\/digitas\/wp-json\/wp\/v2\/pages\/1171\/revisions"}],"up":[{"embeddable":true,"href":"https:\/\/medicine.st-andrews.ac.uk\/digitas\/wp-json\/wp\/v2\/pages\/1125"}],"wp:attachment":[{"href":"https:\/\/medicine.st-andrews.ac.uk\/digitas\/wp-json\/wp\/v2\/media?parent=1171"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}