Department of Psychiatry, University of Pennsylvania School of Medicine, 3535 Market St., 3rd Floor, Center for Mental Health Policy and Services Research, Philadelphia, PA 19104, USA.
Psychiatr Serv. 2010 May;61(5):520-3. doi: 10.1176/ps.2010.61.5.520.
In 2001 Georgia became the first state to allow services provided by certified peer specialists (CPSs) to be reimbursed by Medicaid. Six other states have since followed Georgia's lead, with many others in the process of doing so. This study examined where CPSs work and what they do.
CPSs (N=291) from 28 states completed an online survey.
CPSs primarily did their work within the agency rather than in the community and worked most often with individuals rather than groups. CPSs frequently provided peer support and focus on self-determination, health and wellness, hope, communication with providers, illness management, and stigma. They spent the least amount of time supporting people's family, parenting, dating, or spiritual relationships.
CPS work settings and modalities varied greatly, although a core set of activities was identified. Implications for developing and refining CPS roles in the system are discussed, along with suggestions for additional training and supervision.
2001 年,佐治亚州成为第一个允许将经认证的同伴专家(CPS)提供的服务通过医疗补助计划(Medicaid)报销的州。此后,又有六个州效仿佐治亚州,还有许多州也在效仿的过程中。本研究考察了 CPS 在哪里工作以及他们的工作内容。
来自 28 个州的 291 名 CPS 完成了一项在线调查。
CPS 主要在机构内工作,而不是在社区内工作,他们最常与个人而不是群体一起工作。CPS 经常提供同伴支持,并注重自我决定、健康和幸福、希望、与提供者的沟通、疾病管理和污名化。他们花在支持人们的家庭、育儿、约会或精神关系上的时间最少。
CPS 的工作环境和模式差异很大,尽管确定了一组核心活动。本文讨论了在该系统中开发和完善 CPS 角色的意义,并提出了额外培训和监督的建议。