Green Carla A, Janoff Shannon L, Yarborough Bobbi Jo H, Paulson Robert I
Psychiatr Serv. 2013 Dec 1;64(12):1211-7. doi: 10.1176/appi.ps.201200546.
OBJECTIVE The objective of this study was to develop and evaluate a low-cost, strengths-based group intervention led jointly by peer counselors and professional counselors to foster recovery among adults with serious mental illnesses. METHODS Cohort 1 included development of materials and a feasibility pilot, with participants recruited from community mental health centers (CMHCs). Cohorts 2 and 3 included a small randomized controlled trial with participants recruited from members of a not-for-profit, integrated health plan. Cohorts 4 and 5 involved evaluation of the most appropriate length for the intervention with a pre-post design that allowed intervention length to vary between 12 and 18 sessions; participants and peer leaders were recruited from two CMHCs (N=82). RESULTS Participants were very satisfied with the recovery-focused group intervention, preferred a greater number of weekly sessions (17 or 18 sessions), and reported improved outcomes across multiple domains. CONCLUSIONS Using peer-developed materials and a combination of peer and professional counselors as group leaders is feasible to offer and valuable to participants. Outcomes measures suggest that the intervention has potential to facilitate recovery in multiple domains.
目的 本研究的目的是开发并评估一种由同伴辅导员和专业辅导员联合主导的低成本、基于优势的团体干预措施，以促进患有严重精神疾病的成年人康复。方法 第1组包括材料开发和可行性试点，参与者从社区心理健康中心（CMHC）招募。第2组和第3组包括一项小型随机对照试验，参与者从一个非营利性综合健康计划的成员中招募。第4组和第5组采用前后设计评估干预的最合适时长，干预时长在12至18节之间变化；参与者和同伴领导者从两个CMHC招募（N = 82）。结果 参与者对以康复为重点的团体干预非常满意，更喜欢每周更多节数的课程（17或18节），并报告在多个领域的结果有所改善。结论 使用同伴开发的材料以及同伴和专业辅导员相结合作为团体领导者来提供干预是可行的，且对参与者有价值。结果指标表明该干预措施有潜力在多个领域促进康复。
