Glisson Charles, Williams Nathaniel J, Green Philip, Hemmelgarn Anthony, Hoagwood Kimberly
University of Tennessee, Knoxville, TN, USA,
Adm Policy Ment Health. 2014 Jan;41(1):32-42. doi: 10.1007/s10488-013-0517-1.
Peer family support specialists (FSS) are parents with practical experience in navigating children's mental health care systems who provide support, advocacy, and guidance to the families of children who need mental health services. Their experience and training differ from those of formally trained mental health clinicians, creating potential conflicts in priorities and values between FSS and clinicians. We hypothesized that these differences could negatively affect the organizational cultures and climates of mental health clinics that employ both FSS and mental health clinicians, and lower the job satisfaction and organizational commitment of FSS. The Organizational Social Context measure was administered on site to 209 FSS and clinicians in 21 mental health programs in New York State. The study compared the organizational-level culture and climate profiles of mental health clinics that employ both FSS and formally trained clinicians to national norms for child mental health clinics, assessed individual-level job satisfaction and organizational commitment as a function of job (FSS vs. clinician) and other individual-level and organizational-level characteristics, and tested whether FSS and clinicians job attitudes were differentially associated with organizational culture and climate. The programs organizational culture and climate profiles were not significantly different from national norms. Individual-level job satisfaction and organizational commitment were unrelated to position (FSS vs. clinician) or other individual-level and organizational-level characteristics except for culture and climate. Both FSS' and clinicians' individual-level work attitudes were associated similarly with organizational culture and climate.
同伴家庭支持专家（FSS）是在儿童心理健康护理系统中有实际经验的父母，他们为需要心理健康服务的儿童家庭提供支持、倡导和指导。他们的经验和培训与正规培训的心理健康临床医生不同，这在FSS和临床医生之间造成了优先事项和价值观方面的潜在冲突。我们假设这些差异可能会对同时聘用FSS和心理健康临床医生的心理健康诊所的组织文化和氛围产生负面影响，并降低FSS的工作满意度和组织承诺。对纽约州21个心理健康项目中的209名FSS和临床医生进行了现场组织社会环境测量。该研究将同时聘用FSS和正规培训临床医生的心理健康诊所的组织层面文化和氛围概况与儿童心理健康诊所的全国规范进行了比较，评估了个人层面的工作满意度和组织承诺作为工作（FSS与临床医生）以及其他个人层面和组织层面特征的函数，并测试了FSS和临床医生的工作态度是否与组织文化和氛围存在差异关联。这些项目的组织文化和氛围概况与全国规范没有显著差异。个人层面的工作满意度和组织承诺与职位（FSS与临床医生）或其他个人层面和组织层面特征无关，但与文化和氛围有关。FSS和临床医生的个人层面工作态度与组织文化和氛围的关联相似。
