Chang Bei-Hung, Mueller Lisa, Resnick Sandra G, Osatuke Katerine, Eisen Susan V
Department of Quantitative Health Sciences, University of Massachusetts Medical School.
New England Mental Illness Research, Education, and Clinical Center, Edith Nourse Rogers Memorial Veterans Hospital.
Psychiatr Rehabil J. 2016 Mar;39(1):47-54. doi: 10.1037/prj0000162. Epub 2015 Sep 28.
Department of Veterans Affairs (VA) peer specialists and vocational rehabilitation specialists are Veterans employed in mental health services to help other Veterans with similar histories and experiences. Study objectives were to (a) examine job satisfaction among these employees, (b) compare them to other VA mental health workers, and (c) identify factors associated with job satisfaction across the 3 cohorts.
The study sample included 152 VA-employed peer specialists and 222 vocational rehabilitation specialists. A comparison group included 460 VA employees from the same job categories. All participants completed the Job Satisfaction Index (11 aspects and overall satisfaction ratings). Linear regression was used to compare job satisfaction and identify its predictors among the 3 cohorts.
Job satisfaction was fairly high, averaging "somewhat satisfied" to "very satisfied" in 6 (peer specialists) and 9 (vocational rehabilitation specialists) of the 11 aspects and overall job ratings. Adjusting for length of employment, age and gender resulted in no significant group differences with 2 exceptions: White peer specialists were less satisfied with pay and promotion opportunities than vocational rehabilitation specialists and comparison-group employees. Across all cohorts, shorter length of time employed in the job was associated with higher job satisfaction.
The high job satisfaction levels among the 2 peer cohorts suggest support for the policy of hiring peer specialists in the VA. Furthermore, the results are consistent with those of the nonveteran samples, indicating that integrating peer providers into mental health care is possible in VA and non-VA settings.
美国退伍军人事务部(VA)的同伴专家和职业康复专家是受雇于心理健康服务领域的退伍军人,旨在帮助其他有类似经历的退伍军人。研究目标包括:(a)调查这些员工的工作满意度;(b)将他们与其他VA心理健康工作者进行比较;(c)确定三个队列中与工作满意度相关的因素。
研究样本包括152名受雇于VA的同伴专家和222名职业康复专家。一个对照组包括来自相同工作类别的460名VA员工。所有参与者都完成了工作满意度指数(11个方面以及总体满意度评分)。使用线性回归来比较工作满意度并确定三个队列中的预测因素。
工作满意度相当高,在11个方面中的6个方面(同伴专家)和9个方面(职业康复专家)以及总体工作评分中,平均为“有点满意”到“非常满意”。在调整了工作时长、年龄和性别后,除了两个例外,没有显著的组间差异:白人同伴专家对薪酬和晋升机会的满意度低于职业康复专家和对照组员工。在所有队列中,工作时间较短与较高的工作满意度相关。
两个同伴队列的高工作满意度表明对VA雇佣同伴专家政策的支持。此外,结果与非退伍军人样本的结果一致,表明在VA和非VA环境中都有可能将同伴提供者纳入心理健康护理。