Jiménez-Solomon Oscar G, Méndez-Bustos Pablo, Swarbrick Margaret, Díaz Samantha, Silva Sissy, Kelley Maura, Duke Steve, Lewis-Fernández Roberto
New York State Psychiatric Institute.
Psychology Department, Catholic University of Maule.
Psychiatr Rehabil J. 2016 Sep;39(3):222-33. doi: 10.1037/prj0000210.
People with psychiatric disabilities experience substantial economic exclusion, which hinders their ability to achieve recovery and wellness. The purpose of this article is to describe a framework for a peer-supported economic empowerment intervention grounded in empirical literature and designed to enhance financial wellness.
The authors followed a 3-step process, including (a) an environmental scan of scientific literature, (b) a critical review of relevant conceptual frameworks, and (c) the design of an intervention logic framework based on (a) and (b), the programmatic experience of the authors, and input from peer providers.
We identified 6 peer provider functions to support individuals with psychiatric disabilities to overcome economic inclusion barriers, achieve financial wellness goals, and lessen the psychosocial impact of poverty and dependency. These include (a) engaging individuals in culturally meaningful conversations about life dreams and financial goals, (b) inspiring individuals to reframe self-defeating narratives by sharing personal stories, (c) facilitating a financial wellness action plan, (d) coaching to develop essential financial skills, (e) supporting navigation and utilization of financial and asset-building services, and (f) fostering mutual emotional and social support to achieve financial wellness goals.
Financial wellness requires capabilities that depend on gaining access to financial and asset-building supports, and not merely developing financial skills. The proposed framework outlines new roles and competencies for peer providers to help individuals build essential financial capabilities, and address social determinants of mental health and disability. Research is currently underway to pilot-test and refine peer-supported economic empowerment strategies. (PsycINFO Database Record
患有精神疾病的人在经济上受到严重排斥，这阻碍了他们实现康复和健康的能力。本文旨在描述一个基于实证文献、旨在促进财务健康的同伴支持经济赋权干预框架。
作者遵循了一个三步过程，包括（a）对科学文献进行环境扫描，（b）对相关概念框架进行批判性审查，以及（c）根据（a）和（b）、作者的项目经验以及同伴提供者的意见设计干预逻辑框架。
我们确定了6种同伴提供者功能，以支持患有精神疾病的个人克服经济融入障碍、实现财务健康目标，并减轻贫困和依赖的心理社会影响。这些功能包括：（a）让个人参与关于生活梦想和财务目标的具有文化意义的对话；（b）通过分享个人故事激励个人重新构建自我挫败的叙述；（c）协助制定财务健康行动计划；（d）指导培养基本的财务技能；（e）支持获取和利用金融及资产建设服务；（f）促进相互的情感和社会支持以实现财务健康目标。
财务健康需要获得金融和资产建设支持的能力，而不仅仅是培养财务技能。拟议的框架概述了同伴提供者的新角色和能力，以帮助个人建立基本的财务能力，并解决心理健康和残疾的社会决定因素。目前正在进行研究，以试点测试和完善同伴支持的经济赋权策略。（PsycINFO数据库记录）
