Supported Employment Service, Occupational Therapy Department, Kwai Chung Hospital, Hong Kong.
Psychiatrist, Kwai Chung Hospital, Hong Kong.
Asian J Psychiatr. 2018 Jun;35:132-140. doi: 10.1016/j.ajp.2016.10.002. Epub 2016 Oct 24.
The present study reviews the delivery of a pilot curriculum-mentorship-based peer vocational support workers training in a Hong Kong public psychiatric hospital. The present paper reports (1) on the development of a peer vocational support workers training - Job Buddies Training Program (JBTP) in Hong Kong; and (2) preliminary findings from both quantitative and qualitative perspectives.
The curriculum consists of 15-session coursework, 8-session storytelling workshop and 50-hour practicum to provide Supported Employment Peer Service (SEPS) under the mentorship of occupational therapists. Six trainees were assessed using three psychosocial assessments and qualitative methods.
Compared to the baseline, the Job Buddies (JB) trainees showed an increase in awareness of their own recovery progress, occupational competence and problem-solving skills at the end of the training. Their perceived level of self-stigma was also lessened. In post-training evaluation, all Job Buddies trainees said they perceived positive personal growth and discovered their own strengths. They also appreciated the help from their mentors and gained mutual support from other trainees and from exposure with various mini-projects in the training.
This pilot study provides an example of incorporating peer support and manualized training into existing work rehabilitation service for our JB trainees. Further studies on the effectiveness of service provided by peer support workers and for development on the potential use of peer support workers in other clinical and rehabilitation settings with larger subjects will be fruitful.
本研究回顾了在香港一家公立精神病院开展以课程-导师制为基础的朋辈职业支持工作者培训的试点情况。本研究报告了(1)在香港开发朋辈职业支持工作者培训-职业伙伴培训计划(JBTP)的情况;以及(2)从定量和定性两个角度的初步发现。
该课程包括 15 节课程、8 节叙事工作坊和 50 小时实习,在职业治疗师的指导下提供支持性就业朋辈服务(SEPS)。对 6 名学员进行了三项心理社会评估和定性方法的评估。
与基线相比,职业伙伴(JB)学员在培训结束时表现出对自身康复进展、职业能力和解决问题能力的认识提高,自我污名化程度也有所减轻。在培训后的评估中,所有职业伙伴学员都表示他们感受到了个人的积极成长,发现了自己的优势。他们还感谢导师的帮助,并从培训中的各种小型项目中获得了彼此之间的支持。
本试点研究为将朋辈支持和规范化培训纳入现有的工作康复服务为我们的 JB 学员提供了一个范例。进一步研究朋辈支持工作者提供的服务的有效性,以及在更大的研究对象中开发朋辈支持工作者在其他临床和康复环境中的潜在用途的研究将是富有成效的。