Siantz Elizabeth, Henwood Benjamin, Gilmer Todd
Department of Family and Preventive Medicine, University of California, San Diego, 9500 Gilman Drive, La Jolla, CA, 92093-0622, USA.
School of Social Work, University of Southern California, 1150 S. Olive Street, Los Angeles, CA, 90015, USA.
Community Ment Health J. 2017 Jul;53(5):542-549. doi: 10.1007/s10597-017-0106-y. Epub 2017 Feb 11.
Peer providers are integral to Full Service Partnerships (FSPs), which are team-based mental health service models. Peer providers use principles of recovery to engage clients, but FSPs can vary in their recovery orientation. Whether and how peer recovery orientation reflects the organizational environments of FSPs is unclear. This qualitative study explored peer provider attitudes towards recovery within the organizational contexts of FSPs where they are employed. Case study analysis was conducted on eight purposively sampled FSPs using qualitative interviews with peer providers and program directors. In two cases, peer recovery attitudes diverged from those of their organizational context. In these cases, peer providers were champions for recovery, and used practice-based strategies to promote client autonomy despite working in settings with lower recovery orientation. Peer providers could be uniquely positioned to promote client autonomy in settings where organizational factors limit consumer choice.
同伴提供者是全方位服务伙伴关系（FSPs）不可或缺的一部分，FSPs是基于团队的心理健康服务模式。同伴提供者运用康复原则来与客户接触，但FSPs在其康复导向方面可能存在差异。同伴康复导向是否以及如何反映FSPs的组织环境尚不清楚。这项定性研究探讨了同伴提供者在其受雇的FSPs组织背景下对康复的态度。通过对同伴提供者和项目主任进行定性访谈，对八个有目的抽样的FSPs进行了案例研究分析。在两个案例中，同伴康复态度与他们的组织背景不同。在这些案例中，同伴提供者是康复的倡导者，尽管工作在康复导向较低的环境中，但仍采用基于实践的策略来促进客户的自主性。在组织因素限制消费者选择的环境中，同伴提供者可能处于独特的地位来促进客户的自主性。
