Department of Psychiatry, Yale School of Medicine, New Haven, CT, USA and.
Connecticut Department of Mental Health and Addiction Services, Hartford, CT, USA.
J Ment Health. 2020 Feb;29(1):6-11. doi: 10.1080/09638237.2017.1294733. Epub 2017 Mar 10.
: "Recovery supports", often provided by persons in recovery themselves, have emerged over the last decade as important components of recovery-oriented systems of care for persons with substance use disorders.: This study assesses the benefit of adding peer recovery supports to the care of adults with co-occurring psychosis and substance use.: 137 adults with both disorders who had at least one prior admission within the past year were recruited during an index hospitalization into a randomized trial of standard care vs skills training with and without a peer-led social engagement program. Participants were assessed at admission and at three and nine months post-discharge on symptoms, functioning, substance use, and other factors.: At three months, skills training was effective in reducing alcohol use and symptoms, with the addition of peer-led support resulting in higher levels of relatedness, self-criticism, and outpatient service use. At nine months, skills training was effective in decreasing symptoms and inpatient readmissions and increasing functioning, with the addition of peer support resulting in reduced alcohol use.: Adding peer-led support may increase engagement in care over the short term and reduce substance use over the longer-term for adults with co-occurring disorders.
“康复支持”，通常由康复者本人提供，在过去十年中已成为物质使用障碍者康复导向护理系统的重要组成部分。本研究评估了在伴有共病精神疾病和物质使用障碍的成年人的护理中加入同伴康复支持的益处。在一次索引住院期间，共招募了 137 名同时患有这两种疾病且过去一年中至少有一次入院的成年人，他们被随机分配到标准护理组与技能培训组（有或没有同伴主导的社交参与计划）。在入院时和出院后 3 个月和 9 个月评估参与者的症状、功能、物质使用和其他因素。在 3 个月时，技能培训在减少酒精使用和症状方面有效，而同伴主导的支持的加入导致了更高的相关性、自我批判和门诊服务的使用。在 9 个月时，技能培训在减少症状和住院再入院以及增加功能方面有效，而同伴支持的加入则减少了酒精使用。对于伴有共病的成年人，增加同伴主导的支持可能会在短期内增加对护理的参与度，并在长期内减少物质使用。
