Acri Mary C, Craig Nancy, Adler Josh
The McSilver Institute for Poverty, Policy, and Research, New York, NY, USA.
Families Together in New York State, Albany, NY, USA.
Community Ment Health J. 2018 Nov;54(8):1163-1171. doi: 10.1007/s10597-018-0269-1. Epub 2018 Mar 24.
Peers are an important adjunct to the public mental health service system, and are being increasingly utilized across the country as a cost-effective solution to workforce shortages. Despite the tremendous growth of peer-delivered support over the past two decades, it has only been within the past few years that peer programs have been the subject of empirical inquiry. The purpose of this study was to examine the prevalence and characteristics of peer-delivered parenting programs across the New York State public mental health service system. We surveyed 46 family peer organizations across New York State regarding their delivery of structured peer-delivered parenting programs. Thirty-four (76%) completed the questionnaire, and of them, 18 (53%) delivered a parenting program. Subsequent interviews with seven of the 18 organizations revealed peer organizations had been delivering eight unique parenting programs for upwards of two decades. Additionally, organizations offered multiple supports to families to participate. Training, supervision, and issues around fidelity are discussed, as well as the implications of this study for states utilizing a peer workforce.
同伴是公共心理健康服务体系的重要辅助力量，并且在全国范围内作为应对劳动力短缺的一种经济有效的解决方案而得到越来越多的应用。尽管在过去二十年中同伴提供的支持取得了巨大增长，但直到最近几年，同伴项目才成为实证研究的对象。本研究的目的是调查纽约州公共心理健康服务体系中同伴提供的育儿项目的普及率和特点。我们对纽约州的46个家庭同伴组织进行了调查，了解他们提供结构化同伴育儿项目的情况。34个（76%）组织完成了问卷，其中18个（53%）提供了育儿项目。随后对这18个组织中的7个进行的访谈显示，同伴组织已经提供了8种独特的育儿项目长达二十多年。此外，各组织为家庭参与提供了多种支持。文中讨论了培训、监督以及保真度方面的问题，以及本研究对使用同伴劳动力的各州的影响。
