Except for Dr. Wieland, the authors are with the Department of Psychiatry, Yale University School of Medicine, New Haven, Connecticut. Dr. Wieland is with the U.S. Department of Veterans Affairs Pittsburgh Healthcare System, Pittsburgh.
Psychiatr Serv. 2018 Jul 1;69(7):760-767. doi: 10.1176/appi.ps.201600478. Epub 2018 Apr 16.
This article presents findings from a randomized controlled trial of a peer support mentorship intervention designed for individuals with serious mental illness and frequent, recurrent psychiatric hospitalizations.
Seventy-six individuals who were diagnosed as having a major psychotic or mood disorder and who had at least two psychiatric hospitalizations or more than three emergency department visits within the 18 months prior to the index hospitalization participated in this trial. Participants were randomly assigned to one of two conditions: standard care or a peer mentor plus standard care. Substance use, psychiatric symptoms, psychosocial functioning, and hope were assessed at baseline and at three and nine months after hospital discharge.
Participants assigned to the peer mentor condition reported significantly greater reductions in substance use and psychiatric symptoms and greater improvements in functioning compared with participants assigned to standard care. Moreover, participants in the peer mentor program remained out of the hospital for significantly longer periods of time compared with those assigned to standard care.
Peer services for those who are hospitalized recurrently hold promise as an effective component of behavioral health care for persons with serious mental illnesses.
本文呈现了一项针对有严重精神疾病且经常、反复住院的个体的同伴支持指导干预的随机对照试验的结果。
76 名参与者被诊断患有主要精神病或情绪障碍,并且在指数住院前的 18 个月内至少有两次住院或三次急诊就诊。参与者被随机分配到以下两种条件之一:标准护理或同伴导师加标准护理。在基线和出院后 3 个月和 9 个月时评估物质使用、精神症状、心理社会功能和希望。
与接受标准护理的参与者相比,被分配到同伴导师条件的参与者报告的物质使用和精神症状减少显著,功能改善显著。此外,与接受标准护理的参与者相比,同伴导师计划的参与者住院时间显著延长。
对于那些经常住院的人来说,同伴服务作为严重精神疾病患者行为保健的有效组成部分具有很大的希望。