Social Work,Ben-Gurion University of the Negev,Beer-Sheva,Israel.
Epidemiol Psychiatr Sci. 2018 Oct;27(5):420-426. doi: 10.1017/S2045796018000173. Epub 2018 Apr 16.
Self-help peer-support groups in Israel emerged in the 1980s and, over time, dynamically interacted and co-developed with the statutory mental health (MH) system. In this editorial, I outline historical milestones of how the evolution of the Israeli mental health system was influenced by the consumer movement. A brief depiction of the consumer movement history. At first, consumers operated outside of the mainstream MH system. Gradually, consumer groups and institutional personnel joined efforts towards community integration and enhancement of quality of life, pushing forward a person-centered recovery orientation. In turn, some administrators and key stakeholders in rehabilitation community services grew to value the impact of knowledge-by-experience in contemporary mental health care. In this context, over the past decade, peer roles were developed in the mental health system, including consumer-providers in community services and peer specialists in inpatient psychiatric hospitals. The insertion of peer roles into the mainstream MH system is far-reaching, including the placement of a peer-project coordinator within the ministry of health. I describe the unique contribution of peers, as experts-by-experience, to mainstream professional knowledge and practice. I also highlight the potential challenges involved when peer models of care are added to traditional medical models of care. The Israeli case demonstrates how the consumer movement can play an active role in MH systems and be acknowledged and recognised as a partner for changing policy, practice and reshaping formal institutions. In addition, they play a vital role in the development of peer-support services.
自助同伴支持小组于 20 世纪 80 年代在以色列出现，并随着时间的推移，与法定精神卫生系统（MH）动态互动和共同发展。在这篇社论中，我概述了以色列精神卫生系统的发展如何受到消费者运动影响的历史里程碑。简要描述一下消费者运动的历史。起初，消费者在主流 MH 系统之外运作。渐渐地，消费者群体和机构人员共同努力，实现社区融合和生活质量的提高，推动以患者为中心的康复方向。反过来，康复社区服务的一些管理人员和主要利益相关者开始重视经验知识对当代精神卫生保健的影响。在这种背景下，在过去十年中，精神卫生系统中发展了同伴角色，包括社区服务中的消费者提供者和住院精神病院的同伴专家。同伴角色被插入主流 MH 系统的影响深远，包括在卫生部内设立一个同伴项目协调员。我描述了作为经验专家的同伴对主流专业知识和实践的独特贡献。我还强调了在将同伴护理模式添加到传统医疗护理模式时所涉及的潜在挑战。以色列的案例表明，消费者运动如何在 MH 系统中发挥积极作用，并被承认为改变政策、实践和重塑正式机构的合作伙伴。此外，他们在同伴支持服务的发展中发挥着至关重要的作用。
