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心理健康同行运营组织对健康之家的态度:政策和实践建议。

Attitudes of Mental Health Peer-Run Organizations Towards Health Homes: Recommendations for Policy and Practice.

机构信息

Department of Family Medicine and Public Health, University of California, San Diego, 9500 Gilman Drive #0622, La Jolla, CA, 92093-0901, USA.

Live & Learn, Inc., 785 Quintana Road, Suite 219, Morro Bay, CA, 93442, USA.

出版信息

Community Ment Health J. 2019 Apr;55(3):420-427. doi: 10.1007/s10597-019-00366-z. Epub 2019 Jan 12.

DOI:10.1007/s10597-019-00366-z
PMID:30637534
Abstract

This study examined peer-run organizations' attitudes towards collaborating in health homes. Data were drawn from the 2012 National Survey of Peer-Run Organizations. Multinomial logistic regression modeled the association between organizational willingness to participate in a health home and salient factors. Current efforts (OR = 5.05; p < 0.05), planned efforts (OR = 4.27; p < 0.05) to encourage physical healthcare, and staff size (OR = 1.09; p < 0.05) were associated with willingness to collaborate in health homes. Some organizations were concerned about power dynamics with potential medical collaborators. Relationships with medical providers, staffing capacity, and concerns about coercion should be considered when integrating peer-run organizations and health homes.

摘要

本研究考察了同伴运营组织对参与健康之家合作的态度。数据来自于 2012 年全国同伴运营组织调查。多项逻辑回归模型分析了组织参与健康之家的意愿与显著因素之间的关联。目前的努力(OR=5.05;p<0.05)、计划中的努力(OR=4.27;p<0.05)鼓励身体保健,以及员工规模(OR=1.09;p<0.05)与参与健康之家的合作意愿相关。一些组织对与潜在医疗合作伙伴的权力动态表示担忧。在整合同伴运营组织和健康之家时,应考虑与医疗服务提供者的关系、人员配备能力以及对强制的担忧。

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本文引用的文献

1
Web-based Survey Data Collection With Peer Support and Advocacy Organizations: Implications of Participatory Methods.基于网络的调查数据收集与同伴支持及倡导组织:参与式方法的影响
Prog Community Health Partnersh. 2017;11(1):45-52. doi: 10.1353/cpr.2017.0006.
2
Medicaid Reimbursement of Mental Health Peer-Run Organizations: Results of a National Survey.医疗补助对同伴运营的心理健康组织的偿付:一项全国性调查的结果
Adm Policy Ment Health. 2017 Jul;44(4):501-511. doi: 10.1007/s10488-015-0675-4.
3
Two Birds, One Stone: Unintended Consequences and a Potential Solution for Problems With Recovery in Mental Health.
一石二鸟:心理健康恢复问题的意外后果及潜在解决方案
Psychiatr Serv. 2015 Nov;66(11):1235-7. doi: 10.1176/appi.ps.201400518. Epub 2015 Jul 1.
4
Leadership and characteristics of nonprofit mental health peer-run organizations nationwide.全国非营利性心理健康同伴运营组织的领导力与特征
Psychiatr Serv. 2015 Apr 1;66(4):421-5. doi: 10.1176/appi.ps.201400080. Epub 2015 Feb 2.
5
Stigma and difficulty accessing medical care in a sample of adults with serious mental illness.患有严重精神疾病的成年样本中的耻辱感和就医困难。
J Health Care Poor Underserved. 2014 Nov;25(4):1956-65. doi: 10.1353/hpu.2014.0185.
6
Improving capacity to monitor and support sustainability of mental health peer-run organizations.提高监测和支持心理健康同伴运营组织可持续性的能力。
Psychiatr Serv. 2014 Feb 1;65(2):239-41. doi: 10.1176/appi.ps.201300187.
7
Level-of-care criteria for peer support services: a best-practice guide.同伴支持服务的护理级别标准:最佳实践指南。
Psychiatr Serv. 2013 Dec 1;64(12):1190-2. doi: 10.1176/appi.ps.201300277.
8
Peer support among persons with severe mental illnesses: a review of evidence and experience.严重精神疾病患者之间的同伴支持:证据和经验回顾。
World Psychiatry. 2012 Jun;11(2):123-8. doi: 10.1016/j.wpsyc.2012.05.009.
9
Recovery in the USA: from politics to peer support.美国的康复之路:从政治到同伴支持。
Int Rev Psychiatry. 2012 Feb;24(1):70-8. doi: 10.3109/09540261.2012.659659.
10
Care integration in the Patient Protection and Affordable Care Act: implications for behavioral health.患者保护与平价医疗法案中的医疗整合:对行为健康的影响。
Adm Policy Ment Health. 2013 Jul;40(4):258-63. doi: 10.1007/s10488-012-0405-0.