The Geisel School of Medicine at Dartmouth College, 2 Pillsbury Street, Suite 401, Concord, NH, 03301, USA.
CDC Health Promotion Research Center at Dartmouth, Lebanon, NH, 03766, USA.
Psychiatr Q. 2019 Sep;90(3):579-586. doi: 10.1007/s11126-019-09647-y.
Examine the unmet needs of people with serious mental illness (SMI) from the perspective of certified peer specialists. 267 certified peer specialists from 38 states completed an online survey (female [73%], 50.9 [SD = 12] years, and non-Hispanic White [79.8%]). Many respondents reported a primary mental health diagnoses (n = 200), 22 respondents reported their diagnosis as schizophrenia spectrum disorder (11%), 46 respondents reported bipolar disorder (22.1%), 47 respondents reported major depressive disorder (22.6%), 29 respondents reported post-traumatic stress disorder (13.9%), 27 respondents reported alcohol/substance use disorder (13%), 2 respondents reported personality disorder (1%), and 12 reported "other" (5.8%). A mixed methods convergence analysis integrated quantitative with qualitative data. Social isolation (n = 160, 59.9%) and feeling lonely (n = 159, 59.6%) were the most highly endorsed unmet need, followed by the need to address chronic health conditions (n = 80, 30%), prevent mental health hospitalization (n = 71, 23.6%), and prevent drug use (n = 66, 24.7%). Four themes emerged: need to address basic necessities, loneliness and social isolation, hope, and addiction. Addressing loneliness and social isolation were identified as the primary unmet needs among people with SMI. Addressing co-morbid health conditions may simultaneously impact other unmet needs. Hope is an important intervention target. Initial insights from this study can be used to guide researchers' efforts to incorporate certified peer specialists perspectives in developing programs to meet the needs of people with SMI. Future research using participatory research methods can further examine these initial insights.
从认证同伴专家的角度审视严重精神疾病（SMI）患者的未满足需求。来自 38 个州的 267 名认证同伴专家完成了一项在线调查（女性[73%]，50.9[SD=12]岁，非西班牙裔白人[79.8%]）。许多受访者报告了主要的心理健康诊断（n=200），22 名受访者报告了他们的诊断为精神分裂症谱系障碍（11%），46 名受访者报告了双相情感障碍（22.1%），47 名受访者报告了重度抑郁症（22.6%），29 名受访者报告了创伤后应激障碍（13.9%），27 名受访者报告了酒精/物质使用障碍（13%），2 名受访者报告了人格障碍（1%），12 名受访者报告了“其他”（5.8%）。一种混合方法收敛分析将定量与定性数据相结合。社会孤立（n=160，59.9%）和孤独感（n=159，59.6%）是最受认可的未满足需求，其次是解决慢性健康状况的需求（n=80，30%），预防精神健康住院（n=71，23.6%）和预防药物滥用（n=66，24.7%）。出现了四个主题：满足基本需求、孤独和社会隔离、希望和成瘾。解决孤独和社会隔离被确定为 SMI 患者的主要未满足需求。解决合并健康状况可能会同时影响其他未满足的需求。希望是一个重要的干预目标。这项研究的初步见解可以用于指导研究人员努力将认证同伴专家的观点纳入制定满足 SMI 患者需求的方案中。使用参与式研究方法的未来研究可以进一步研究这些初步见解。
