Department of Psychiatry, Morsani College of Medicine, University of South Florida, Tampa (Jones); Department of Psychiatry, Weill Institute for Neurosciences, University of California, San Francisco (Niu, Riano, Hinshaw, Mangurian); Department of Epidemiology (Thomas) and Department of Psychology (Hinshaw), University of California, Berkeley. Debra A. Pinals, M.D., and Marcia Valenstein, M.D., M.S., are editors of this column.
Psychiatr Serv. 2019 Dec 1;70(12):1172-1175. doi: 10.1176/appi.ps.201800552. Epub 2019 Sep 10.
Despite the tremendous growth of the peer specialist workforce in recent decades, significant ethical, political, and procedural challenges remain regarding recruitment and retention of peer staff. This column explores such challenges and potential pitfalls by examining the limits of current accommodation practices, the complexity of "shared identities," and the fraught interplay of disability, stigma, and employee misconduct. Implications for human resources, the importance of proactively addressing power dynamics between peer and nonpeer staff, and potential structural stigma in mental health settings are discussed.
尽管在过去几十年中，同伴专家的队伍有了巨大的发展，但在同伴工作人员的招募和留用方面仍然存在重大的道德、政治和程序挑战。本专栏通过考察当前容纳实践的局限性、“共享身份”的复杂性以及残疾、污名和员工不当行为的复杂相互作用，探讨了这些挑战和潜在的陷阱。讨论了人力资源的影响、积极解决同伴和非同伴工作人员之间权力动态的重要性，以及心理健康环境中潜在的结构性污名。
