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同伴康复专家能否改善综合初级保健环境中物质使用障碍患者的结局?一项方案评估。

Do Peer Recovery Specialists Improve Outcomes for Individuals with Substance Use Disorder in an Integrative Primary Care Setting? A Program Evaluation.

机构信息

Public Health Management Corporation, Research & Evaluation Group, Philadelphia, PA, USA.

Public Health Management Corporation, Specialized Health Services, Philadelphia, PA, USA.

出版信息

J Clin Psychol Med Settings. 2020 Dec;27(4):704-715. doi: 10.1007/s10880-019-09661-z.

DOI:10.1007/s10880-019-09661-z
PMID:31520183
Abstract

Peer recovery specialists (PRSs) combine their personal experiences with substance use and recovery with clinical skills to support patients in treatment for or recovery from substance use. This paper provides evaluation findings from a SAMHSA-funded program that integrated a PRS team into a primary care clinic to assess the efficacy of PRS support on patients' substance use, healthcare involvement, and criminal justice involvement. PRSs provided a range of services to patients with histories of incarceration and substance use, including facilitating support groups, providing one-on-one individualized support, and navigating services. Data were collected from PRS-supported patients at intake, discharge, and 6 months post-intake. Results revealed reductions in the percentage of patients using substances in the past 30 days, decreased number of days using alcohol, increased engagement in more medical services after program enrollment, increased school enrollment, and increased rates of employment for PRS-supported patients.

摘要

同伴康复专家 (PRS) 将他们的个人物质使用和康复经验与临床技能相结合,为接受物质使用治疗或康复的患者提供支持。本文提供了一项由 SAMHSA 资助的计划的评估结果,该计划将 PRS 团队整合到初级保健诊所中,以评估 PRS 支持对患者物质使用、医疗保健参与和刑事司法参与的效果。PRS 为有监禁和物质使用史的患者提供了一系列服务,包括促进支持小组、提供一对一的个性化支持和服务导航。数据是从接受 PRS 支持的患者在入组时、出院时和入组后 6 个月时收集的。结果显示,过去 30 天内使用物质的患者比例有所下降,使用酒精的天数减少,参加更多医疗服务的人数增加,入组后入学人数增加,接受 PRS 支持的患者的就业率增加。

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