利益相关者驱动方法制定同伴指导干预措施，以满足智力/发育障碍和共病精神健康状况的青年需求。
Stakeholder-driven approach to developing a peer-mentoring intervention for young adults with intellectual/developmental disabilities and co-occurring mental health conditions.
机构信息
Department of Occupational Therapy, Boston University, Boston, Massachusetts, United States.
College of Public Health and Health Professions, Occupational Therapy, University of Florida, Gainesville, Florida, United States.
出版信息
J Appl Res Intellect Disabil. 2020 Sep;33(5):992-1004. doi: 10.1111/jar.12721. Epub 2020 Mar 2.
Abstract
BACKGROUND
Young adults with intellectual/developmental disabilities and co-occurring mental health conditions (IDD-MH) experience significant mental health disparities. Barriers to services include transportation and stigma associated with services. Peer mentoring (PM) may be one solution to these barriers.
METHODS
We conducted exploratory research to develop a PM intervention for young adults with IDD-MH by partnering with 3 young adults with IDD-MH and a seven-member advisory board. In addition, we conducted focus groups with mental health clinicians (n = 10), peer providers (n = 9), and transition specialists (n = 20) to identify the desired PM outcomes and features and content that may facilitate these outcomes.
RESULTS
Prioritized outcome: identifying and utilizing leisure activities as coping strategies. PM features: mentors should use relationship- and outcome-driven actions to operationalize a mentee-centred approach. Features and content considerations: safety, mentor matching, degree of structure, mentor training and support, and collaboration with mentees' support teams.
DISCUSSION
Findings are aligned with previous research on PM.
摘要
背景
患有智力/发育障碍和并发精神健康状况的年轻人（IDD-MH）经历着显著的精神健康差距。服务障碍包括与服务相关的交通和污名。朋辈辅导（PM）可能是解决这些障碍的一种方法。
方法
我们通过与 3 名患有 IDD-MH 的年轻人和一个由 7 名成员组成的顾问委员会合作，开展了探索性研究，为患有 IDD-MH 的年轻人开发 PM 干预措施。此外，我们还与精神健康临床医生（n=10）、朋辈提供者（n=9）和过渡专家（n=20）进行了焦点小组讨论，以确定期望的 PM 结果以及可能促进这些结果的特征和内容。
结果
优先考虑的结果：识别和利用休闲活动作为应对策略。PM 特征：导师应该使用关系和结果驱动的行动来实施以学员为中心的方法。特征和内容考虑因素：安全、导师匹配、结构程度、导师培训和支持，以及与学员支持团队的合作。
讨论
研究结果与 PM 的先前研究一致。
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