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同伴和非同伴共同促进严重精神疾病成人健康和保健干预。

Peer and Non-Peer Co-Facilitation of a Health and Wellness Intervention for Adults with Serious Mental Illness.

机构信息

Veterans Affairs (VA) Capitol Health Care Network (VISN 5), Mental Illness, Research, Education, and Clinical Center (MIRECC), Baltimore, MD, USA.

Department of Psychiatry, University of Maryland School of Medicine, Baltimore, MD, USA.

出版信息

Psychiatr Q. 2021 Jun;92(2):431-442. doi: 10.1007/s11126-020-09818-2.

DOI:10.1007/s11126-020-09818-2
PMID:32794087
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8059447/
Abstract

Peer specialists, or individuals with lived experience of mental health conditions who support the mental health recovery of others, often work side-by-side with traditional providers (non-peers) in the delivery of treatment groups. The present study aimed to examine group participant and peer provider experiences with peer and non-peer group co-facilitation. Data from a randomized controlled trial of Living Well, a peer and non-peer co-facilitated intervention for medical illness management for adults with serious mental illness, were utilized. A subset of Living Well participants (n = 16) and all peer facilitators (n = 3) completed qualitative interviews. Transcripts were coded and analyzed using a general inductive approach and thematic analysis. The complementary perspectives of the facilitators, teamwork between them, skillful group pacing, and peer facilitator self-disclosure contributed to a warm, respectful, and interactive group atmosphere, which created an environment conducive to social learning. Guidelines for successful co-facilitation emerging from this work are described.

摘要

同伴专家,即有心理健康状况生活经验并支持他人心理健康康复的个体,通常与传统提供者(非同伴)一起在治疗小组中提供服务。本研究旨在探讨同伴和非同伴共同主持小组的参与者和同伴提供者的经验。本研究的数据来自一项针对 Living Well 的随机对照试验,Living Well 是一项针对患有严重精神疾病的成年人的医疗疾病管理的同伴和非同伴共同实施的干预措施。利用 Living Well 的一部分参与者(n=16)和所有同伴促进者(n=3)完成了定性访谈。使用一般归纳方法和主题分析对转录本进行了编码和分析。促进者的互补观点、他们之间的团队合作、熟练的小组节奏控制以及同伴促进者的自我披露有助于营造温暖、尊重和互动的小组氛围,创造了有利于社会学习的环境。本研究描述了成功共同主持的指导原则。

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