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参与心理健康服务的同行顾问:叙事研究。

Engaging peer consultants in mental health services: Narrative research.

机构信息

Department of Human Resource Management, Institute of Technology and Business in České Budějovice, Czech Republic.

出版信息

Int J Soc Psychiatry. 2022 Mar;68(2):411-419. doi: 10.1177/00207640211000371. Epub 2021 Mar 14.

Abstract

AIMS

The text deals with the specifics of the new job position of peer consultant in mental health services. The aim is to describe, through a literature search, the involvement of people with mental illness in the position of peer consultant in social services and to identify possible ethical aspects associated with this position.

THEORETICAL BACKGROUND

The problem is viewed from the perspective of the service provider. The involvement of people with experience of mental illness (so-called peer consultants) in mental health services is still a little-known issue. These individuals use their experience of the disease to work with service users and can also act as intermediaries between users and professionals. The way a peer consultant works and his involvement in a team of experts can cause various ethical contradictions.

METHODS

To clarify the issue, a literature search was used, which was conducted for the period 2012 to 2020. Selected studies were analysed on the basis of focus and presented a connection with the practice, the results were compared. Findings were synthesized according to ethical attributes into categories and conclusions were drawn by subsequent logical deduction.

RESULTS

The results indicate a positive benefit of introducing the position to social services focused on mental health care. The positive impact is manifested in working with service user, in the functioning of the organization and also in the impact on the community. Successful implementation of the peer consultant position requires managers to prepare well and become familiar with the possible ethical aspects associated with the position.

摘要

目的

本文探讨了心理健康服务中新的同行顾问职位的特殊性。旨在通过文献检索,描述精神疾病患者在社会服务中担任同行顾问的参与情况,并确定与该职位相关的可能存在的伦理问题。

理论背景

该问题从服务提供者的角度进行了审视。在心理健康服务中,让有精神疾病经验的人(即所谓的同行顾问)参与进来,仍然是一个鲜为人知的问题。这些人利用自己的疾病经验与服务使用者合作,还可以充当使用者和专业人员之间的中介。同行顾问的工作方式及其在专家团队中的参与可能会引发各种伦理矛盾。

方法

为了阐明这个问题,我们进行了文献检索,检索时间为 2012 年至 2020 年。根据重点对选定的研究进行了分析,并与实践进行了关联,对结果进行了比较。根据伦理属性,将研究结果综合分类,并通过后续的逻辑推理得出结论。

结果

结果表明,在关注精神卫生保健的社会服务中引入该职位具有积极的益处。其积极影响体现在与服务使用者的合作、组织的运作以及对社区的影响上。成功实施同行顾问职位需要管理人员做好充分准备,并熟悉与该职位相关的可能存在的伦理问题。

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