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披露还是不披露?同伴工作者对有亲身经历的心理健康专业人员安全披露文化的影响。

To disclose or not to disclose? Peer workers impact on a culture of safe disclosure for mental health professionals with lived experience.

作者信息

Byrne Louise, Roennfeldt Helena, Davidson Larry, Miller Rebecca, Bellamy Chyrell

机构信息

School of Management, College of Business and Law, RMIT University.

Program for Recovery and Community Health, Department of Psychiatry, Yale School of Medicine, Yale University.

出版信息

Psychol Serv. 2022 Feb;19(1):9-18. doi: 10.1037/ser0000555. Epub 2021 May 27.

DOI:10.1037/ser0000555
PMID:34043384
Abstract

The presence of peer workers in multi-disciplinary environments has rapidly increased in recent years, yet the impact of peer work on other mental health roles is largely unknown. This article explores the presence of peer workers within multi-disciplinary environments, with a specific focus on the possible impact of this presence on the culture of disclosure for mental health professionals with lived experiences of mental health challenges. Semi-structured focus groups and interviews were conducted with 132 participants at five organizations across the United States. Participants self-identified as being employed in a range of roles including management, mental health professionals, designated peer workers, and designated peer leadership positions. Findings suggest intentionally employing peers and using peer values to address stigma toward mental health professionals improves the culture of disclosure. In work environments where peer-led initiatives were featured, mental health professionals felt safer disclosing their own lived experience to their colleagues and supervisors. Recommendations include the use of parallel strategies to promote the perceived value of peers and to implement peer-led training for both supervisors and professionals to model a workplace culture that promotes and supports self-disclosure in the organization. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

摘要

近年来,同伴工作者在多学科环境中的出现迅速增加,但同伴工作对其他心理健康角色的影响在很大程度上尚不清楚。本文探讨了同伴工作者在多学科环境中的存在情况,特别关注这种存在对有心理健康挑战生活经历的心理健康专业人员的披露文化可能产生的影响。在美国五个组织对132名参与者进行了半结构化焦点小组和访谈。参与者自我认定担任一系列角色,包括管理人员、心理健康专业人员、指定的同伴工作者和指定的同伴领导职位。研究结果表明,有意聘用同伴并利用同伴价值观来消除对心理健康专业人员的污名化,可改善披露文化。在以同伴主导的倡议为特色的工作环境中,心理健康专业人员向同事和主管披露自己的生活经历时会感到更安全。建议包括使用并行策略来提升同伴的感知价值,并为主管和专业人员实施同伴主导的培训,以塑造一种促进和支持组织内自我披露的工作场所文化。(PsycInfo数据库记录 (c) 2022美国心理学会,保留所有权利)

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