Byrne Louise, Roennfeldt Helena, Wolf Jessica, Linfoot Ally, Foglesong Dana, Davidson Larry, Bellamy Chyrell
School of Management, RMIT University, 124 La Trobe St, Melbourne, VIC, 3000, Australia.
Department of Psychiatry, Program for Recovery and Community Health, Yale School of Medicine, Building. 1 Erector Square, 319 Peck Street, New Haven, CT, 06513, USA.
Adm Policy Ment Health. 2022 Mar;49(2):283-297. doi: 10.1007/s10488-021-01162-2. Epub 2021 Sep 3.
This study sought a clearer understanding of organizational mechanisms reinforcing effective peer employment and organizational change from the perspectives of peer workers, non-peer staff and management in multidisciplinary mental health and substance use recovery services. Findings were used to develop a model for organizational best practice for peer employment and associated organizational change to promote recovery-oriented and person-directed services. Qualitative research was undertaken, involving 132 people participating in 14 focus groups and eight individual interviews. These people were employed across five U.S. multidisciplinary organizations providing mental health and substance use recovery services and deemed by a panel of experts to provide effective employment of peer workers. Study findings include the articulation of an interactive working model of best practice, comprising organizational commitment, organizational culture and effective organizational strategies necessary for a "whole-of-organization" approach to support authentic peer work and enable organizational transformation, to actualize recovery-oriented values and person-driven services. Strategies include Human Resources engagement, peers in positions of senior organizational authority, recurring whole of workforce training, along with peer training and peer-led supervision. Findings suggest whole-of-organization commitment, culture and practice are essential for the organizational transformation needed to support effective employment of peers in multidisciplinary environments.
本研究旨在从多学科心理健康和物质使用康复服务中的同伴工作者、非同伴工作人员和管理人员的角度，更清晰地理解强化有效同伴就业和组织变革的组织机制。研究结果被用于开发一个同伴就业及相关组织变革的组织最佳实践模型，以促进以康复为导向和以人为本的服务。研究采用了定性研究方法，有132人参与了14个焦点小组和8次个人访谈。这些人受雇于美国五个提供心理健康和物质使用康复服务的多学科组织，且被一个专家小组认为在同伴工作者的有效就业方面表现出色。研究结果包括阐述了一个最佳实践的互动工作模型，该模型包括组织承诺、组织文化和有效的组织战略，这些是采取“全组织”方法支持真正的同伴工作并实现组织转型、落实以康复为导向的价值观和以人为本的服务所必需的。战略包括人力资源参与、让同伴担任高级组织权威职位、定期开展全体员工培训，以及同伴培训和同伴主导的监督。研究结果表明，全组织的承诺、文化和实践对于在多学科环境中支持同伴有效就业所需的组织转型至关重要。
