Prat Vigué Gemma, Cano Prieto Ivan, Del Río Sáez Ruben, Vilanova Masana Rut, Simó Algado Salvador
Althaia Xarxa Assistencial Universitària de Manresa, Manresa, Spain.
Fundació Osonament, Vic, Spain.
Front Psychiatry. 2022 Apr 8;13:791724. doi: 10.3389/fpsyt.2022.791724. eCollection 2022.
A mental health peer support program was implemented at two reference institutions in Central Catalonia. The program culturally and contextually adapted successful international projects by training people with experience of mental health problems and ensuring their employment in multidisciplinary health care teams. This study explores the influence of peer interventions in mental health on the three groups of participants: peer support workers, service users, and mental health professionals.
A mixed observational method design included pre-, inter-, and post-experimental components and a qualitative description of the impact. The triangulation of the qualitative and quantitative findings showed its coherence and facilitated the understanding of the results. Outcomes and measures were as follows: self-stigma (Self-Stigma Questionnaire); life satisfaction (Scale of Satisfaction with Life); participation in relevant activities (Engagement in Meaningful Activities Survey); personal recovery (Scale-revised Recovery Assessment); occupational performance (Canadian Occupational Performance Measure); and attitudes toward mental illness (Community Attitudes toward Mental Illness).
The program showed beneficial effects on peer support workers' (PSW) perceptions of occupational performance, specifically on the ability to find work ( = 0.038), work as a peer support worker ( = 0.016), give to the community ( = 0.011), and satisfaction in the ability to find work ( = 0.031). The assessment made by the three groups of participants was very positive: the PSWs showed an increase in self-esteem and a feeling of usefulness; users of the service described the experience as a source of hope and optimism in their recovery process; and professionals described the program as a positive step in their professional growth.
The peer-to-peer strategy is a source of hope in the personal recovery process, providing meaning to life for the PSWs while providing an extra source of support to service users in their process of personal recovery. The results offer us lines of improvement for future implementations. PSW's final emphasis has us reflecting on improvements to enhance their own wellness in mental health care services. The findings show the importance of working on life projects and their impact on the recovery process.
在加泰罗尼亚中部的两个参考机构实施了一项心理健康同伴支持计划。该计划通过培训有心理健康问题经历的人员并确保他们在多学科医疗团队中就业，对成功的国际项目进行了文化和背景方面的调整。本研究探讨了同伴心理健康干预对三组参与者的影响：同伴支持工作者、服务使用者和心理健康专业人员。
混合观察法设计包括实验前、实验中和实验后三个部分以及对影响的定性描述。定性和定量研究结果的三角验证显示了其一致性，并有助于对结果的理解。结果和测量指标如下：自我污名化（自我污名化问卷）；生活满意度（生活满意度量表）；参与相关活动（有意义活动参与度调查）；个人康复（修订后的康复评估量表）；职业表现（加拿大职业表现测量）；以及对精神疾病的态度（社区对精神疾病的态度）。
该计划对同伴支持工作者（PSW）的职业表现认知产生了有益影响，特别是在找工作能力（=0.038）、作为同伴支持工作者工作的能力（=0.016）、为社区做贡献的能力（=0.011）以及对找工作能力的满意度（=0.031）方面。三组参与者的评价都非常积极：同伴支持工作者的自尊和有用感有所增强；服务使用者将这段经历描述为他们康复过程中希望和乐观情绪的来源；专业人员将该计划描述为他们职业成长中的积极一步。
同伴互助策略是个人康复过程中的希望之源，为同伴支持工作者的生活赋予意义，同时在服务使用者的个人康复过程中为他们提供额外的支持来源。研究结果为我们未来的实施提供了改进方向。同伴支持工作者的最终重点促使我们思考如何改进以提升他们在心理健康服务中的自身健康状况。研究结果表明开展生活项目的重要性及其对康复过程的影响。
