Department of Psychiatry, Taipei Veterans General Hospital, Yuli Branch, Yuli Township, Hualien 98142, Taiwan.
Department of Public Health, Tzu-Chi University, Hualien 97071, Taiwan.
Int J Environ Res Public Health. 2022 Jul 26;19(15):9124. doi: 10.3390/ijerph19159124.
In Taiwan, services provided by patients' peers in the mental health care system are still lacking. Therefore, this study aimed to develop a community setting model by a training program for severe mental illness (SMI) patients' peers that also have SMI in Taiwan.
This training program comprised of 13-h lectures, 15-h practice classes, and an eight-week internship. In 2018 and 2019, the trainees provided one-to-one services to service users with SMI during the internship at a halfway house. The satisfaction and outcomes among all participants were measured in this training course.
The total mean satisfaction score in the training course for trainees (10 items, = 13) and internship services for service users (12 items, = 29) were 4.7 ± 0.4 and 4.6 ± 0.5, respectively. Among the trainees, 11 demonstrated improved Brief Psychiatric Rating Scale-18 (BPRS-18), Chinese Health Questionnaire-12 (CHQ-12), and Global Assessment of Functioning (GAF) scores after the whole training course. Among the 29 service users, their scores in the BPRS-18 and CHQ-12 decreased, whereas their scores in the GAF increased significantly under the internship service.
In this pilot study, the trainees and service users who received internship services felt satisfied. The service providers and users with SMI both showed better clinical outcomes.
在台湾，精神卫生保健系统中患者同伴提供的服务仍有所欠缺。因此，本研究旨在为台湾有精神障碍的严重精神疾病（SMI）患者同伴开发一种社区环境模式的培训计划。
该培训计划包括 13 小时的讲座、15 小时的实践课程和为期八周的实习。在 2018 年和 2019 年，实习生在中途之家实习期间为有 SMI 的服务使用者提供一对一的服务。本培训课程测量了所有参与者的满意度和结果。
培训课程中实习生（10 项， = 13）和服务使用者实习服务（12 项， = 29）的总平均满意度评分为 4.7 ± 0.4 和 4.6 ± 0.5。在实习生中，11 人在整个培训课程后，简明精神病评定量表-18（BPRS-18）、健康问卷-12（CHQ-12）和总体功能评估（GAF）评分均有改善。在 29 名服务使用者中，他们的 BPRS-18 和 CHQ-12 评分下降，而在实习服务下，他们的 GAF 评分显著增加。
在这项试点研究中，接受实习服务的实习生和服务使用者都感到满意。精神障碍的服务提供者和使用者的临床结果都有改善。
