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“就像一家人一样”:通过在澳大利亚达尔文的朋辈交流改善心理健康康复技能。

'Like a family in the end': Improving mental health Recovery skills through Peer-to-Peer communication in Darwin, Australia.

机构信息

Rural and Remote Health, College of Medicine & Public Health, Flinders University, Charles Darwin University Campus, Casuarina, Northern Territory, Australia.

Wellbeing and Preventable Chronic Diseases Division, Menzies School of Health Research, Charles Darwin University, Casuarina, Northern Territory, Australia.

出版信息

Health Soc Care Community. 2022 Nov;30(6):e5336-e5345. doi: 10.1111/hsc.13952. Epub 2022 Aug 10.

Abstract

The existing psychosocial Support activities in the Northern Territory, Australia, are mostly delivered through individualised outreach and client-centred Support programs and do not currently have a strong Peer focus. To address this gap, a Peer-Led Education Pilot was developed and implemented in Darwin, Australia. The pilot was comprised of three separate but overarching stages, and each stage was independently evaluated. In this article, results from Stage 1 will be presented, with a specific focus on the role of Peer-to-Peer communication in improving participants' mental health and Recovery skills. This stage involved the delivery of the My Recovery program to self-nominated participants, and the evaluation was aimed at reporting on the appropriateness and effectiveness of the program. The evaluation was qualitative in design involving individual pre- and post-program interviews with program participants (n  = 14, n  = 16) between August and October 2019. The program was well received by participants and helped build their capacity to understand and self-manage their mental health and/or alcohol and other drug issues in an inclusive, non-clinical, non-judgemental space. The results highlighted the importance of including a strong Peer focus in the existing psychosocial Support services available for people with mental health issues in Darwin. The findings also underscored the inclusion of those with lived experience of mental health challenges in the design and delivery of such programs.

摘要

澳大利亚北领地现有的心理社会支持活动大多通过个性化的外展和以客户为中心的支持计划提供,目前没有很强的同伴焦点。为了解决这一差距,在澳大利亚达尔文开发并实施了一个同伴领导的教育试点。该试点由三个独立但总体上的阶段组成,每个阶段都进行了独立评估。本文将介绍第一阶段的结果,特别关注同伴间沟通在提高参与者心理健康和康复技能方面的作用。这一阶段涉及向自我提名的参与者提供我的康复计划,评估旨在报告该计划的适当性和有效性。评估的设计是定性的,包括 2019 年 8 月至 10 月期间对项目参与者(n=14,n=16)进行的个人计划前后访谈。该计划受到参与者的欢迎,并帮助他们建立了在包容、非临床、非评判性的环境中理解和自我管理心理健康和/或酒精和其他药物问题的能力。结果强调了在达尔文现有的心理社会支持服务中纳入强烈的同伴焦点的重要性。调查结果还强调了在设计和实施此类计划时纳入有心理健康挑战经历的人的重要性。

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