Fordham University, Graduate School of Social Service, 113W. 60th st., New York, NY 10023, USA.
Fordham University, Graduate School of Social Service, 113W. 60th st., New York, NY 10023, USA.
Patient Educ Couns. 2023 Sep;114:107858. doi: 10.1016/j.pec.2023.107858. Epub 2023 Jun 17.
The roles and responsibilities of peer workers (PWs) are not well articulated. This scoping review aims to systematically identify and describe the roles of PWs in outpatient, community based mental health and substance use services, and compare their roles and responsibilities across these service settings METHODS: The scoping review was a priori developed and implemented according to the Joanna Briggs Institute methodology, which includes stating the review objectives, conducting a three-step search method, and charting the results.
Forty-four peer reviewed manuscripts were included in the review. PWs were used more often in mental health (n = 27) than substance use (n = 10) programs. Peers adopted a wide range of skills. Across program contexts, peers were frequently used as a source of informal support or mentorship and care coordination. Mental health programs often used peers to deliver manualized interventions, while substance use programs more frequently leveraged PWs to facilitate service linkage and engagement.
Roles of peers differed between substance use and mental health programs, reflecting significant diversity in how peers are being integrated into the behavioral health workforce.
Peer certification programs must balance consistency with the wide range of skills required of this workforce.
同伴工作人员（PW）的角色和职责尚未明确阐述。本范围综述旨在系统地确定和描述 PW 在门诊、社区为基础的精神卫生和物质使用服务中的角色，并比较这些服务环境中的角色和职责。
范围综述是根据乔安娜·布里格斯研究所的方法预先制定和实施的，该方法包括陈述综述目标、进行三步搜索方法和绘制结果。
综述纳入了 44 篇同行评审的文献。在精神卫生（n=27）计划中比物质使用（n=10）计划中更常使用同伴。同伴采用了广泛的技能。在项目背景下，同伴经常被用作非正式支持或指导以及护理协调的来源。精神卫生计划经常使用同伴提供规范化干预，而物质使用计划则更频繁地利用同伴来促进服务联系和参与。
同伴在物质使用和精神卫生计划中的角色不同，反映出同伴在行为健康劳动力中的整合方式存在显著差异。
同伴认证计划必须在一致性和该劳动力所需的广泛技能之间取得平衡。
