Campbell Family Mental Health Research Institute, Centre for Addiction and Mental Health, Toronto, ON, Canada.
Department of Psychiatry, Lunenfeld Tanenbaum Research Institute, Sinai Health, Toronto, Canada.
Curr Psychiatry Rep. 2023 Nov;25(11):735-740. doi: 10.1007/s11920-023-01459-z. Epub 2023 Oct 11.
Psychological treatments remain largely inaccessible to perinatal populations despite their robust effectiveness. This gap is partly due to the limited number of available treatment providers. In this review, we critically evaluate recent literature on task-sharing to peer providers and propose future directions.
There is a growing evidence base demonstrating that peer providers can effectively deliver psychological treatments for perinatal populations, as well as engage in processes critical to quality assurance, such as measurement-based peer supervision. Findings have also highlighted some benefits of peers over licensed healthcare providers, such as enhanced collaborative relationships, reduced stigma, provision of social comparisons, and increased accessibility. Peer providers may be one solution to improve access to psychological treatments for perinatal populations. However, there is a need to address clinical, professional, and health-system level barriers to effectively leverage this cadre of treatment providers.
尽管心理治疗在围产期人群中具有强大的疗效,但它们在很大程度上仍然难以获得。这一差距部分归因于可用治疗提供者的数量有限。在这篇综述中,我们批判性地评估了最近关于向同伴提供者任务分担的文献,并提出了未来的方向。
越来越多的证据表明,同伴提供者可以有效地为围产期人群提供心理治疗,并且可以参与到质量保证至关重要的过程中,例如基于测量的同伴监督。研究结果还强调了同伴相对于有执照的医疗保健提供者的一些优势,例如增强的合作关系、减少污名化、提供社会比较以及增加可及性。同伴提供者可能是改善围产期人群获得心理治疗的一种解决方案。然而,需要解决临床、专业和卫生系统层面的障碍,以有效地利用这一治疗提供者群体。