Wolf Jessica
Decision Solutions Consulting and Department of Psychiatry, Yale University School of Medicine, 305 Goldbach Drive, Stratford, CT, 06614, USA.
Community Ment Health J. 2025 Feb;61(2):234-243. doi: 10.1007/s10597-024-01273-8. Epub 2024 Apr 12.
Employment and deployment of peer support specialists in both clinical and non-clinical mental health settings has increased substantially since the 1990's. Peer-run organizations are defined as those led and managed by individuals with self-disclosed lived experience of mental health conditions. Many peer-run organizations promoting advocacy and offering services have been established during the past 30 years. Some adherents assert the effectiveness of peer-run organizations over hybrid mental health service providers in which peer support workers are integrated or partnered with existing community mental health agency multidisciplinary clinical and treatment teams. Although research has indicated the positive contributions of peer-run organizations to service user recovery, the impact of peer-run organizations on system transformation is not well documented. This concept paper explores benefits, accomplishments, and challenges faced by a peer-run organization during its 30-year evolution in offering self-help groups, supported housing, peer support services, peer specialist training, and systems change projects in Los Angeles County, California. Future research topics and policy options are suggested, along with recommendations for the SAMHSA Office of Recovery.
自20世纪90年代以来，同伴支持专家在临床和非临床心理健康环境中的就业和部署大幅增加。同伴运营组织被定义为由自我披露有心理健康状况生活经历的个人领导和管理的组织。在过去30年里，许多促进宣传并提供服务的同伴运营组织已经建立。一些支持者声称，同伴运营组织比混合心理健康服务提供者更有效，在混合心理健康服务提供者中，同伴支持工作者与现有的社区心理健康机构多学科临床和治疗团队整合或合作。尽管研究表明同伴运营组织对服务使用者康复有积极贡献，但同伴运营组织对系统变革的影响记录并不充分。本概念文件探讨了一个同伴运营组织在加利福尼亚州洛杉矶县提供自助小组、支持性住房、同伴支持服务、同伴专家培训和系统变革项目的30年发展过程中所面临的益处、成就和挑战。提出了未来的研究主题和政策选择，以及对美国药物滥用和心理健康服务管理局康复办公室的建议。
