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Involving Individuals with Developmental Language Disorder and Their Parents/Carers in Research Priority Setting
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Peers and Co-Occurring Research-Supported Interventions.

Jennifer Harrison1, Linwood Cousins2, Jessaca Spybrook3

  • 1a School of Social Work, Western Michigan University , Kalamazoo , Michigan , USA.

Journal of Evidence-Informed Social Work
|May 2, 2017
PubMed
Summary

Integrated dual disorder treatment (IDDT) teams with full-time peer support specialists demonstrate higher fidelity to the evidence-based model. This integration enhances outcomes for adults with co-occurring mental illness and substance use disorders.

Keywords:
Peersco-occurring disordersfidelityintegrated dual disorder treatmentlived experience

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Area of Science:

  • Mental Health Services Research
  • Addiction Treatment
  • Psychiatric Rehabilitation

Background:

  • Adults with co-occurring mental illness and substance use disorders face significant challenges in quality of life, including housing and employment.
  • Integrated Dual Disorder Treatment (IDDT) is a proven intervention for these individuals, improving outcomes when implemented with high fidelity.
  • IDDT was not originally designed to include peer services, but has evolved to incorporate individuals with lived experience.

Purpose of the Study:

  • To analyze the relationship between the presence and extent of peer services and the fidelity of IDDT implementation.
  • To determine if peer support impacts the fidelity of evidence-based practices in co-occurring disorder treatment.

Main Methods:

  • Evaluated IDDT fidelity data from 20 teams over 7 years in one state.
  • Paired fidelity data with information on peer service integration within teams.
  • Used analysis of variance (ANOVA) to assess the effect of peer services on IDDT fidelity.

Main Results:

  • 85% of IDDT teams included peer support specialists; 40% had full-time peers.
  • Teams with full-time peers showed significantly higher IDDT fidelity (M=4.22) compared to part-time (M=3.68) or no peers (M=3.21).
  • A significant association was found between the presence of peers and higher treatment fidelity.

Conclusions:

  • Peer support specialists integrated into IDDT teams are linked to higher implementation fidelity.
  • This finding supports the inclusion of individuals with lived experience in research-supported interventions.
  • Results have implications for IDDT team composition, fidelity measurement, policy, and funding for peer services.