行为健康设施中的同行支持服务:来自两个国家调查的二次分析
Lynn Videka1, Cory Page1, Jessica Buche1
1School of Social Work (Videka, Evans) and Michigan Medicine (Neale), University of Michigan, Ann Arbor; Behavioral Workforce Research Center, School of Public Health, University of Michigan, Ann Arbor (Page, Buche, Beck, Grazier); New York Harbor Healthcare System, U.S. Department of Veterans Affairs, New York City (Railey); Behavioral Health Workforce Research Center, Cecil G. Sheps Center for Health Services Research, University of North Carolina, Chapel Hill (Gaiser).
同行支持服务在行为健康方面越来越受认可. 吸毒设施提供同行支持的频率是精神卫生设施的两倍多,在各州之间存在差异.
科学领域:
- 行为健康服务 研究 研究 行为健康服务
- 公共卫生政策 公共卫生政策
- 精神卫生服务管理局精神卫生服务管理局
背景情况:
- 同行支持提供者是行为健康工作人员不可或缺的一部分.
- 有证据表明,同行支持有助于康复和与护理接收者服务的参与.
- 了解同行支持服务的普遍性对于服务规划至关重要.
研究的目的:
- 为了确定美国提供同行支持服务的行为健康设施的数量.
- 为了比较心理健康与物质使用设施中同行支持服务的频率.
- 识别与提供同行支持相关的特征.
主要方法:
- 2017年国家心理健康服务调查 (N=11,582) 和国家药物滥用治疗服务调查 (N=13,585) 数据的二次分析.
- 在美国所有50个州报告服务的描述性和比较分析.
- 检查与提供同行支持服务相关的设施特征.
主要成果:
- 在行为健康设施和同行支持服务的可用性方面,州差异很大.
- 提供物质使用治疗的设施报告提供同行支持服务的比例是精神卫生设施 (24.7%) 的两倍以上 (56.6%).
- 与营利性和非营利性设施相比,公共设施更有可能提供同行支持服务.
结论:
- 服务于患有严重精神疾病和并发疾病的人的行为健康设施报告了更高的同行支持率.
- 在调查中对同行支持的不一致定义影响了调查结果的可比性.
- 需要进一步的研究来规范定义,并充分理解同行支持集成.
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