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同行激活:同行交付干预的可行性试验,以减少物质使用,抑郁症和与物质使用治疗联系的差异

Julia W Felton, Mary B Kleinman, Kelly Doran

Journal of psychosocial nursing and mental health services

|May 31, 2023

概括

同行恢复专家可以为服务不足的人群提供基于证据的干预措施 (EBI),改善物质使用治疗联系并减少抑郁症. 这种方法增强了面临医疗保健障碍的边缘化社区的恢复支持.

科学领域:

医疗保健服务研究医疗服务研究
药物使用障碍药物使用障碍
心理健康干预心理健康干预

背景情况:

较低收入的种族/民族少数群体在获得有效干预措施方面面临差异,并经历医疗保健污名化.
同行恢复专家 (PRS) 能够解决这些障碍,但缺乏基于证据的干预措施 (EBI) 的传统培训.

研究的目的:

评估PRSs提供的调整后的EBI的实施和初步有效性.
评估干预措施的可行性,可接受性和适当性,以将个人与物质使用治疗联系起来.
检查干预对康复的影响,与护理的联系和抑郁症状.

主要方法:

进行了一项涉及8名参与者的开放性试验.
由同行干预者在社区环境中进行了基于证据的调整干预.
测量结果包括可行性,可接受性,忠实性,物质使用和抑郁症状.

主要成果:

由PRS提供的调整后的EBI被认为是可行的,可以接受的和适当的.
该干预成功地将个人与药物使用治疗联系起来,并且具有高可靠性.
完成干预的参与者显示物质使用和抑郁症状显著下降.

结论:

同行恢复专家可以有效地传播EBI,以增加与护理的联系.
这种方法显示出支持传统上服务不足的人群恢复的希望.
这些发现支持PRS在弥合物质使用障碍和心理健康服务方面的差距方面的作用.

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