心理健康的同行支持方法的有效性,实施和经验:系统的总体审查
Ruth E Cooper1, Katherine R K Saunders2, Anna Greenburgh3
1NIHR Mental Health Policy Research Unit, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK. ruth.1.cooper@kcl.ac.uk.
BMC medicine
|February 28, 2024
概括
付费的同行支持对改善心理健康结果,如抑郁症和自我效能,尤其是在围产阶段的人群中显示出希望. 成功实施需要培训,明确的角色和支持性环境,尽管资金和角色明确性仍然是挑战.
科学领域:
- 心理健康研究 心理健康研究
- 实施科学 实施科学
- 系统审查是系统的审查.
背景情况:
- 国际政策越来越多地建议对心理健康的同行支持.
- 付费的同行支持模式是当前心理健康服务提供的一个重点.
- 本综述综合了有关付费同行支持有效性,实施和经验的证据.
研究的目的:
- 系统地审查有关精神健康付费同行支持的证据.
- 评估付费同行支持干预措施的有效性.
- 确定影响付费同行支持实施和经验的因素.
主要方法:
- 对2012-2022年间发表的评论进行了系统的总体审查.
- 搜索了多个数据库,包括MEDLINE,EMBASE,PsycINFO和科克兰图书馆.
- 使用 AMSTAR2 评估审查质量,并以叙事形式综合发现,使用实施研究综合框架 (CFIR) 进行实施.
主要成果:
- 包括35项审查 (426项初级研究);大多数质量低或极低.
- 综合证据表明,同行支持可以改善抑郁症症状 (尤其是围产期),自我效能和恢复.
- 关键的实施促进者包括培训,监督和支持文化;障碍包括资金和缺乏认证.
结论:
- 付费的同行支持可以改善某些心理健康结果和恢复,特别是在围产期的人群中.
- 成功的实施取决于联合制作,定义的角色,适当的培训,监督和支持性的组织结构.
- 需要进一步的研究来澄清同行支持工作者的角色及其影响,以提供者和服务用户的优先事项为指导.
相关概念视频
Self-Help Support Groups
30
Self-help support groups are voluntary, community-based organizations that provide a platform for individuals with shared concerns to exchange support, insights, and practical strategies for coping with life challenges. Typically led by group members or paraprofessionals, these groups form a cornerstone of mental health care, especially in reaching populations that are underserved by traditional healthcare systems.
Accessibility and Cost-Effectiveness
One of the primary strengths of self-help...
Accessibility and Cost-Effectiveness
One of the primary strengths of self-help...
30
Community Based Intervention
43
Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
43
Elements Crucial for Effective Psychotherapy
43
Research has highlighted several critical factors that influence the effectiveness of psychotherapy, such as the therapeutic alliance, the therapist, and the client.
The Therapeutic Alliance
The therapeutic alliance refers to the relationship between the therapist and the client. The alliance strengthens when the therapist and the client engage in a nurturing, supportive, trusting, empathetic, and respectful relationship, improving therapeutic outcomes. Therapists must monitor this relationship...
The Therapeutic Alliance
The therapeutic alliance refers to the relationship between the therapist and the client. The alliance strengthens when the therapist and the client engage in a nurturing, supportive, trusting, empathetic, and respectful relationship, improving therapeutic outcomes. Therapists must monitor this relationship...
43
Group Therapy
33
Group therapy is a sociocultural approach to psychological treatment, where individuals with shared psychological challenges come together under the guidance of a mental health professional. This therapeutic modality offers unique opportunities for individuals to connect, share, and grow within the context of a supportive group. By fostering mutual understanding and collaboration, group therapy can address a range of psychological concerns effectively, often complementing or surpassing the...
33
Treatment Strategies for Psychological Disorders
123
Treatment approaches for psychological disorders fall into three main categories: psychological, biological, and sociocultural. Each approach targets different aspects of mental health, requiring varying levels of education and training.
Psychological therapies focus on modifying emotions, thoughts, and behaviors through talking, interpreting, listening, rewarding, challenging, and modeling. Clinical psychologists, counselors, and social workers commonly practice psychotherapy. Clinical...
Psychological therapies focus on modifying emotions, thoughts, and behaviors through talking, interpreting, listening, rewarding, challenging, and modeling. Clinical psychologists, counselors, and social workers commonly practice psychotherapy. Clinical...
123
Modeling in Therapy
72
Modeling, a key technique in therapy, uses observational learning to help clients acquire and practice new skills by watching therapists demonstrate desired behaviors. This approach, rooted in Albert Bandura's concept of vicarious learning, plays a significant role in therapeutic interventions for various psychological conditions, including social anxiety, ADHD, and depression.
Participant Modeling
Participant modeling involves therapists demonstrating calm and effective behaviors in...
Participant Modeling
Participant modeling involves therapists demonstrating calm and effective behaviors in...
72


