调查同行支持计划的关键元素,重点是社区组织的恢复和重新进入:一个定性实施科学研究
Kelli Brown1, David Nelson1, Moriah Iverson1
1Medical College of Wisconsin, Milwaukee, WI, USA.
Substance use & addiction journal
|November 20, 2025
概括
实施有效的同行支持计划需要有意的设计和结构. 关键的成功因素包括可持续的资金,强大的领导力和有影响力的同行-客户互动,同时应对导师培训和倦怠等挑战对于计划的可持续性至关重要.
科学领域:
- 实施科学 实施科学
- 基于社区的干预措施
- 恢复支持 恢复支持
背景情况:
- 同行支持计划是基于证据的,用于物质使用恢复和减少重复犯罪.
- 经过培训的同行支持者拥有实践经验,指导个人通过类似的挑战.
- 基于社区的组织 (CBO) 实施各种各样的同行支持模式.
研究的目的:
- 为CBOs实施和维持同行支持计划提供指导.
- 专注于支持监禁后恢复或重新入境的项目.
- 确定影响成功实施同行支持计划的因素.
主要方法:
- 使用实施研究综合框架 (CFIR) 作为指导.
- 采访了7个CBOs的20名领导人,他们雇佣了同行专家.
- 分析了定性数据,并应用了CFIR结构来识别实施影响.
主要成果:
- 计划的成功因素:可持续的资金,强大的领导力,明确的结构,有影响力的互动,灵活性.
- 识别的挑战:招聘合格的导师,有限的培训/认证,职业发展,倦怠,界限设定.
- 在CFIR的分析中,突出了影响实施的关键构造.
结论:
- 同行支持有效地弥合了医疗保健,心理健康和行为健康服务的差距.
- 公共公共组织必须有意地制定和构建同行支持计划.
- 该研究为有效的同行支持计划实施和可持续性提供了可操作的见解.
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