在刑事司法系统中为严重精神疾病患者实施同行导航计划:见解和经验教训
Maji Hailemariam1,2, Garrett Brown3, Teresa Ng4
1Charles Stewart Mott Department of Public Health, Michigan State University, Flint, MI, USA. debenama@msu.edu.
Pilot and feasibility studies
|January 10, 2026
概括
导师和同行支持 (MAPS) 计划对重症精神疾病 (SMI) 患者重新进入社会有希望. 实施面临诸如监狱访问和客户不信任等挑战,但可行性和可接受性很高.
科学领域:
- 医疗保健提供 医疗保健提供
- 心理健康服务 心理健康服务
- 实施科学 实施科学
背景情况:
- 同行提供的服务在医疗保健中至关重要.
- 本研究详细介绍了指导和同行支持 (MAPS) 计划的实施情况.
- 该计划的目标是重症精神疾病 (SMI) 的个人从监狱过渡到社区.
研究的目的:
- 描述MAPS同行导航计划的实施过程.
- 评估MAPS计划的可行性,可接受性和文化适应性.
- 确定在实施对SMI重返社区的个人同行支持方面的挑战和促进者.
主要方法:
- 利用了与四位同行导航者的深入采访.
- 管理了12项工作联盟库存量表,以评估航海员的观点.
- 审查了25份行政文件,并使用实施研究综合框架 (CFIR) 进行了主题分析.
主要成果:
- 发现MAPS计划是可行的,可以接受的,在文化上是合适的.
- 报道了关于计划有效性的混合意见.
- 挑战包括监狱的准入,客户的怀疑,以及因后勤和社会障碍而维持释放后的联系.
结论:
- 像MAPS这样的同行导航计划显示出改善重新进入个人的心理健康服务联系的潜力.
- 加强发布后的支持和明确的角色定义对于解决客户不信任和推进实施至关重要.
- 研究结果将指导未来一项关于MAPS干预有效性和成本效益的随机试验.
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