Peer support and shared decision making in Open Dialogue: Opportunities and recommendations.
Peer support and shared decision making in Open Dialogue: Opportunities and recommendations.
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DOI：
10.3389/fpsyg.2022.1059412
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发表时间：
2022
影响因子：
3.8
通讯作者：
Zisman-Ilani, Yaara
中科院分区：
文献类型：
--
作者：
Chmielowska, Marta;Mannocci, Nell;Tansel, Alexander;Zisman-Ilani, Yaara
关键词：
开放式对话(OD)是一种以人为中心的社会网络危机和持续精神卫生保健模式，它促进精神疾病的机构和长期康复。经历过精神疾病的同伴支持人员在英国的OD中发挥了关键作用，因为他们加强了对精神健康危机的共同理解，将其作为OD模式的一部分，并提供了归属感和社会包容性。这些要素与心理健康领域的共享决策(SDM)方法相一致，该方法侧重于在治疗决策中以人为中心的沟通。以前证明的同行主导的SDM的好处包括增加对服务的参与、减少症状、增加就业机会以及减少对心理和一般健康服务的利用。虽然同伴支持和SDM原则对OD的贡献已经得到承认，但围绕这一发展的文献很少，关于同伴支持如何加强治疗决策和OD的其他方面的指导很少。这一观点是由有精神疾病生活经验的人、临床医生和研究人员共同撰写的，讨论了研究和培训的实际意义和建议，以提供基于同伴支持和SDM的联合制作的OD模型。
Open dialogue (OD) is a person-centred social network model of crisis and continuing mental healthcare, which promotes agency and long-term recovery in mental illness. Peer support workers who have lived experience of mental illness play a key role in OD in the UK, as they enhance shared understanding of mental health crisis as part of the OD model and provide a sense of belonging and social inclusion. These elements are in alignment with the shared decision making (SDM) approach in mental health, which focuses on person-centred communication in treatment decision-making. The previously documented benefits of peer-led SDM include increased engagement with services, symptom reduction, increased employment opportunities, and reduced utilization of mental and general health services. While the contribution of peer support and SDM principles to OD has been acknowledged, there is only a small body of literature surrounding this development, and little guidance on how peer support can enhance treatment decision-making and other aspects of OD. This viewpoint, which was co-authored by people with lived experience of mental illness, clinicians, and researchers, discusses practical implications and recommendations for research and training for the provision of a co-produced OD model grounded in peer support and SDM.
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