The Feasibility of a Training Program for Peers with Severe Mental Illness to Provide One-to-One Services in Taiwan: A Pilot Study.
The Feasibility of a Training Program for Peers with Severe Mental Illness to Provide One-to-One Services in Taiwan: A Pilot Study.
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DOI：
10.3390/ijerph19159124
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发表时间：
2022-07-26
影响因子：
--
通讯作者：
Yen, Chia-Feng
中科院分区：
文献类型：
--
作者：
Cheng, Kan-Yuan;Yen, Chia-Feng
背景：在台湾，精神卫生保健系统中患者同伴提供的服务仍然缺乏。因此，本研究旨在通过针对台湾患有严重精神疾病（SMI）患者同龄人的培训计划来开发社区环境模式。方法：该培训计划包括 13 小时的讲座、15 小时的实践课和为期 8 周的实习。 2018年和2019年，学员在中途之家实习期间，与SMI一起为服务使用者提供一对一的服务。本次培训课程衡量了所有参与者的满意度和成果。结果：学员培训课程（10 项，n = 13）和服务使用者实习服务（12 项，n = 29）的总平均满意度分别为 4.7 ± 0.4 和 4.6 ± 0.5。整个培训课程结束后，11 名学员的简明精神病评定量表 (BPRS-18)、中国健康问卷 12 (CHQ-12) 和总体功能评估 (GAF) 分数均有所提高。 29名服务使用者中，在实习服务下，BPRS-18和CHQ-12得分下降，而GAF得分显着上升。结论：在本次试点研究中，接受实习服务的学员和服务使用者均感到满意。患有 SMI 的服务提供者和使用者均表现出更好的临床结果。
Background: In Taiwan, services provided by patients’ peers in the mental health care system are still lacking. Therefore, this study aimed to develop a community setting model by a training program for severe mental illness (SMI) patients’ peers that also have SMI in Taiwan. Method: This training program comprised of 13-h lectures, 15-h practice classes, and an eight-week internship. In 2018 and 2019, the trainees provided one-to-one services to service users with SMI during the internship at a halfway house. The satisfaction and outcomes among all participants were measured in this training course. Results: The total mean satisfaction score in the training course for trainees (10 items, n = 13) and internship services for service users (12 items, n = 29) were 4.7 ± 0.4 and 4.6 ± 0.5, respectively. Among the trainees, 11 demonstrated improved Brief Psychiatric Rating Scale-18 (BPRS-18), Chinese Health Questionnaire-12 (CHQ-12), and Global Assessment of Functioning (GAF) scores after the whole training course. Among the 29 service users, their scores in the BPRS-18 and CHQ-12 decreased, whereas their scores in the GAF increased significantly under the internship service. Conclusion: In this pilot study, the trainees and service users who received internship services felt satisfied. The service providers and users with SMI both showed better clinical outcomes.
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