The Availability of Peer Support and Disparities in Outpatient Mental Health Service Use Among Minority Youth with Serious Mental Illness.
The Availability of Peer Support and Disparities in Outpatient Mental Health Service Use Among Minority Youth with Serious Mental Illness.
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少数民族严重精神疾病青少年门诊精神卫生服务利用的同伴支持和差异的可用性。
DOI：
10.1007/s10488-020-01073-8
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发表时间：
2021-03
期刊：
影响因子：
--
通讯作者：
Gilmer TP
中科院分区：
文献类型：
--
作者：
Ojeda VD;Munson MR;Jones N;Berliant E;Gilmer TP
我们研究了同伴支持的可用性是否减少了洛杉矶和圣地亚哥县16-24岁患有严重精神疾病的少数民族青年在服务使用方面的差异。利用2015-2018年的行政数据，总结了13363名接受183个门诊公共精神卫生项目服务的16-24岁严重精神疾病过渡年龄青年的服务使用情况；17.2%为黑人，67.4%为拉丁裔，15.4%为非拉丁裔白人。通过项目调查评估同伴支持的可用性。使用广义线性模型来评估同伴支持的可获得性（定义为工作人员中有同伴专家）与每年门诊心理健康访问量之间的关系。我们还研究了青年和同伴专家的种族/民族一致性与门诊服务的使用之间的关系。46%的青少年接受了雇佣同伴专家的项目的服务。在这两个县的青少年中，同伴支持的可获得性与每年门诊次数的增加有关（P均≤0.05）。同伴支持与洛杉矶县黑人和拉丁裔青年服务使用差异的减少有关(P <。001)。同伴一致性与两县拉丁裔青年门诊服务使用率的增加有关（P < 0.05）。05)。同伴支持与门诊心理健康服务使用率的增加有关。有必要对实施青年同伴支持的背景进行详细审查，以确定改善结果的具体途径。
We examine whether the availability of peer support reduces disparities in service use among minority youth ages 16–24 with serious mental illness in Los Angeles and San Diego Counties. Administrative data from 2015–2018 was used to summarize service use among 13,363 transition age youth age 16–24 with serious mental illness who received services from 183 outpatient public mental health programs; 17.2% were Black, 67.4% were Latinx, and 15.4% were non-Latinx white. The availability of peer support was assessed via a program survey. Generalized linear models were used to assess the relationship between availability of peer support, defined as having a peer specialist on staff, and the annual number of outpatient mental health visits. We also examined the relationship between racial/ethnic concordance of youth and peer specialists and use of outpatient services. Forty-six percent of youth received services from programs that employed peer specialists. Among youth in both counties, the availability of peer support was associated with an increase in annual outpatient visits (P ≤ .05 each). Peer support was associated with reductions in service use disparities among Black and Latinx youth in Los Angeles County (P < .001 each). Peer concordance was associated with an increase in outpatient service use among Latinx youth in both counties (P < .05 each). Peer support was associated with increases in use of outpatient mental health services. Detailed examination of the context for youth peer support implementation is merited to identify the specific pathways that improve outcomes.
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