Early Experiences of Employing Consumer-Providers in the VA
Early Experiences of Employing Consumer-Providers in the VA
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DOI：
10.1176/appi.ps.59.11.1315
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发表时间：
2008-11-01
影响因子：
3.8
通讯作者：
Martone, Lisa
中科院分区：
文献类型：
--
作者：
Chinman, Matthew;Lucksted, Alicia;Martone, Lisa
目的：根据退伍军人事务部（VA）心理健康战略计划的指导方针，VA于2005年开始为消费者提供者（CP）提供一些新的职位-也就是说，有严重精神疾病个人经验的个人为其他患有严重精神疾病的人提供支持服务，通常作为临床团队成员。本研究探讨了在VA的早期阶段CP实施的挑战。方法：四个焦点小组进行了总共59 VA CP和34 VA主管来自美国各地。小组笔记编码使用修改后的扎根理论的方法来产生的主题。结果如下：来自小组的数据表明，在VA内部雇用和雇用CP是可行的，有益的，并且被大多数队友接受。协商一致意见报告说，专业工作人员对协商一致意见如何适应感到一些角色困惑和阻力以及恐惧。作者根据焦点小组的调查结果提出了三项建议。首先，CP、传统工作人员和管理人员需要做好充分的准备，以便CP能够有效地融入临床团队。第二，对国家协商进程的培训差别很大，应努力确定最佳的培训方案。第三，正在考虑使用CP的系统应建立持续质量改进系统，以帮助评估CP的性能和患者结果，并收集数据以改进有关CP及其功能的知识库。结论：CP提供了广泛的恢复为导向的服务，并受到工作人员和消费者的重视。（精神病学服务59：1315-1321，2008）
Objectives: Following guidelines in the mental health strategic plan of the Department of Veterans Affairs (VA), VA began in 2005 to fund a number of new positions for consumer-providers (CPs)-that is, individuals with personal experience of serious mental illness who provide support services to others with serious mental illness, typically as clinical team members. This study explored the challenges of CP implementation in its early stages within the VA. Methods: Four focus groups were conducted with a total of 59 VA CPs and 34 VA supervisors from across the United States. Group notes were coded by using a modified grounded theory approach to generate themes. Results: Data from the groups suggest that hiring and employing CPs within VA has been feasible, beneficial, and acceptable to a majority of teammates. CPs reported experiencing some role confusion and resistance and fears among professional staff about how CPs would fit in. The authors make three recommendations on the basis of the focus group findings. First, CPs, traditional staff, and administrators need to be adequately prepared so that CPs can be effectively incorporated into clinical teams. Second, training for CPs varies widely, and efforts should be made to determine the best training package. Third, systems that are considering using CPs should establish a continuous quality improvement system to help evaluate CPs' performance and patient outcomes and to gather data to improve the knowledge base about CPs and their functions. Conclusions: CPs provide a wide range of recovery-oriented services and are valued by staff and consumers. ( Psychiatric Services 59: 1315-1321, 2008)