Describing a principles-based approach to developing and evaluating peer worker roles as peer support moves into mainstream mental health services
Describing a principles-based approach to developing and evaluating peer worker roles as peer support moves into mainstream mental health services
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DOI：
10.1108/mhsi-03-2017-0016
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发表时间：
2017-01-01
影响因子：
1.2
通讯作者：
White, Sarah
中科院分区：
文献类型：
--
作者：
Gillard, Steve;Foster, Rhiannon;White, Sarah
目的-国际上越来越多地将同伴支持纳入主流精神卫生服务。与其他心理健康支持相比，同伴支持的独特性与支持同伴支持的价值观有关。有证据表明，在高度标准化的组织环境中维护这些价值观存在挑战。本文的目的是描述一个“以原则为基础”的方法来开发和评估一个新的同行工作者的作用，在心理健康service.Design/方法/方法-一组的同伴支持的价值观，通过系统的研究一对一的同伴支持，和第二组由英国国家专家小组的人分享，领导或研究同伴支持从生活经验的角度来看。价值集集成的研究团队-包括从生活经验的角度工作的研究人员-产生一个原则框架，用于开发和评估新的同事roles.Findings -五个原则详细提到：基于共享的生活经验的关系;互惠互利;验证经验知识;领导，选择和控制;发现优势，建立联系。支持生活的多样性，人们带来的同伴支持适用于整个principles.Research limitations/implications -的原则框架支持开发的一本手册，一个新的同行工作者的角色，并告知保真度指数，旨在衡量同行支持的价值观在实践中保持的程度。鉴于同行的支持的多样性，作者警告规范的框架，可能会“编纂”同行的支持，并指出，生活经验应该是中央的塑造和领导评价同行support. Origality/值-本文增加了对心理健康同行支持的文献描述了一个系统的方法来了解如何在精神卫生服务的背景下，原则和价值观支持同行工作者的角色。本文介绍了一种创新的，以原则为基础的方法来开发一个手册和保真度指数的随机对照试验。研究小组成员和专家顾问为研究带来的精神痛苦的生活经历塑造了这项研究的方式。
Purpose - Peer support is increasingly being introduced into mainstreammental health services internationally. The distinctiveness of peer support, compared to other mental health support, has been linked to values underpinning peer support. Evidence suggests that there are challenges to maintaining those values in the context of highly standardised organisational environments. The purpose of this paper is to describe a "principles-based" approach to developing and evaluating a new peer worker role in mental health services.Design/methodology/approach - A set of peer support values was generated through systematic review of research about one-to-one peer support, and a second set produced by a UK National Expert Panel of people sharing, leading or researching peer support from a lived experience perspective. Value sets were integrated by the research team - including researchers working from a lived experience perspective - to produce a principles framework for developing and evaluating new peer worker roles.Findings - Five principles referred in detail to: relationships based on shared lived experience; reciprocity and mutuality; validating experiential knowledge; leadership, choice and control; discovering strengths and making connections. Supporting the diversity of lived experience that people bring to peer support applied across principles.Research limitations/implications - The principles framework underpinned development of a handbook for a new peer worker role, and informed a fidelity index designed to measure the extent to which peer support values are maintained in practice. Given the diversity of peer support, the authors caution against prescriptive frameworks that might "codify" peer support and note that lived experience should be central to shaping and leading evaluation of peer support.Originality/value - This paper adds to the literature on peer support in mental health by describing a systematic approach to understanding how principles and values underpin peer worker roles in the context of mental health services. This paper informs an innovative, principles-based approach to developing a handbook and fidelity index for a randomised controlled trial. Lived experiences of mental distress brought to the research by members of the research team and the expert advisors shaped the way this research was undertaken.