Peer Support Services in the Behavioral Healthcare Workforce: State of the Field
Peer Support Services in the Behavioral Healthcare Workforce: State of the Field
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DOI：
10.1037/prj0000188
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发表时间：
2016-09-01
影响因子：
1.9
通讯作者：
del Vecchio, Paolo
中科院分区：
文献类型：
--
作者：
Myrick, Keris;del Vecchio, Paolo
本文探讨了同伴支持服务的历史和理念如何塑造当前的心理健康和药物使用服务提供系统。讨论了同行经营和康复社区组织在不断变化的医疗保健环境中的发展，包括与劳动力发展、资金、相关政策和扩张机会相关的问题。这些举措旨在增加获得促进康复服务的机会。方法：我们对美国行为健康护理领域的同伴支持服务进行了环境扫描和分析，特别关注药物滥用和心理健康服务管理局的举措。已发表的手稿、政策声明和报告均经过审查。研究结果：有大量且不断增长的文献说明同伴支持服务如何成为许多州行为医疗保健系统不可或缺的组成部分。同伴支持服务有可能增加公共行为卫生保健系统服务的精神和物质使用障碍患者获得以康复为导向的服务的机会。各州正在采取许多举措来建设这支劳动力队伍。结论和实践启示：劳动力和融资方面的挑战确实存在，但机会，包括《平价医疗法案》带来的机会，将继续加强行为健康服务提供系统内的同伴支持劳动力。
This article examines how the history and philosophy of peer support services has shaped current mental health and substance use service delivery systems. The growth of peer-run and recovery community organizations in the changing health care environment are discussed, including issues related to workforce development, funding, relevant policies, and opportunities for expansion. These initiatives are designed to increase access to recoveiy-promoting services. Methods: We conducted an environmental scan and analysis of peer support services within the behavioral health care field in the United States, with particular attention to initiatives of the Substance Abuse and Mental Health Services Administration. Published manuscripts, policy statements, and reports were reviewed. Findings: There is abundant and growing literature illustrating how peer support services have become an integral component of behavioral health care systems in many states. Peer support services have the potential to increase access to recovery-oriented services for people with mental and substance use disorders served by the public behavioral health care system. Numerous initiatives in various states are being undertaken to build this workforce. Conclusions and Implications for Practice: Workforce and financing challenges exist, yet opportunities, including among others those made possible by the Affordable Care Act, will continue to strengthen the peer support workforce within behavioral health service delivery systems.