Roles of peer specialists and use of mental health services among youth with serious mental illness.
Roles of peer specialists and use of mental health services among youth with serious mental illness.
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DOI：
10.1111/eip.13036
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发表时间：
2021-08
影响因子：
2
通讯作者：
Gilmer, Todd P.
中科院分区：
文献类型：
--
作者：
Ojeda, Victoria D.;Jones, Nev;Munson, Michelle R.;Berliant, Emily;Gilmer, Todd P.
研究同行专家的角色是否会影响洛杉矶和圣地亚哥县16-24岁患有严重精神疾病(SMI)的黑人、拉丁裔和白人青年的服务使用情况。2015年至2018年的行政数据用于总结6329名16-24岁患有SMI的过渡年龄青年的服务使用情况，他们接受了76个门诊公共精神卫生项目的服务，同行专家在工作人员中。同行专家的角色通过项目调查进行评估。一般线性模型被用来评估同行专家特征与服务使用结果(即门诊和住院患者)之间的关系。在两个县，拥有一名处于过渡年龄的青年同行专科医生(与年长的同行专科医生相比)，并拥有提供四项或更多服务(与较少服务相比)的同行专科医生，与每年的门诊就诊次数增加相关(P=.001)。在洛杉矶县，接受三次或更多的同行专科培训(与较少的培训)与较低的住院服务使用率相关(P<；.001)。在圣地亚哥县，有过渡年龄的青年同行专科医生和提供四项或四项以上服务的同行专科医生与较低的住院服务使用率相关(P<；各.001)。同伴支持的类型和同伴服务类型的数量与心理健康服务的利用有关。有必要对同行专家的作用进行详细审查，以确定改善结果的具体途径。
To examine whether roles of peer specialists affect service use among Black, Latinx and White youth ages 16–24 with serious mental illness (SMI) in Los Angeles and San Diego Counties. Administrative data from 2015 to 2018 was used to summarize service use among 6329 transition age youth age 16–24 with SMI who received services from 76 outpatient public mental health programs with peer specialists on staff. Roles of peer specialists were assessed via a program survey. Generalized linear models were used to assess the relationship between peer specialist characteristics and service use outcomes (ie, outpatient and inpatient). Having a transition age youth peer specialist on staff (vs older peer specialists) and having peer specialists that provide four or more services (vs fewer services) was associated with an increase in annual outpatient visits in both counties (P = <.001 each). In Los Angeles County, having three or more peer specialist trainings (vs fewer trainings) was associated with lower use of inpatient services (P < .001). In San Diego County, having a transition age youth peer specialist and peer specialists that provide four or more services was associated with lower use of inpatient services (P < .001 each). Types of peer support and number of types of peer services were associated with mental health service utilization. Detailed examination of the roles of peer specialists is merited to identify the specific pathways that improve outcomes.
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影响因子：
24.9
作者：
Ivey-Stephenson, Asha Z.;Crosby, Alex E.;Kresnow-Sedacca, Marcie-jo
通讯作者：
Kresnow-Sedacca, Marcie-jo
影响因子：
1.9
作者：
Cook, Judith A.;Copeland, Mary Ellen;Nichols, William H.
通讯作者：
Nichols, William H.
影响因子：
4.5
作者：
Cook, Judith A.;Steigman, Pamela;Burke-Miller, Jane K.
通讯作者：
Burke-Miller, Jane K.
影响因子：
6.6
作者：
Cook, Judith A.;Copeland, Mary Ellen;Boyd, Sherry
通讯作者：
Boyd, Sherry
影响因子：
17.7
作者：
Edlund, MJ;Wang, PS;Kessler, RC
通讯作者：
Kessler, RC