WellSpace: Peer-led groups for first-episode psychosis before and during the COVID era.

WellSpace: Peer-led groups for first-episode psychosis before and during the COVID era.
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DOI:
10.1111/eip.13277
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发表时间:
2022-10
影响因子:
2
通讯作者:
Ongur, Dost
Ongur, Dost
中科院分区:
医学3区
文献类型:
--
作者:
Murphy, Michael;Fedele, Stephen J.;Ongur, Dost

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协调专科护理(CSC)是一种基于协作团队的方法,已被证明对首发精神病患者有帮助。同伴支持是CSC的重要组成部分。在这里,我们描述了开发和实施的同行领导的组编程(姆克林WellSpace),松散地隶属于CSC(姆克林OnTrack)。我们将讨论我们如何调整该计划以应对COVID-19带来的挑战。WellSpace的开发具有最小的进入障碍,而不是自我报告的最近精神病发作史。它对参与者是免费的,对谁可以参加的限制最小。WellSpace和WellSpace团体主要由与恢复运动保持一致的同行专家管理。WellSpace自二零二零年三月起成为虚拟计划。姆克林WellSpace的参与者包括许多不是姆克林OnTrack患者的人,这表明此类计划可能比标准医疗计划更广泛。在疫情期间,我们过渡到虚拟节目,平均团体出席率和独立参与者增加。我们的经验表明,同行领导的小组编程首次发作的精神病是很好的接受病人,包括许多谁没有从事CSC。这可能与我们努力减少进入障碍以及我们以同行为主导的非医疗方向有关。
Coordinated specialty care (CSC) is a collaborative-team based approach that has been shown to be helpful for patients with first-episode psychosis. Peer support is an important component of CSC. Here, we describe the development and implementation of peer-led group programming (McLean WellSpace) that was loosely affiliated with a CSC (McLean OnTrack). We discuss how we adapted this program to the challenges imposed by COVID-19. WellSpace was developed to have minimal barriers to entry other than a self-reported history of recent onset of psychosis. It is free for participants with minimal restrictions about who may attend. WellSpace and WellSpace groups are largely administered by peer specialists who align with the recovery movement. WellSpace has been a virtual program since March 2020. McLean WellSpace participants include many people who are not patients of McLean OnTrack, suggesting that such programs may have greater reach than standard medical programs. We transitioned to virtual programming and saw average group attendance and unique participants increase during the pandemic. Our experience suggests that peer-led group programming for first-episode psychosis is well-accepted by patients, including many who are not engaged with a CSC. This may be related to our efforts to minimize barriers to entry and our peer-led, non-medical orientation.
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