PEER SPECIALIST AS MEMBERS OF ICM TEAMS: A COMPARATIVE S

拟议的项目将对相关项目进行示范和评估 三种个案管理方法在服务个人中的有效性 在美国最严重的致残性精神疾病之一 动荡不安的城市地区。专业的“集约化病案管理”模式 将与将准专业人员添加到 团队和类似的协作模式，其中恢复客户 被用作“同行专家”。资金将用于发展同业 专家和准专业人员组件，并支付部分 评估。该项目将于#年在布朗克斯区进行。 纽约市和这项评估将与全州范围内对 目前正在实施的新的强化病例管理计划 在整个纽约州。这三种模式将被尊重地进行比较。 他们对客户结果的影响，包括成功参与 服务、社区使用权、自尊、掌握和生活质量。 实验设计包括随机分配来自前一阶段的客户 最难服务的个人名单中最难服务的人 辖区内的三个病例管理条件。此外，还有一项分析 将进行调查以确定实际干预措施的差异 在三个模型中使用，并检查付费同行的影响- 关于该项目雇用的个人的专家。

The proposed project will demonstrate and evaluate the relative effectiveness of three case management approaches in serving individuals with serious, disabling mental illness in one of the nation's most troubled urban areas. A professional "intensive case management" model will be compared with a collaborative model adding paraprofessionals to the team and a similar collaborative model in which recovering clients are used as "peer specialists". Funds will be used to develop the peer specialist and paraprofessional components and to pay for part of the evaluation. The project will be carried out in the borough of Bronx in New York City and the evaluation will be tied to a statewide study of a new Intensive Case Management program currently being implemented throughout New York State. The three models will be compared with respect to their effect on client outcomes, including successful engagement in services, community tenure, self-esteem, mastery, and quality of life. the experimental design includes random assignment of clients from a pre- determined "roster" of the most difficult to serve individuals in the area to the three case management conditions. In addition, an analysis will be conducted to determine differences in the actual interventions employed in the three models, and to examine the effects of paid peer- specialists on the individuals hired by the project.