PEER SPECIALIST AS MEMBERS OF ICM TEAMS: A COMPARATIVE S

拟议项目将展示和评估相对 三种个案管理方法在为个别人士提供服务方面的成效 患有严重的致残性精神疾病， 陷入困境的城市。专业的“集约化个案管理”模式 将与一个合作模式进行比较， 团队和一个类似的协作模型，在该模型中， 被用作“同行专家”。资金将用于发展同行 专家和准专业人员组成部分，并支付部分 评价该项目将于年在布朗克斯区进行 纽约市和评估将结合一个全州范围的研究， 目前正在实施一项新的强化病例管理计划 整个纽约州。这三种模式将被比较与尊重 对客户成果的影响，包括成功参与 服务，社区保有权，自尊，掌握和生活质量。 实验设计包括随机分配的客户从一个前， 确定的“名册”中最难服务的个人， 三是案件管理条件。此外，分析 以确定实际干预措施中的差异 在三个模型中使用，并检查付费同行的影响- 专家对项目雇用的个人。

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.