PEER SPECIALIST AS MEMBERS OF ICM TEAMS: A COMPARATIVE S

作为 ICM 团队成员的同行专家：比较 S

• 批准号: 3442786
• 负责人: ANDREA BLANCH
• 金额: $ 31.5万
• 依托单位: NEW YORK STATE OFFICE OF MENTAL HEALTH
• 依托单位国家: 美国
• 财政年份: 1989
• 资助国家: 美国
• 起止时间: 1989-11-15 至 1992-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/3442786
• 关键词: community health services; comprehensive care; disabling disease; governmental health /scientific organization; health care model; health care service evaluation; health care service utilization; health service demonstration project; peer group; psychosocial service; urban poverty area

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.

拟议的项目将论证和评估相关的 三种案例管理方法在为个人服务方面的有效性 患有严重的致残性精神疾病，居住在美国最严重的地区之一 陷入困境的城市地区。专业的“集约化办案”模式 将与添加专业人员的协作模型进行比较 团队和类似的协作模型，其中恢复客户 被用作“同行专家”。资金将用于发展同行 专家和辅助专业人员组成部分并支付部分费用 评估。该项目将在布朗克斯区进行 纽约市的评估将与全州范围内的研究联系起来 目前正在实施新的强化案件管理计划 整个纽约州。将三款车型进行比较 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客户 确定了该地区最难服务的个人的“名册” 区域到三个案件管理条件。另外，分析 将进行以确定实际干预措施的差异 在这三个模型中采用，并检验付费同行的影响 项目雇用的个人的专家。