BRIDGE BUILDING--CONNECTING WITH THE COMMUNITY

桥梁建设——连接社区

• 批准号: 3442836
• 负责人: JANE HIGGINS
• 金额: $ 35.38万
• 依托单位: CONNECTICUT ST DEPT OF MH/ADDICTION SRVS
• 依托单位国家: 美国
• 财政年份: 1991
• 资助国家: 美国
• 起止时间: 1991-09-30 至 1994-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/3442836
• 关键词: community mental health services; friendships; health care cost /financing; health care service evaluation; health care service utilization; health service demonstration project; hospital community relations; human subject; interview; leisure; mental disorders; psychosocial rehabilitation; quality of life; regional medical planning; self concept; social integration; social support network; socializations; urban poverty area

In planning community services for people with severe and persistent mental disorders, state mental health authorities (SMHA) need to know whether or not companionship programs are effective in facilitating community integration, in improving quality of life, in improving clients' self-esteem, and/or in reducing the need for high cost services such as emergency services. During the past fifteen years the range, variety and sophistication of programs to support seriously mentally ill persons in the community has exploded, enabling more and more people to live in the community rather than in institutions. Companionship programs represent an effort by the mental health system to address the isolation and stigmatization that these clients experience living in the community. Companionship programs are intuitively compelling in that social acceptance and social integration seem most likely to be achieved with the assistance of peer members of the social structure rather than by paid professionals or paraprofessionals. They may also be more cost-effective. Although companionship programs are proliferating throughout the country, there has been little empirical verification of the impact on client outcomes. The proposed project will evaluate client outcomes, as described above, with the randomization of clients to one of three treatment groups: community-at-large companion, mentally ill companion, or no companion. The companions will have a clearly defined task of providing opportunities for clients to meet and connect with others in a wide variety of social situations, and to facilitate a normalized use of leisure time. Small stipends will be provided to all three treatment groups to pay for recreational expenses, and companions will receive a moderate hourly wage for up to four hours of time spent with clients each week for nine months. The activities of clients and companions will be recorded weekly. Outcomes will be assessed three times, at the beginning of the program, at the end of the program, and at the end of a six-month follow-up period. Using a repeated measures design, all groups will be compared on the outcome measures.

在规划社区服务的人，严重和持续 精神疾病，国家精神卫生当局（SMHA）需要知道 陪伴计划是否能有效地促进 社区融合，改善生活质量， 客户的自尊，和/或减少对高成本服务的需求 例如紧急服务。 在过去的15年里， 支持严重精神病患者的各种复杂计划 社区人口激增，使越来越多的人 生活在社区而不是机构中。 陪伴 项目代表了精神卫生系统为解决 隔离和侮辱，这些客户的经验，生活在 社区 陪伴计划在直觉上是引人注目的， 社会接受和社会融合似乎最有可能实现 在社会结构中的同伴的帮助下， 由专业人员或准专业人员支付。 他们也可能更多 性价比虽然陪伴项目正在激增 在全国范围内，几乎没有经验证明， 对客户结果的影响。 如上所述，拟议项目将评价客户成果， 将患者随机分为三个治疗组： 有没有精神病的同伴，或者没有同伴。 同伴们将有一个明确的任务， 为客户提供广泛的机会与他人会面和联系 各种社会情况，并促进正常使用 休闲时间 小额津贴将提供给所有三个治疗 团体支付娱乐费用，同伴将获得 中等时薪，每人与客户相处最多4小时 一周九个月。 客户和同伴的活动将是 每周记录。 结果将进行三次评估， 在项目结束时，在六个月的结束时， 随访期。使用重复测量设计，将所有组 在结果测量上进行比较。