BRIDGE BUILDING--CONNECTING WITH THE COMMUNITY

桥梁建设——连接社区

• 批准号: 3567449
• 负责人: JANE A HIGGINS
• 金额: $ 35.03万
• 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/3567449
• 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.

在规划社区服务时为严重和顽固的人 精神障碍，国家精神卫生当局(SMHA)需要知道 同伴计划是否有效地促进 社区融合，在提高生活质量，在改善 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计划的多样性和复杂性 社区中的人呈爆炸式增长，使越来越多的人 生活在社区中，而不是在机构中。相伴 这些项目代表了心理健康系统为解决 这些客户体验到的孤立和污名 社区。在这一点上，友谊计划直觉上是令人信服的 社会接受和社会融合似乎最有可能实现 在社会结构的同龄人的帮助下，而不是 由付费专业人士或辅助专业人士提供。他们也可能比 性价比高。尽管同伴关系项目正在激增 在全国范围内，很少有实证验证 对客户结果的影响。 如上所述，拟议项目将评估客户成果， 将患者随机分为三个治疗组之一： 社区一般伴侣、精神疾病伴侣或没有伴侣。 同伴们将有一个明确定义的任务，即提供 为客户提供广泛接触和联系他人的机会 社交场合的多样性，并促进正常使用 休闲时间。这三项治疗都将提供小额津贴。 团体支付娱乐费用，同伴将获得 中等时薪，每个人与客户相处的时间长达4小时 九个月的一周。客户和同伴的活动将是 每周录制一次。结果将在开始时进行三次评估 在项目结束时，以及在为期六个月的 随访期。使用重复测量设计，所有组都将 在结果指标上进行比较。