A Model for Management of Consumer Providers Pilot

消费者提供商管理模型试点

• 批准号: 8117178
• 负责人: Alexander S. Young
• 金额: $ 6.19万
• 依托单位: UNIVERSITY OF CALIFORNIA LOS ANGELES
• 依托单位国家: 美国
• 财政年份: 2010
• 资助国家: 美国
• 起止时间: 2010-07-01 至 2012-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8117178
• 关键词: Address; Applications Grants; Caring; Case Management; Collaborations; Communities; County; Effectiveness; Evidence based practice; Freedom; Funding; Future; Goals; Health system; Individual; Intervention; Lead; Learning; Life Experience; Los Angeles; Mental Health; Modeling; Outcome; Patients; Perception; Preparation; Professional counselor; Provider; Randomized Controlled Trials; Recommendation; Recovery; Relapse; Research; Research Activity; Research Methodology; Research Personnel; Resistance; Role; Self Care; Self Management; Services; Social Functioning; Stress; Work; addiction; care systems; community based participatory research; control trial; experience; improved; innovation; novel; novel strategies; peer; role model; severe mental illness; skills

Many public mental health systems are implementing recommendations from the President's New Freedom Commission17 regarding care for serious mental illness (SMI). That Commission set goals for a system of care that is recovery-oriented, high quality, and maximizes the delivery of evidenced-based practices. One transformative recommendation is to involve consumers in service delivery. One way to realize that goal is the hiring of "Consumer Providers" (CPs). Like consumer addiction treatment counselors, CPs are individuals with SMI who draw upon their lived experiences to provide services to others with SMI. CPs are not meant to replace traditional treatment, but to augment it. A unique contribution of CPs is their ability to share personal recovery experiences and serve as role models to facilitate the learning of self-management skills, provide hope, engage patients into treatment, help patients connect with others in their communities, and serve as a liaison between patients and providers.80 Randomized controlled trials and quasi-experimental trials have shown that professional teams with CPs can provide services that yield at least equivalent patient outcomes, including improved social functioning and better self-care.81'82 Particular benefits have been noted when CPs work on intensive case management teams.81'82 However, dissemination of CPs has been modest, in part because past efforts have not addressed the barriers of hiring and managing CPs. Barriers include poorly defined CP roles and resistance from traditional providers. A recent study of staff perceptions of hiring CPs found strong concerns that CPs might harm patients, not serve a useful purpose, or relapse themselves due to the stress of their new role, although these concerns have not been borne out by research.82 This proposed study will address such barriers by establishing a 3-year partnership between consumer leaders, mental health patients, providers, managers, and researchers to tailor and evaluate a novel strategy for implementing and managing CPs in a local provider organization.

许多公共精神卫生系统正在实施总统新自由法案的建议 委员会17关于严重精神疾病(SMI)的护理。该委员会为护理系统设定了目标 这是面向恢复的、高质量的，并最大限度地提供以证据为基础的做法。一 变革性的建议是让消费者参与服务交付。实现这一目标的一种方法是 雇用“消费者供应商”(CPS)。就像消费成瘾治疗顾问一样，CP是有 SMI利用自己的生活经验为他人提供服务的SMI。CP不是为了 取代传统的治疗方法，但要加强它。CP的一个独特贡献是他们能够分享个人 恢复经验，并作为榜样，促进自我管理技能的学习，提供 希望，让患者参与治疗，帮助患者与社区中的其他人建立联系，并充当 患者和提供者之间的联系。80个随机对照试验和准实验试验 表明拥有CPS的专业团队可以提供至少产生同等患者结果的服务， 包括改善社会功能和更好的自我照顾。81‘82注意到当CPS 加强病例管理团队的工作。81‘82然而，CPS的传播在一定程度上是温和的 因为过去的努力没有解决招聘和管理CP的障碍。障碍包括劣质 定义了CP角色和来自传统提供商的阻力。最近一项关于员工对聘用CPS的看法的研究 发现强烈担心CPS可能会伤害患者，没有有用的目的，或者由于以下原因而复发 他们新角色的压力，尽管这些担忧尚未得到研究的证实。 这项研究将通过在消费者领导者、心理健康和消费者之间建立为期3年的合作伙伴关系来解决这些障碍 患者、提供者、管理人员和研究人员定制和评估实施和 管理本地提供商组织中的CP。