A Model for Management of Consumer Providers Pilot

消费者提供商管理模型试点

• 批准号: 7643006
• 负责人: Alexander S. Young
• 金额: --
• 依托单位: UNIVERSITY OF CALIFORNIA LOS ANGELES
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-07-01 至 2012-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7643006
• 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; Purpose; 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; 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.

许多公共心理卫生系统正在实施总统新自由的建议 关于严重精神疾病（SMI）的委员会17。该委员会设定了护理系统的目标 这是面向恢复的，高质量的，并最大程度地提高了基于证据的实践的交付。一 变革性建议是让消费者参与服务交付。意识到目标的一种方法是 雇用“消费者提供者”（CPS）。像消费者成瘾治疗顾问一样，CPS是 SMI借鉴了他们的生活经验，可以用SMI向他人提供服务。 CP并不是要 取代传统治疗，但要增加它。 CP的独特贡献是他们分享个人的能力 恢复经验，并作为促进自我管理技能学习的榜样，提供 希望，让患者接受治疗，帮助患者与社区中的其他人建立联系，并充当 患者与提供者之间的联络。80随机对照试验和准实验试验已有 表明，拥有CPS的专业团队可以提供至少同等患者结果的服务， 包括改善的社交功能和更好的自我保健。81'82当CPS时已注意到特殊的好处 在密集案件管理团队中工作。81'82但是，CPS的传播是适度的，部分是 因为过去的努力尚未解决雇用和管理CP的障碍。障碍包括较差 定义的CP角色和传统提供商的抵抗。最近对员工雇用CP的看法的研究 发现CPS可能会伤害患者，无法实现有用的目的或由于自己复发而感到非常担忧 他们的新角色的压力，尽管这些问题尚未得到研究。82这提出了 研究将通过建立消费者领导者，心理健康之间的3年合作伙伴关系来解决此类障碍 患者，提供者，经理和研究人员量身定制和评估实施和 在本地提供商组织中管理CP。