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Implementation of peer support in mental health services: A systematic review of the literature.
Psychological Services ( IF 1.9 ) Pub Date : 2021-04-01 , DOI: 10.1037/ser0000531
Christina Mutschler 1 , Chyrell Bellamy 2 , Larry Davidson 2 , Sidney Lichtenstein 3 , Sean Kidd 3
Affiliation  

Peer support within mental health services has a growing evidence base and aligns with current policies of recovery-oriented care. Despite these advantages, widespread implementation of peer support remains limited, likely due to various methodological and implementation issues. Researchers have noted the importance of utilizing an implementation framework to understand best practices for implementation. Therefore, the purpose of the current study was to synthesize the existing literature on the implementation of peer support interventions and identify barriers and facilitators using an implementation framework. The Consolidated Framework for Implementation Research (CFIR) was used to organize the literature obtained in the systematic search and synthesize best practices for implementation. The systematic search identified 19 published articles that were coded for relevant information including implementation barriers and facilitators. The review highlighted a number of important elements for implementation within the CFIR domains, including clear role definition, a flexible organizational culture, and education for peer and nonpeer staff. Implementation barriers included an organizational culture without a recovery focus, allied practitioners' beliefs about peer support, and an unclear peer role. The results of this review provide a summary of best practices for the implementation of peer support in mental health services that can be used by researchers and service providers in future implementation. These practices should continue to be tested and reworked as the climate of recovery-oriented services within mental health organizations evolves. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

中文翻译:

在心理健康服务中实施同伴支持:对文献的系统评价。

精神卫生服务中的同伴支持有越来越多的证据基础,并与当前以康复为导向的护理政策保持一致。尽管有这些优势,但可能由于各种方法和实施问题,同伴支持的广泛实施仍然有限。研究人员已经注意到利用实施框架来了解实施最佳实践的重要性。因此,本研究的目的是综合现有关于实施同伴支持干预的文献,并使用实施框架确定障碍和促进因素。实施研究综合框架 (CFIR) 用于组织在系统搜索中获得的文献,并综合实施最佳实践。系统搜索确定了 19 篇已发表的文章,这些文章被编码为相关信息,包括实施障碍和促进因素。审查强调了在 CFIR 领域内实施的一些重要要素,包括明确的角色定义、灵活的组织文化以及对同行和非同行员工的教育。实施障碍包括没有恢复重点的组织文化、相关从业者对同伴支持的信念以及不明确的同伴角色。本次审查的结果总结了在精神卫生服务中实施同伴支持的最佳实践,研究人员和服务提供者可以在未来的实施中使用这些实践。随着精神卫生组织内以康复为导向的服务氛围的发展,这些做法应继续进行测试和修改。(PsycInfo 数据库记录 (c) 2022 APA,保留所有权利)。
更新日期:2021-04-01
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