["Change Agents" Or "Peer Washing": Can Peer Support Workers Contribute To The Transformation Of Psychiatric Institutions?]

IF 1.1 4区 医学 Q4 PSYCHIATRY Psychiatrische Praxis Pub Date : 2024-11-01 Epub Date: 2024-08-19 DOI:10.1055/a-2361-4057
Sebastian von Peter, Madeleine Kuesel, Jenny Ziegenhagen, Georgia Fehler, Daniela Schmidt, Guillermo Ruiz-Perez
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Abstract

Objective: Peer support workers (=PSW) are expected to change the culture of a care facility. It is examined whether and how they can implement such a change mandate.

Methods: The material is based on two sub-studies of the ImpPeer-Psy5 study, investigating the implementation of PSW in the German psychiatric care system. Data from 57 problem-centered interviews and two focus groups were analyzed using a thematic analysis.

Results: PSW need courage, also as their impulses for change are often insufficiently received. This can lead to the reproduction of exclusion and to the PSWs' adaption to the attitudes of the teams.

Conclusions: To facilitate the implementation of the PSWs' change mandate, power relations and structural discrimination should be reflected, exchange spaces and a culture of critique should be established, and enough time be allowed for the implementation of PSW.

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["变革代理人 "还是 "同伴清洗"?同伴互助工作者能否促进精神病院的转型?]
目标:人们期望同伴支持工作者(=PSW)能够改变护理机构的文化。本研究探讨了同伴互助工作者能否以及如何执行这一变革任务:材料基于 ImpPeer-Psy5 研究的两项子研究,该研究调查了同伴支持工作者在德国精神病护理系统中的实施情况。采用主题分析法对来自 57 个以问题为中心的访谈和两个焦点小组的数据进行了分析:社会工作者需要勇气,因为他们的变革冲动往往得不到充分响应。这可能会导致排斥现象的再现,并使 PSW 适应团队的态度:为促进 PSWs 改革任务的实施,应反映权力关系和结构性歧视,建立交流空间和批评文化,并为 PSW 的实施留出足够的时间。
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来源期刊
Psychiatrische Praxis
Psychiatrische Praxis PSYCHIATRY-
CiteScore
3.90
自引率
9.10%
发文量
103
期刊介绍: Sozialpsychiatrisch orientiert Aktuelle Originalarbeiten und fundierte Übersichten Pro-Kontra-Debatten zu Brennpunktthemen Informative Fallbeispiele Vorstellung internationaler Studien
期刊最新文献
[Housing Situation of People with Severe Mental Illnesses]. [Institutionalised Pre-School Childcare and Reported Maltreatment: A Survey in East Germany]. [What does an Ideal Day Centre Look Like? The User Perspective on Day-Structuring Programmes for People with Mental Illness]. [Health Literacy, Contact Points, Unmet Subjective Needs and Treatment Satisfaction of those Affected by Long Covid with Long-Lasting Neuropsychiatric Symptoms]. ["Change Agents" Or "Peer Washing": Can Peer Support Workers Contribute To The Transformation Of Psychiatric Institutions?]
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