Postcertification Wages Among Certified Peer Specialists Working in Peer Support and Other Occupations.

IF 3.3 3区 医学 Q1 HEALTH POLICY & SERVICES Psychiatric services Pub Date : 2024-12-19 DOI:10.1176/appi.ps.20240195
Laysha Ostrow, Judith A Cook, Morgan Pelot, Mark S Salzer, Jane K Burke-Miller
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Abstract

Objective: Although certification can raise the status of peer support work, certified peer specialists (CPSs) may continue to face financial hardship that affects their employment choices. This study aimed to explore how wages and financial well-being changed for CPSs over a 3-year postcertification period.

Methods: This study examined wages, job characteristics, and financial well-being for a cohort of 448 employed CPSs working in peer support (PS) or other, nonpeer (NP) jobs during the study period. Self-report survey data were collected on current jobs, hours worked, and job tenure. Financial well-being was assessed by using the Consumer Financial Protection Bureau's Financial Well-Being Scale. Differences in job characteristics over time were described by using chi-square and t tests, and mixed-effects logistic regression models were used to model job attributes and financial well-being.

Results: Hourly wages for both PS and NP jobs increased significantly between 2020 and 2022, with smaller increases for PS than for NP positions. Individuals with PS jobs were significantly more likely to have longer job tenures than those with NP jobs. Higher hourly wages were associated with a greater likelihood of longer job tenure. Financial well-being did not improve significantly over time.

Conclusions: The larger wage increases and shorter tenures characteristic of NP jobs, relative to PS positions, suggest that workers may have switched from PS jobs to other jobs to improve their financial and career mobility opportunities. CPSs are part of a trend in the general U.S. adult population of declining financial well-being, despite increased wages.

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在同伴支持和其他职业中工作的认证同伴专家的认证后工资。
目的:虽然认证可以提高同伴支持工作的地位,但认证的同伴专家(cps)可能继续面临经济困难,影响他们的就业选择。本研究旨在探讨在认证后的3年期间,CPSs的工资和财务状况如何变化。方法:本研究调查了448名在同伴支持(PS)或其他非同伴(NP)工作的受雇的社会保障人员在研究期间的工资、工作特征和财务状况。自我报告调查收集了当前工作、工作时间和工作任期的数据。财务状况的评估采用消费者金融保护局的财务状况量表。使用卡方检验和t检验来描述工作特征随时间的差异,并使用混合效应逻辑回归模型来模拟工作属性和财务幸福感。结果:PS和NP职位的时薪在2020年至2022年间都有显著增长,PS职位的时薪增幅小于NP职位。拥有PS工作的人比拥有NP工作的人更有可能拥有更长的工作任期。较高的时薪与更长的工作任期有关。随着时间的推移,财务状况并没有显著改善。结论:与PS职位相比,NP职位的工资涨幅较大,任期较短,这表明工人可能已经从PS职位转向其他工作,以改善他们的财务和职业流动机会。尽管工资有所增加,但总体而言,美国成年人的财务状况却在下降,CPSs是这一趋势的一部分。
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来源期刊
Psychiatric services
Psychiatric services 医学-公共卫生、环境卫生与职业卫生
CiteScore
5.80
自引率
7.90%
发文量
295
审稿时长
3-8 weeks
期刊介绍: Psychiatric Services, established in 1950, is published monthly by the American Psychiatric Association. The peer-reviewed journal features research reports on issues related to the delivery of mental health services, especially for people with serious mental illness in community-based treatment programs. Long known as an interdisciplinary journal, Psychiatric Services recognizes that provision of high-quality care involves collaboration among a variety of professionals, frequently working as a team. Authors of research reports published in the journal include psychiatrists, psychologists, pharmacists, nurses, social workers, drug and alcohol treatment counselors, economists, policy analysts, and professionals in related systems such as criminal justice and welfare systems. In the mental health field, the current focus on patient-centered, recovery-oriented care and on dissemination of evidence-based practices is transforming service delivery systems at all levels. Research published in Psychiatric Services contributes to this transformation.
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