Cooptation of Peer Support Staff: Quantitative Evidence

IF 2.3 Q1 REHABILITATION Rehabilitation Process and Outcome Pub Date : 2014-03-01 DOI:10.4137/RPO.S12343
Anthony J. Alberta, Richard R. Ploski
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引用次数: 13

Abstract

Objective In 2007, the Centers for Medicare and Medicaid Services (CMS) sent a letter to state Medicaid directors outlining requirements for implementing peer-based recovery support services (P-BRSS) as a Medicaid-funded service. Since then, 30 states have implemented these services. Although the literature describing implementation of P-BRSS has identified the cooptation of peer support staff (PSS) as a barrier to the effective provision of P-BRSS, the evidence for it remains anecdotal. This study attempts to determine if the context of employment in either a treatment organization or peer organization affected cooptation. Methods We conducted a survey of PSS in the fall of 2013. In all, 92 of the 181 respondents were working as PSS at the time, 53 in treatment organizations. Chi-square analysis was used to determine if the context of employment had an effect on the cooptation of peer staff. Results Peer staff working in treatment organizations reported that they were supervised by treatment staff and participated in employment-related training to improve their skills at providing treatment services more frequently than their counterparts in peer organizations. Peer staff working in treatment organizations also participated in training and education to prepare for employment as treatment professionals more frequently than peer staff working in peer organizations. Conclusions and Implications for Practice Peer staff members working in treatment organizations are subject to processes of acculturation into professional cultures that peer staff working in peer organizations are not. Effective implementation of P-BRSS should include specific efforts to minimize the cooptation of peer staff.
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同伴支援人员的合作:量化证据
2007年,医疗保险和医疗补助服务中心(CMS)致函各州医疗补助主任,概述了将基于同伴的康复支持服务(P-BRSS)作为医疗补助资助服务实施的要求。从那时起,已有30个州实施了这些服务。虽然描述P-BRSS实施的文献已经确定同伴支持人员(PSS)的合作是有效提供P-BRSS的障碍,但证据仍然是轶事。本研究试图确定在治疗组织或同伴组织工作的背景是否影响了合作。方法于2013年秋季对PSS患者进行调查。在181名被调查者中,92人当时是PSS, 53人在治疗机构工作。使用卡方分析来确定就业背景是否对同伴员工的合作有影响。结果在治疗机构工作的同伴人员报告说,他们受到治疗人员的监督,并参加与就业有关的培训,以提高他们提供治疗服务的技能。在治疗机构工作的同伴工作人员也比在同伴组织工作的同伴工作人员更频繁地参加培训和教育,为作为治疗专业人员就业做准备。在治疗机构工作的同伴工作人员要经历适应专业文化的过程,而在同伴组织工作的同伴工作人员则不会。有效执行P-BRSS应包括具体努力尽量减少同级工作人员的配合。
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来源期刊
自引率
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发文量
4
审稿时长
8 weeks
期刊最新文献
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