Peers and Co-Occurring Research-Supported Interventions
| Autor: | Jessaca Spybrook, Amy B. Curtis, Jennifer Harrison, Linwood H. Cousins |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Social Work
Health (social science) Sociology and Political Science Social Psychology Substance-Related Disorders media_common.quotation_subject education Psychological intervention Fidelity Peer Group 03 medical and health sciences 0302 clinical medicine Quality of life (healthcare) Intervention (counseling) medicine Humans 030212 general & internal medicine media_common Retrospective Studies Social work Mental Disorders Peer group Retrospective cohort study General Medicine Mental illness medicine.disease 030227 psychiatry Diagnosis Dual (Psychiatry) Quality of Life Psychology Clinical psychology |
| Zdroj: | Journal of evidence-informed social work. 14(3) |
| ISSN: | 2376-1415 |
| Popis: | Adults with co-occurring mental illness and substance use disorders have poor outcomes in important quality of life areas, including hospitalization, incarceration, employment, and community housing. Integrated dual disorder treatment (IDDT) is a research-supported intervention for individuals with co-occurring disorders associated with improvements in outcome measures when implemented with high fidelity. Research-supported intervention IDDT was not designed with peer services, provided by people with lived experience with mental illness, but the practice has been altered to include peers.IDDT fidelity data were evaluated from 20 teams that also reported on peer services on their team in one state over a 7 year period, and paired with their fidelity data for the most recent review to analyze the relationship between peers and IDDT fidelity. Analysis of variance was utilized to determine a dose effect peers on fidelity.Of these IDDT teams, 85% of teams incorporated a peer and 40% of teams had a full-time peer. Having a full-time peer (M = 4.22, SD = .41) was associated with significantly higher fidelity compared to teams with a part-time (M = 3.68, SD = .56) or no peer (M = 3.21, SD = .18, F(2, 17) = 5.88, p = .01).Peers on IDDT teams are associated with higher fidelity, leading to important possibilities about the incorporation of those with lived experience into research-supported interventions. Implications for team composition, implementation measurement, policy, and funding are discussed. |
| Databáze: | OpenAIRE |
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