Patterns and predictors of engagement in peer support among homeless veterans with mental health conditions and substance use histories
| Autor: | Matthew Chinman, Susan V. Eisen, Marsha Langer Ellison, Mark R. Schultz, Russell K. Schutt, Kristina Jensen, David A. Smelson, Chantele Mitchell-Miland, Mark E. Glickman |
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| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
Substance-Related Disorders education PsycINFO Peer support Health Professions (miscellaneous) Peer Group 03 medical and health sciences Social support 0302 clinical medicine medicine Humans Interpersonal Relations 030212 general & internal medicine Psychiatry health care economics and organizations Veterans Mental Disorders Rehabilitation Peer group medicine.disease Mental illness Mental health United States humanities 030227 psychiatry Substance abuse United States Department of Veterans Affairs Psychiatry and Mental health Mental Health Substance Use Status Ill-Housed Persons Psychology |
| Zdroj: | Psychiatric Rehabilitation Journal. 39:266-273 |
| ISSN: | 1559-3126 1095-158X |
| DOI: | 10.1037/prj0000221 |
| Popis: | Objectives Patterns and predictors of engagement in peer support services were examined among 50 previously homeless veterans with co-occurring mental health conditions and substance use histories receiving services from the Veterans Health Administration supported housing program. Method Veteran peer specialists were trained to deliver sessions focusing on mental health and substance use recovery to veterans for an intended 1-hr weekly contact over 9 months. Trajectories of peer engagement over the study's duration are summarized. A mixed-effects log-linear model of the rate of peer engagement is tested with three sets of covariates representing characteristics of the veterans. These sets were demographics, mental health and substance use status, and indicators of community participation and support. Results Data indicate that veterans engaged with peers about once per month rather than the intended once per week. However, frequency of contacts varied greatly. The best predictor of engagement was time, with most contacts occurring within the first 6 months. No other veteran characteristic was a statistically significant predictor of engagement. Older veterans tended to have higher rates of engagement with peer supporters. Conclusions and implications for practice Planners of peer support services could consider yardsticks of monthly services up to 6 months. Peer support services need a flexible strategy with varying levels of intensity according to need. Peer support services will need to be tailored to better engage younger veterans. Future research should consider other sources of variation in engagement with peer support such as characteristics of the peer supporters and service content and setting. (PsycINFO Database Record |
| Databáze: | OpenAIRE |
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