重度精神疾病患者接受一对一同伴支持服务之内化污名、自我效能感、职业能力与就业结果。

IF 3.4 2区 医学 Q2 PSYCHIATRY
Kan-Yuan Cheng, Yi-Lin Wang, Wen-Chun Hung, Chia-Feng Yen
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引用次数: 0

摘要

背景:近年来,在非西方国家,同伴支持工作者(psw)为患有严重精神疾病(SMI)的个体提供的服务有所增加。然而,社会福利工作者和服务使用者的心理和就业结果仍未得到充分研究。方法:于2018年和2019年在台湾东部某社区康复中心开展28学时PSW培训课程。培训结束后,社工在八个实习期间,每周为服务用户提供1至1.5小时的一对一支援服务,工作量比例为1:2至1:3。采用《精神疾病内化污名量表-中文版》(ISMI-C)、《一般自我效能量表-中文版》(GSS-C)和《传统汉语职业自我评估量表》(TC-OSA)对内化污名、自我效能感和职业能力进行评估。还收集了就业和工作培训数据。结果:共有11名psw和31名服务使用者参与了该计划,平均年龄为48.9±8.8岁。超过一半的人是女性(n = 18, 58.1%),大多数住在中途之家(n = 27, 87.1%),大多数被诊断为精神分裂症(n = 29, 93.1%)。到项目结束时,psw在TC-OSA我的环境分量表得分上有显著改善(89.1±16.0比92.2±13.7,df = 28, t = 1.25, p = 0.22)。在完成项目的29名服务用户中,周收入显著增加(25.7±32.7美元vs 47.9±42.6美元,df = 28, Z = 3.02, p)。结论:参与项目增强了社会服务妇女应对环境挑战的能力,而服务用户在接受一对一同伴支持服务后收入有所改善。需要未来的大规模研究来验证这些发现。台湾的社工培训计划可以强调分享克服污名的经验,以提高社区生活的自我能力。临床试验注册:不适用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The internalized stigma, self-efficacy, occupational competence and employment outcome among persons with severe mental illness under one-to-one peer support services in Taiwan.

Background: In non-Western countries, the provision of services by peer support workers (PSWs) for individuals with severe mental illness (SMI) has increased in recent years. However, the psychological and employment outcomes for both PSWs and service users remain underexplored.

Methods: In 2018 and 2019, a 28-hour PSW training curriculum was conducted at a community rehabilitation center in eastern Taiwan. Following the training, PSWs provided one-on-one support services to service users for 1 to 1.5 h per week over eight internship sessions, with a case-load ratio of 1:2 to 1:3. Internalized stigma, self-efficacy, and occupational competence were assessed using the Internalized Stigma of Mental Illness Scale-Chinese (ISMI-C), General Self-Efficacy Scale-Chinese (GSS-C), and Traditional Chinese-Occupational Self-Assessment Scale (TC-OSA). Employment and work training data were also collected.

Results: A total of 11 PSWs and 31 service users participated in the program, with a mean age of 48.9 ± 8.8 years. More than half were female (n = 18, 58.1%), the majority lived in halfway houses (n = 27, 87.1%), and most were diagnosed with schizophrenia (n = 29, 93.1%). By the end of the program, PSWs showed a significant improvement in the TC-OSA my environment subscale score (89.1 ± 16.0 vs. 92.2 ± 13.7, df = 28, t = 1.25, p = 0.22). Among the 29 service users who completed the program, weekly income significantly increased (USD 25.7 ± 32.7 vs. USD 47.9 ± 42.6, df = 28, Z = 3.02, p < 0.01). However, no significant changes were observed in other measured outcomes for either PSWs or service users.

Conclusions: Participation in the program enhanced PSWs' ability to manage environmental challenges, while service users experienced an improvement in income following one-on-one peer support services. Future large-scale studies are needed to validate these findings. Training programs for PSWs in Taiwan could emphasize sharing experiences of overcoming stigma to enhance self-competence in community life.

Clinical trial registration: Not applicable.

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来源期刊
BMC Psychiatry
BMC Psychiatry 医学-精神病学
CiteScore
5.90
自引率
4.50%
发文量
716
审稿时长
3-6 weeks
期刊介绍: BMC Psychiatry is an open access, peer-reviewed journal that considers articles on all aspects of the prevention, diagnosis and management of psychiatric disorders, as well as related molecular genetics, pathophysiology, and epidemiology.
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