Consumers as peer specialists on intensive case management teams: impact on client outcomes
OBJECTIVE: The study examined whether employing mental health consumers as peer specialists in an intensive case management program can enhance outcomes for clients with serious mental illness. METHODS: A quasiexperimental, longitudinal, nonequivalent control group design was used to compare outcome...
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| Veröffentlicht in: | Psychiatric services (Washington, D.C.) D.C.), 1995-10, Vol.46 (10), p.1037-1044 |
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| container_title | Psychiatric services (Washington, D.C.) |
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| creator | FELTON, C. J STASTNY, P SHERN, D. L BLANCH, A DONAHUE, S. A KNIGHT, E BROWN, C |
| description | OBJECTIVE: The study examined whether employing mental health consumers
as peer specialists in an intensive case management program can enhance
outcomes for clients with serious mental illness. METHODS: A
quasiexperimental, longitudinal, nonequivalent control group design was
used to compare outcomes of clients assigned to three case management
conditions: teams of case managers plus peer specialists, teams of case
managers plus nonconsumer assistants, and case managers only. Outcomes were
measured at baseline and at three six-month intervals. Repeated- measures
analysis of variance was used to assess between-group differences. RESULTS:
Complete data were available for 104 clients. Compared with clients in the
other two groups, clients served by teams with peer specialists
demonstrated greater gains in several areas of quality of life and overall
reduction in the number of major life problems experienced. They also
reported more frequent contact with their case managers and the largest
gains of all three groups in the areas of self-image and outlook and social
support. No differences in outcomes were found between clients served by
teams with nonconsumer assistants and those served by case managers only.
CONCLUSIONS: Integration of peer specialists into intensive case management
programs appears to lead to enhanced quality of life for clients and more
effective case management. |
| doi_str_mv | 10.1176/ps.46.10.1037 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_77750104</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>77750104</sourcerecordid><originalsourceid>FETCH-LOGICAL-a418t-133822636b8eeb9cb83e220cb22da462f55c2c800b0c44be6f7cf034446d74623</originalsourceid><addsrcrecordid>eNp1kMtr3DAQxkVpSdO0xx4LOpQeCt6OHpa0vYWlLwjkkp56MLJ2XBQsWdXYgfz3tbtLbj3N4_vxzfAx9lbATghrPhXaabPbJlD2GbsUbWubvQV4vvZg20ZaBS_ZK6J7ABBWmAt24ZzcW9desl-HKdOSsBL3xAti5VQwRD9GmolPmcc8Y6b4gDx4Qp589r8xYZ75jD7RZx5T8WHe0DDGbT8tc5gS0mv2YvAj4ZtzvWI_v365O3xvbm6__Thc3zReCzc3QiknpVGmd4j9PvROoZQQeimPXhs5tG2QwQH0ELTu0Qw2DKC01uZoV11dsQ8n31KnPwvS3KVIAcfRZ5wW6qy1LQjQK9icwFAnoopDV2pMvj52ArotzK5Qp82_aQ1z5d-djZc-4fGJPqe36u_Puqfgx6H6HCI9Yco4K-3238cT5kuJ3f201LzG8Z-bfwEuz4o5</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>77750104</pqid></control><display><type>article</type><title>Consumers as peer specialists on intensive case management teams: impact on client outcomes</title><source>MEDLINE</source><source>American Psychiatric Publishing Journals (1997-Present)</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>Psychiatry Legacy Collection Online Journals 1844-1996</source><creator>FELTON, C. J ; STASTNY, P ; SHERN, D. L ; BLANCH, A ; DONAHUE, S. A ; KNIGHT, E ; BROWN, C</creator><creatorcontrib>FELTON, C. J ; STASTNY, P ; SHERN, D. L ; BLANCH, A ; DONAHUE, S. A ; KNIGHT, E ; BROWN, C</creatorcontrib><description>OBJECTIVE: The study examined whether employing mental health consumers
as peer specialists in an intensive case management program can enhance
outcomes for clients with serious mental illness. METHODS: A
quasiexperimental, longitudinal, nonequivalent control group design was
used to compare outcomes of clients assigned to three case management
conditions: teams of case managers plus peer specialists, teams of case
managers plus nonconsumer assistants, and case managers only. Outcomes were
measured at baseline and at three six-month intervals. Repeated- measures
analysis of variance was used to assess between-group differences. RESULTS:
Complete data were available for 104 clients. Compared with clients in the
other two groups, clients served by teams with peer specialists
demonstrated greater gains in several areas of quality of life and overall
reduction in the number of major life problems experienced. They also
reported more frequent contact with their case managers and the largest
gains of all three groups in the areas of self-image and outlook and social
support. No differences in outcomes were found between clients served by
teams with nonconsumer assistants and those served by case managers only.
CONCLUSIONS: Integration of peer specialists into intensive case management
programs appears to lead to enhanced quality of life for clients and more
effective case management.</description><identifier>ISSN: 1075-2730</identifier><identifier>EISSN: 1557-9700</identifier><identifier>DOI: 10.1176/ps.46.10.1037</identifier><identifier>PMID: 8829785</identifier><language>eng</language><publisher>Washington, DC: American Psychiatric Publishing</publisher><subject>Adult ; Biological and medical sciences ; Case Management ; Female ; Homeless Persons - psychology ; Hospitals, Psychiatric ; Humans ; Long-Term Care ; Longitudinal Studies ; Male ; Medical sciences ; Mental Disorders - psychology ; Mental Disorders - rehabilitation ; Mental health ; Middle Aged ; New York City ; Organization of mental health. Health systems ; Patient Advocacy ; Patient Care Team ; Patient Participation ; Peer Group ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; Quality of Life ; Self Concept ; Social Adjustment ; Social psychiatry. Ethnopsychiatry ; Social Support ; Treatment Outcome</subject><ispartof>Psychiatric services (Washington, D.C.), 1995-10, Vol.46 (10), p.1037-1044</ispartof><rights>1995 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-a418t-133822636b8eeb9cb83e220cb22da462f55c2c800b0c44be6f7cf034446d74623</citedby><cites>FETCH-LOGICAL-a418t-133822636b8eeb9cb83e220cb22da462f55c2c800b0c44be6f7cf034446d74623</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://psychiatryonline.org/doi/epdf/10.1176/ps.46.10.1037$$EPDF$$P50$$Gappi$$H</linktopdf><linktohtml>$$Uhttps://psychiatryonline.org/doi/full/10.1176/ps.46.10.1037$$EHTML$$P50$$Gappi$$H</linktohtml><link.rule.ids>314,776,780,2841,2845,21606,21607,21608,21609,27903,27904,77537,77538,77540,77545</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=3687272$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/8829785$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>FELTON, C. J</creatorcontrib><creatorcontrib>STASTNY, P</creatorcontrib><creatorcontrib>SHERN, D. L</creatorcontrib><creatorcontrib>BLANCH, A</creatorcontrib><creatorcontrib>DONAHUE, S. A</creatorcontrib><creatorcontrib>KNIGHT, E</creatorcontrib><creatorcontrib>BROWN, C</creatorcontrib><title>Consumers as peer specialists on intensive case management teams: impact on client outcomes</title><title>Psychiatric services (Washington, D.C.)</title><addtitle>Psychiatr Serv</addtitle><description>OBJECTIVE: The study examined whether employing mental health consumers
as peer specialists in an intensive case management program can enhance
outcomes for clients with serious mental illness. METHODS: A
quasiexperimental, longitudinal, nonequivalent control group design was
used to compare outcomes of clients assigned to three case management
conditions: teams of case managers plus peer specialists, teams of case
managers plus nonconsumer assistants, and case managers only. Outcomes were
measured at baseline and at three six-month intervals. Repeated- measures
analysis of variance was used to assess between-group differences. RESULTS:
Complete data were available for 104 clients. Compared with clients in the
other two groups, clients served by teams with peer specialists
demonstrated greater gains in several areas of quality of life and overall
reduction in the number of major life problems experienced. They also
reported more frequent contact with their case managers and the largest
gains of all three groups in the areas of self-image and outlook and social
support. No differences in outcomes were found between clients served by
teams with nonconsumer assistants and those served by case managers only.
CONCLUSIONS: Integration of peer specialists into intensive case management
programs appears to lead to enhanced quality of life for clients and more
effective case management.</description><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Case Management</subject><subject>Female</subject><subject>Homeless Persons - psychology</subject><subject>Hospitals, Psychiatric</subject><subject>Humans</subject><subject>Long-Term Care</subject><subject>Longitudinal Studies</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Mental Disorders - psychology</subject><subject>Mental Disorders - rehabilitation</subject><subject>Mental health</subject><subject>Middle Aged</subject><subject>New York City</subject><subject>Organization of mental health. Health systems</subject><subject>Patient Advocacy</subject><subject>Patient Care Team</subject><subject>Patient Participation</subject><subject>Peer Group</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. Psychiatry</subject><subject>Quality of Life</subject><subject>Self Concept</subject><subject>Social Adjustment</subject><subject>Social psychiatry. Ethnopsychiatry</subject><subject>Social Support</subject><subject>Treatment Outcome</subject><issn>1075-2730</issn><issn>1557-9700</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1995</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kMtr3DAQxkVpSdO0xx4LOpQeCt6OHpa0vYWlLwjkkp56MLJ2XBQsWdXYgfz3tbtLbj3N4_vxzfAx9lbATghrPhXaabPbJlD2GbsUbWubvQV4vvZg20ZaBS_ZK6J7ABBWmAt24ZzcW9desl-HKdOSsBL3xAti5VQwRD9GmolPmcc8Y6b4gDx4Qp589r8xYZ75jD7RZx5T8WHe0DDGbT8tc5gS0mv2YvAj4ZtzvWI_v365O3xvbm6__Thc3zReCzc3QiknpVGmd4j9PvROoZQQeimPXhs5tG2QwQH0ELTu0Qw2DKC01uZoV11dsQ8n31KnPwvS3KVIAcfRZ5wW6qy1LQjQK9icwFAnoopDV2pMvj52ArotzK5Qp82_aQ1z5d-djZc-4fGJPqe36u_Puqfgx6H6HCI9Yco4K-3238cT5kuJ3f201LzG8Z-bfwEuz4o5</recordid><startdate>19951001</startdate><enddate>19951001</enddate><creator>FELTON, C. J</creator><creator>STASTNY, P</creator><creator>SHERN, D. L</creator><creator>BLANCH, A</creator><creator>DONAHUE, S. A</creator><creator>KNIGHT, E</creator><creator>BROWN, C</creator><general>American Psychiatric Publishing</general><general>American Psychiatric Association</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19951001</creationdate><title>Consumers as peer specialists on intensive case management teams: impact on client outcomes</title><author>FELTON, C. J ; STASTNY, P ; SHERN, D. L ; BLANCH, A ; DONAHUE, S. A ; KNIGHT, E ; BROWN, C</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-a418t-133822636b8eeb9cb83e220cb22da462f55c2c800b0c44be6f7cf034446d74623</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1995</creationdate><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>Case Management</topic><topic>Female</topic><topic>Homeless Persons - psychology</topic><topic>Hospitals, Psychiatric</topic><topic>Humans</topic><topic>Long-Term Care</topic><topic>Longitudinal Studies</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Mental Disorders - psychology</topic><topic>Mental Disorders - rehabilitation</topic><topic>Mental health</topic><topic>Middle Aged</topic><topic>New York City</topic><topic>Organization of mental health. Health systems</topic><topic>Patient Advocacy</topic><topic>Patient Care Team</topic><topic>Patient Participation</topic><topic>Peer Group</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychopathology. Psychiatry</topic><topic>Quality of Life</topic><topic>Self Concept</topic><topic>Social Adjustment</topic><topic>Social psychiatry. Ethnopsychiatry</topic><topic>Social Support</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>FELTON, C. J</creatorcontrib><creatorcontrib>STASTNY, P</creatorcontrib><creatorcontrib>SHERN, D. L</creatorcontrib><creatorcontrib>BLANCH, A</creatorcontrib><creatorcontrib>DONAHUE, S. A</creatorcontrib><creatorcontrib>KNIGHT, E</creatorcontrib><creatorcontrib>BROWN, C</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Psychiatric services (Washington, D.C.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>FELTON, C. J</au><au>STASTNY, P</au><au>SHERN, D. L</au><au>BLANCH, A</au><au>DONAHUE, S. A</au><au>KNIGHT, E</au><au>BROWN, C</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Consumers as peer specialists on intensive case management teams: impact on client outcomes</atitle><jtitle>Psychiatric services (Washington, D.C.)</jtitle><addtitle>Psychiatr Serv</addtitle><date>1995-10-01</date><risdate>1995</risdate><volume>46</volume><issue>10</issue><spage>1037</spage><epage>1044</epage><pages>1037-1044</pages><issn>1075-2730</issn><eissn>1557-9700</eissn><abstract>OBJECTIVE: The study examined whether employing mental health consumers
as peer specialists in an intensive case management program can enhance
outcomes for clients with serious mental illness. METHODS: A
quasiexperimental, longitudinal, nonequivalent control group design was
used to compare outcomes of clients assigned to three case management
conditions: teams of case managers plus peer specialists, teams of case
managers plus nonconsumer assistants, and case managers only. Outcomes were
measured at baseline and at three six-month intervals. Repeated- measures
analysis of variance was used to assess between-group differences. RESULTS:
Complete data were available for 104 clients. Compared with clients in the
other two groups, clients served by teams with peer specialists
demonstrated greater gains in several areas of quality of life and overall
reduction in the number of major life problems experienced. They also
reported more frequent contact with their case managers and the largest
gains of all three groups in the areas of self-image and outlook and social
support. No differences in outcomes were found between clients served by
teams with nonconsumer assistants and those served by case managers only.
CONCLUSIONS: Integration of peer specialists into intensive case management
programs appears to lead to enhanced quality of life for clients and more
effective case management.</abstract><cop>Washington, DC</cop><pub>American Psychiatric Publishing</pub><pmid>8829785</pmid><doi>10.1176/ps.46.10.1037</doi><tpages>8</tpages></addata></record> |
| fulltext | fulltext |
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| ispartof | Psychiatric services (Washington, D.C.), 1995-10, Vol.46 (10), p.1037-1044 |
| issn | 1075-2730 1557-9700 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_77750104 |
| source | MEDLINE; American Psychiatric Publishing Journals (1997-Present); Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Psychiatry Legacy Collection Online Journals 1844-1996 |
| subjects | Adult Biological and medical sciences Case Management Female Homeless Persons - psychology Hospitals, Psychiatric Humans Long-Term Care Longitudinal Studies Male Medical sciences Mental Disorders - psychology Mental Disorders - rehabilitation Mental health Middle Aged New York City Organization of mental health. Health systems Patient Advocacy Patient Care Team Patient Participation Peer Group Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Quality of Life Self Concept Social Adjustment Social psychiatry. Ethnopsychiatry Social Support Treatment Outcome |
| title | Consumers as peer specialists on intensive case management teams: impact on client outcomes |
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