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首页> 外文期刊>International Journal of Integrated Care >Health Peer Support Workers - Agents of change bringing a lived experience workforce to support the health of people with serious mental illness
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Health Peer Support Workers - Agents of change bringing a lived experience workforce to support the health of people with serious mental illness

机译：健康同伴支持工作者-变革推动者带来经验丰富的员工队伍，以支持患有严重精神疾病的人的健康

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Theme 5 1. Living Well Living Longer is a program funded to improve physical health outcomes for people living with severe mental illness. Health Peer Support Workers(HPSW) are employed in community mental health teams to strengthen consumer engagement in their own health and wellbeing 2. HPSWs have increased rates of engagement in care, increase rates of physical health screening, and contributed to improved social, emotional and physical wellbeing of care co-ordinated mental health consumers 3. HPSWs facilitate patient centred care that is consumer led, recovery focussed, strengths based and develops connections between the consumer, the mental health service, primary care providers and the non government sector. They provide a focus on integrated physical health care that champions the consumer as the expert in their own experience, and they partner with the consumer in the recovery journey, to address health disparities using a range of non clinical strategies 4. People living with severe and enduring mental illness, who are care co-ordinated by the Sydney Local Health District mental health service. Key stakeholders are HPSWs, mental health consumers, their carers/families, care co-ordinators and primary care providers. 5. The positions were funded for 3 years through a NSW Health Innovator grant, and became permanently funded in June 2017 6. Embedding the positions into a mental health team had significant impact on the way the team worked with consumers, and subsequent improved health outcomes The program is the first of its kind in NSW to use HPSW to target physical health as part of a strengths based recovery framework for improving physical health outcomes amongst the cohort. HPSW support increased consumerhealth literacy and healthy lifestyle goal setting, and improved screening and treatment for physical health co-morbidities. 7. The workforce will be further developed as the positions are an enhancement to the existing model of care for Sydney Local Health District mental health services. 8. The model can be adapted to unique needs of other mental health settings and services 9. Evaluation showed an increase in consumers who accessed a GP, received screening and treatment, and identified the HPSW engagement as a positive, non-clinical experience. The positions act as care navigators across complex health systems, reducing consumer distress. They use positive story-telling and individualised support. They improve meaningful communication and consumer connection to the treating team. 10. HPSWs assist care co-ordinators and consumers to increase rates of physical health screening, improving short term and long term physical health outcomes for consumers. By sharing their own recovery journey, HPSW provide consumers with hope that recovery can be positive, done in partnership, focussing care on the whole person, not just the mental illness. The HPSW have also assisted consumers to access healthy lifestyle activities and clinincal services 11. HPSWs are not clinical service providers. There is a discreet and unique aspect to their role and their interactions with consumers and care co-ordinators The community mental health teams saw value in the unique approach the HPSWs brought to integrated service delivery through their participation as team members.
机译：主题5 1.更好地生活更长寿是一项计划，旨在改善患有严重精神疾病的人们的身体健康状况。健康同伴支持工作者（HPSW）受雇于社区心理健康团队，以加强消费者对他们自己的健康和福祉的参与。2 HPSWs增加了对护理的参与率，对身体健康的筛查率，并有助于改善社会，情感和协调身体健康的心理健康消费者3. HPSW促进以患者为中心，以消费者为中心，以恢复为重点，以优势为基础的以患者为中心的护理，并在消费者，心理健康服务，初级保健提供者和非政府部门之间建立联系。他们专注于综合性身体保健，以使消费者成为自己的专家，并在康复过程中与消费者合作，通过一系列非临床策略来解决健康差异。4.重症和健康人群持久性精神疾病，由悉尼地方卫生区精神卫生服务机构负责协调。关键利益相关者是HPSW，心理健康消费者，其护理人员/家庭，护理协调员和初级护理提供者。 5.这些职位是通过新南威尔士州健康创新者基金资助的，为期三年，并于2017年6月获得了永久性资助。6.将职位纳入精神卫生团队对团队与消费者合作的方式产生了重大影响，并随后改善了健康状况该计划是新南威尔士州首个此类计划，该计划使用HPSW定位身体健康，并将其作为基于优势的康复框架的一部分，以改善队列中的身体健康结果。 HPSW支持提高消费者健康素养和健康生活方式目标设定，并改善对身体健康合并症的筛查和治疗。 7.由于这些职位是悉尼地方卫生区精神卫生服务现有护理模式的增强，因此将进一步发展劳动力。 8.该模型可以适应其他精神卫生环境和服务的独特需求。9.评价显示，获得全科医生，接受筛查和治疗并将HPSW参与确定为积极的非临床经验的消费者有所增加。这些职位充当跨复杂卫生系统的护理导航员，减少了消费者的困扰。他们使用积极的讲故事和个性化支持。它们改善了与治疗团队的有意义的沟通和消费者联系。 10. HPSW帮助护理协调员和消费者提高身体健康筛查的速度，改善消费者的短期和长期身体健康结局。通过分享自己的康复历程，HPSW为消费者带来了希望，即通过伙伴关系进行康复，将康复重点放在整个人身上，而不仅仅是精神疾病。 HPSW还帮助消费者获得健康的生活方式活动和阴蒂服务11。HPSW不是临床服务提供商。他们的角色以及与消费者和护理协调员的互动有一个谨慎而独特的方面。社区精神卫生团队认为，HPSW通过其团队成员的参与为综合服务提供所采用的独特方法具有价值。

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