Abstract
This study examined peer-run organizations’ attitudes towards collaborating in health homes. Data were drawn from the 2012 National Survey of Peer-Run Organizations. Multinomial logistic regression modeled the association between organizational willingness to participate in a health home and salient factors. Current efforts (OR = 5.05; p < 0.05), planned efforts (OR = 4.27; p < 0.05) to encourage physical healthcare, and staff size (OR = 1.09; p < 0.05) were associated with willingness to collaborate in health homes. Some organizations were concerned about power dynamics with potential medical collaborators. Relationships with medical providers, staffing capacity, and concerns about coercion should be considered when integrating peer-run organizations and health homes.
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Allison, P. D. (2007). Missing data, quantitative application in social sciences No. 07-136. London: Sage University Press.
Chinman, M., Shoai, R., & Cohen, A. (2010). Using organizational change strategies to guide peer support technician implementation in the Veterans Administration. Psychiatric Rehabilitation Journal, 33(4), 269–277.
CIHS. (2012). Behavioral health homes for people with mental health & substance use conditions: The core clinical features. Retrieved from Washington, DC.
Clay, S. (2005). On our own, together: Peer programs for people with mental illness. Nashville: Vanderbilt University Press.
CMS. (2010). Letter to State Medicaid Directors. Re: health homes for enrollees with chronic conditions.
Colton, C., & Manderscheid, R. (2006). Congruencies in increased mortality rates, years of potential life lost, and causes of death among public mental health clients in eight states. Preventing Chronic Disease, 3(2), A42.
Corrigan, P. (2006). Impact of consumer-operated services on empowerment and recovery of people with psychiatric disabilities. Psychiatric Services, 57(10), 1493–1496.
Corrigan, P. W., Larson, J. E., & Ruesch, N. (2009). Self-stigma and the “why try” effect: Impact on life goals and evidence-based practices. World Psychiatry, 8(2), 75–81.
Croft, B., & Parish, S. L. (2013). Care integration in the patient protection and affordable care act: Implications for behavioral health. Administration and Policy in Mental Health and Mental Health Services Research, 40(4), 258–263. https://doi.org/10.1007/s10488-12-0405-0.
Daniels, A. S., Cate, R., Bergeson, S., Forquer, S., Niewenhous, G., & Epps, B. (2013). Best practices: Level-of-care criteria for peer support services: A best-practice guide. Psychiatric Services, 64(12), 1190–1192. https://doi.org/10.1176/appi.ps.201300277.
Davidson, L., & Guy, K. (2012). Peer support among persons with severe mental illnesses: A review of evidence and experience. World Psychiatry, 11(2), 123–128.
Dickerson, F. B., Brown, C. H., Daumit, G. L., LiJuan, F., Goldberg, R. W., Wohlheiter, K., & Dixon, L. B. (2006). Health status of individuals with serious mental illness. Schizophrenia Bulletin, 32(3), 584–589. https://doi.org/10.1093/schbul/sbj048.
Druss, B. G., Zhao, L., Von Esenwein, S., Morrato, E. H., & Marcus, S. C. (2011). Understanding excess mortality in persons with mental illness: 17-year follow up of a nationally representative US survey. Medical Care, 49, 599–604. https://doi.org/10.1097/MLR.0b013e31820bf86e.
Glied, S., & Frank, R. (2008). Shuffling toward parity-bringing mental health care under the umbrella. New England Journal of Medicine, 359(2), 113–115. https://doi.org/10.1056/NEJMp0804447.
Hunt, M. G., & Resnick, S. G. (2015). Two birds, one stone: Unintended consequences and a potential solution for problems with recovery in mental health. Psychiatric Services 66, 1235–1237. https://doi.org/10.1176/appi.ps.201400518.
IOM. (2012). Living well with chronic illness: A call for public health action. Retrieved from Washington, DC.
Jaskyte, K. (2011). Predictors of administrative and technological innovations in nonprofit organizations. Public Administration Review, 71(1), 77–86. https://doi.org/10.1111/j.1540-6210.2010.02308.x.
Jaskyte, K., & Dressler, W. W. (2005). Organizational culture and innovation in nonprofit human service organizations. Administration in Social Work, 29(2), 23–41. https://doi.org/10.1300/J147v29n02_03.
Miranda, J., McGuire, T., Williams, D., & Wang, P. (2008). Mental health in the context of health disparities. American Journal of Psychiatry, 165(9), 1102–1108.
Ostrow, L., & Adams, N. (2012). Recovery in the USA: From politics to peer support. International Review of Psychiatry, 1, 70–78. https://doi.org/10.3109/09540261.2012.659659.
Ostrow, L., & Hayes, S. L. (2015). Non-profit leadership and characteristics of mental health peer-run organizations nationwide. Psychiatric Services. 66(2). https://doi.org/10.1176/appi.ps.201400080.
Ostrow, L., & Leaf, P. J. (2014). Improving capacity to monitor and support sustainability of mental health peer-run organizations. Psychiatric Services, 65(2), 239–241. https://doi.org/10.1176/appi.ps.201300187.
Ostrow, L., Manderscheid, R., & Mojtabai, R. (2014). Stigma and difficulty accessing medical care in a sample of adults with serious mental illness. Journal of Health Care for the Poor and Underserved, 25(4), 1956–1965. https://doi.org/10.1353/hpu.2014.0185.
Ostrow, L., Penney, D., Leaf, P. J., & Stuart, E. S. (2017). Web-based survey data collection with peer support and advocacy organizations: Implications of participatory methods. Progress in Community Health Partnerships: Research, Education, and Action, 11(1), 45–52.
Ostrow, L., Steinwachs, D., Leaf, P. J., & Naeger, S. (2015). Medicaid reimbursement of mental health peer-run organizations: Results of a National Survey. Administration and Policy in Mental Health and Mental Health Services Research, 1–11. https://doi.org/10.1007/s10488-015-0675-4.
Palinkas, L. A., Holloway, I. W., Rice, E., Fuentes, D., Wu, Q., & Chamberlain, P. (2011). Social networks and implementation of evidence-based practices in public youth-serving systems: A mixed-methods study. Implementation Science, 6(113), 1–11. https://doi.org/10.1186/1748-5908-6-113.
Rogers, E. S., Teague, G. B., Lichenstein, C., Campbell, J., Lyass, A., Chen, R., & Banks, S. (2007). Effects of participation in consumer-operated service programs on both personal and organizationally mediated empowerment: Results of multisite study. Population, 11, 12.
Rogers, W. H. (1993). Regression standard errors in clustered samples. Stata Technical Bulletin, 13, 19–23.
SAMHSA-HRSA Center for Integrated Health Solutions. (2016). Peer providers. Retrieved from http://www.integration.samhsa.gov/workforce/team-members/peer-providers.
Siantz, E., Henwood, B., & Gilmer, T. (2016). Implementation of peer providers in integrated mental health and primary care settings. Journal of the Soiety for Social Work and Research, 7(2), 231–246. https://doi.org/10.1086/686644.
Swarbrick, M. (2013). Introduction to wellness coaching. Freehod: Collaborative Support Programs of New Jersey, Institute for Wellness and Recovery Initiatives.
Swarbrick, M., Murphy, A. A., Zechner, M., Spagnolo, A. B., & Gill, K. J. (2011). Wellness coaching: A new role for peers. Psychiatric Rehabilitation Journal, 34(4), 328–331. https://doi.org/10.2975/34.4.2011.328.331.
Takach, M. (2011). Reinventing medicaid: State innovations to qualify and pay for patient-centered medical homes show promising results. Health Affairs, 30(7), 1325–1334.
Funding
NIMH T32MH019545, Social Security Administration DRC12000001-01-00, and a mini-grant from the Johns Hopkins Center for Mental Health Initiatives.
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Both contributing authors have no relevant financial interests pertaining to this manuscript and certify that there are no conflicts of interest, including specific financial interests and relationships and affiliations relevant to the subject matter or materials discussed in the manuscript. The Johns Hopkins Bloomberg School of Public Health Institutional Review Board deemed this study not human subjects research.
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Siantz, E., Ostrow, L. Attitudes of Mental Health Peer-Run Organizations Towards Health Homes: Recommendations for Policy and Practice. Community Ment Health J 55, 420–427 (2019). https://doi.org/10.1007/s10597-019-00366-z
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DOI: https://doi.org/10.1007/s10597-019-00366-z