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Community Mental Health Journal

, Volume 55, Issue 3, pp 420–427 | Cite as

Attitudes of Mental Health Peer-Run Organizations Towards Health Homes: Recommendations for Policy and Practice

  • Elizabeth SiantzEmail author
  • Laysha Ostrow
Original Paper

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.

Keywords

Peer support Peer-run organizations Integrated care Health homes Chronic care Management 

Notes

Funding

NIMH T32MH019545, Social Security Administration DRC12000001-01-00, and a mini-grant from the Johns Hopkins Center for Mental Health Initiatives.

Compliance with Ethical Standards

Conflict of interest

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.

References

  1. Allison, P. D. (2007). Missing data, quantitative application in social sciences No. 07-136. London: Sage University Press.Google Scholar
  2. 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.CrossRefGoogle Scholar
  3. CIHS. (2012). Behavioral health homes for people with mental health & substance use conditions: The core clinical features. Retrieved from Washington, DC.Google Scholar
  4. Clay, S. (2005). On our own, together: Peer programs for people with mental illness. Nashville: Vanderbilt University Press.Google Scholar
  5. CMS. (2010). Letter to State Medicaid Directors. Re: health homes for enrollees with chronic conditions.Google Scholar
  6. 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.Google Scholar
  7. Corrigan, P. (2006). Impact of consumer-operated services on empowerment and recovery of people with psychiatric disabilities. Psychiatric Services, 57(10), 1493–1496.CrossRefGoogle Scholar
  8. 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.CrossRefGoogle Scholar
  9. 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.CrossRefGoogle Scholar
  10. 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.CrossRefGoogle Scholar
  11. 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.CrossRefGoogle Scholar
  12. 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.CrossRefGoogle Scholar
  13. 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.CrossRefGoogle Scholar
  14. 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.CrossRefGoogle Scholar
  15. 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.CrossRefGoogle Scholar
  16. IOM. (2012). Living well with chronic illness: A call for public health action. Retrieved from Washington, DC.Google Scholar
  17. 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.CrossRefGoogle Scholar
  18. 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.CrossRefGoogle Scholar
  19. 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.CrossRefGoogle Scholar
  20. 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.CrossRefGoogle Scholar
  21. 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.
  22. 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.CrossRefGoogle Scholar
  23. 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.CrossRefGoogle Scholar
  24. 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.CrossRefGoogle Scholar
  25. 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.
  26. 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.Google Scholar
  27. 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.Google Scholar
  28. Rogers, W. H. (1993). Regression standard errors in clustered samples. Stata Technical Bulletin, 13, 19–23.Google Scholar
  29. SAMHSA-HRSA Center for Integrated Health Solutions. (2016). Peer providers. Retrieved from http://www.integration.samhsa.gov/workforce/team-members/peer-providers.
  30. 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.CrossRefGoogle Scholar
  31. Swarbrick, M. (2013). Introduction to wellness coaching. Freehod: Collaborative Support Programs of New Jersey, Institute for Wellness and Recovery Initiatives.Google Scholar
  32. 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.CrossRefGoogle Scholar
  33. 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.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Department of Family Medicine and Public HealthUniversity of California, San DiegoLa JollaUSA
  2. 2.Live & Learn, Inc.Morro BayUSA

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