@文章{信息:doi/10.2196/17053，作者=“阿尔梅达，玛格丽特和戴，安妮和史密斯，Bret和Bianco, Cynthia和Fortuna, Karen”，标题=“应对挑战的可操作项目，在综合心理健康和物质使用障碍系统中纳入同行支持专家:共同设计的定性研究”，期刊=“J Participat Med”，年=“2020”，月=“11月”，日=“26”，卷=“12”，数量=“4”，页=“e17053”，关键词=“基于经验的联合设计;心理健康康复;药物性精神障碍;同伴支持;同伴支持专家;卫生人力资源;病人的经验;病人满意度;背景:提供心理健康和药物使用支持服务的同伴支持专家已被证明可以减少耻辱感、住院和医疗成本。然而，由于同伴支持专家是创新综合护理环境中快速增长的精神健康和药物使用劳动力的一部分，他们在新的角色和任务中遇到了各种挑战。 Objective: The purpose of this study was to explore peer support specialists' experiences regarding employment challenges in integrated mental health and substance use workplace settings in New Hampshire, USA. Methods: Using experience-based co-design, nonpeer academic researchers co-designed this study with peer support specialists. We conducted a series of focus groups with peer support specialists (N=15) from 3 different integrated mental health and substance use agencies. Audio recordings were transcribed. Data analysis included content analysis and thematic analysis. Results: We identified 90 final codes relating to 6 themes: (1) work role and boundaries, (2) hiring, (3) work-life balance, (4) work support, (5) challenges, and (6) identified training needs. Conclusions: The shared values of experience-based co-design and peer support specialists eased facilitation between peer support specialists and nonpeer academic researchers, and indicated that this methodology is feasible for nonpeer academic researchers and peer support specialists alike. Participants expressed challenges with agency restrictions, achieving work-life balance, stigma, and low compensation. We present actionable items to address these challenges in integrated mental health and substance use systems to potentially offset workforce dissatisfaction and high turnover rates. ", issn="2152-7202", doi="10.2196/17053", url="https://jopm.www.mybigtv.com/2020/4/e17053", url="https://doi.org/10.2196/17053", url="http://www.ncbi.nlm.nih.gov/pubmed/33242015" }