Journal article
Merging Intentional Peer Support and Dialogic Practice: Implementation Lessons From Parachute NYC
Psychiatric services (Washington, D.C.), Vol.71(2), pp.199-201
02/01/2020
DOI: 10.1176/appi.ps.201900174
PMID: 31690222
Abstract
This ethnographically informed implementation analysis of Parachute NYC between 2012 and 2015 documents the obstacles that can impede disruptive innovations in public mental health. Parachute combined family-based dialogic practice with peer-staffed crisis respite centers and mixed teams of clinicians and peers in an ambitious effort to revamp responses to psychiatric crises. This Open Forum reviews the demands posed by formidable contextual constraints, extended trainings in novel therapeutic techniques, and the effort to ensure sustainabitity in a managed care environment. It cautions that requiring innovations to produce evidence under the structural constraints that Parachute endured hobbles the effort and thwarts its success. The dialogic embrace of ordinary people and the use of peer labor as active treatment agents promote a slower and more participatory approach to psychiatric crises that offers extraordinary promise. However, a better prepared and more receptive context is needed for a fair trial of the comparative effectiveness of this approach.
Details
- Title: Subtitle
- Merging Intentional Peer Support and Dialogic Practice: Implementation Lessons From Parachute NYC
- Creators
- Kim Hopper - Vera Institute of JusticeJennifer Van Tiem - Vera Institute of JusticeLauren Cubellis - Vera Institute of JusticeLeah Pope - Vera Institute of Justice
- Resource Type
- Journal article
- Publication Details
- Psychiatric services (Washington, D.C.), Vol.71(2), pp.199-201
- Publisher
- Amer Psychiatric Publishing, Inc
- DOI
- 10.1176/appi.ps.201900174
- PMID
- 31690222
- ISSN
- 1075-2730
- eISSN
- 1557-9700
- Number of pages
- 3
- Grant note
- Research Foundation for Mental Health CMS-1C1-120001 / Center for Medicare and Medicaid Innovation, Centers for Medicare and Medicaid Services New York State Office of Mental Health
- Language
- English
- Date published
- 02/01/2020
- Academic Unit
- Family and Community Medicine; Internal Medicine
- Record Identifier
- 9984695786302771
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