Guided by the principles of Open Dialogue and Intentional Peer Support (IPS), Parachute NYC was designed to provide a "soft landing" for people experiencing psychiatric crisis. From 2012 to 2018, Parachute's teams of clinicians and peer specialists provided home-based mental health care to enrollees and their networks (family, friends), seeking to engage and improve their natural support networks. This qualitative study examined the experiences of enrollees and network members who participated in Parachute. Participants reported that they valued the accessibility and flexibility of Parachute as well as their relationships with, and the lack of hierarchy within, the Parachute team. Responses to the structure of network meetings and Parachute's approach to medication were mixed, with a few participants struggling with what they felt was a lack of urgency and others experiencing the approach as holistic. Many enrollees and network members reported that Parachute improved their self-understanding and relationships with each other.
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http://dx.doi.org/10.1007/s10597-020-00556-0 | DOI Listing |
Psychiatr Serv
March 2024
Department of Equity, Ethics and Policy and Department of Social Studies of Medicine (Friesen) and Division of Social and Transcultural Psychiatry, Department of Psychiatry (Lynch), McGill University, Montreal; Department of Applied Psychology, New York University, New York City (Wusinich); Center for Home Care Policy and Research, VNS Health, New York City, and Department of Sociology, Appalachian State University, Boone, North Carolina (Russell).
Objective: The authors examined participants' experiences with peer specialists in Parachute NYC, a community mental health program of support teams trained in Open Dialogue and intentional peer support.
Methods: Qualitative interviews were conducted with eight enrollees and 10 network members (enrollees' family members). All excerpts coded as pertaining to peers were thematically analyzed.
Forensic Sci Int
November 2022
New York City Office of Chief Medical Examiner, 520 First Avenue, New York, NY 10016, USA.
This analysis focuses on the identification efforts conducted by the New York City Office of Chief Medical Examiner (NYC OCME) over a 20-year period from September 11, 2001 to September 11, 2021. Due to this unprecedented level of commitment to victim identification, a wealth of data has been collected over the two-decade period and is still being collected as identification efforts are ongoing. The results of this data analysis are not only informative for the World Trade Center (WTC) victims, but may also be instructional for other large-scale, protracted victim identification efforts.
View Article and Find Full Text PDFHealth Secur
October 2020
Syra Madad, DHSc, is Senior Director, System-wide Ebola and Special Pathogens Program at NYC Health + Hospitals, New York, NY.
Community Ment Health J
August 2020
Visiting Nurse Service of New York, Community Mental Health Services, 286 Lenox Ave., New York, NY, 10027, USA.
Guided by the principles of Open Dialogue and Intentional Peer Support (IPS), Parachute NYC was designed to provide a "soft landing" for people experiencing psychiatric crisis. From 2012 to 2018, Parachute's teams of clinicians and peer specialists provided home-based mental health care to enrollees and their networks (family, friends), seeking to engage and improve their natural support networks. This qualitative study examined the experiences of enrollees and network members who participated in Parachute.
View Article and Find Full Text PDFPsychiatr Serv
February 2020
Department of Sociomedical Sciences, Mailman School of Public Health, Columbia University, New York (Hopper); Parachute Evaluation Team, Nathan Kline Institute for Psychiatric Research, Orangeburg, New York (Van Tiem); Department of Anthropology, Washington University, St. Louis (Cubellis); Vera Institute of Justice, New York (Pope).
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 sustainability in a managed care environment.
View Article and Find Full Text PDFEnter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!