Practical guidelines on peer support for people with psychiatric disabilities: a online survey (original) (raw)
Related papers
Peer support for people with mental illness
Revista de Psiquiatria Clínica, 2014
Background: Peer support is a mutual aid system based on the belief that someone who faced/overcome adversity can provide support, encouragement and guidance to those who experience similar situations. Objective: To conduct a systematic review that describes this concept and characterizes peer supporters, its practice and efficacy. Method: Research on ISI Web of Science, EBSCO Psychology and Behavioral Sciences Collection and Medline databases (from 2001 to December 2013) was conducted using as keywords "mental illness", "mental health", "psychiatric disability", "mental health services", combined with "peer support", "mutual support", "self-help groups", "consumers as providers", "peer-run services", "peer-run programs" and "social support". Results: We found 1,566 articles and the application of both the exclusion (studies with children, teenagers and elderly people; disease in comorbidity; peer support associated to physical illnesses or family members/caregivers) and the inclusion criteria (full text scientific papers, peer support or similar groups directed for schizophrenia, depression, bipolar or psychotic disorders) lead to 165 documents, where 22 were excluded due to repetition and 31 to incomplete text. We analyzed 112 documents, identifying as main peer support categories: characterization, peer supporter, practices and efficacy. Discussion: Despite an increasing interest about this topic, there is no consensus, suggesting realizing more studies.
Article The Development and Properties of the Support Needs Questionnaire
2015
The Support Needs Questionnaire (SNQ) measures the support people with severe mental illness need to attain valued social roles as a route to social inclusion. Its design derives from Wolfensberger’s Social Role Valorisation theory. It is a clinical tool comprising a comprehensive lifestyle inventory of “universal basic ” and “disability ” needs; and “revalorisa-tion needs ” arising from social devaluation and deep exclusion. The SNQ comprises eight discreet sub-scales based on O’Brien’s Five Service Accomplishments, the domains of which include Community Presence, Community Participation, Choice and Control, Social Roles and Respect, Skills and Competencies, and Finance. There are also two descriptive sub-scales: Physical and Mental Health. The item set was developed collaboratively with service users. This paper introduc-es the SNQ, its design rationale and development, and investigates aspects of its reliability, validity and utility. Care co-ordinators in a Community Mental Heal...
Peer Support Among Individuals With Severe Mental Illness: A Review of the Evidence
Clinical Psychology: Science and Practice, 2006
This article reviews the history and potential effectiveness of peer support among persons with severe mental illness. Following a historical overview, we describe the three primary forms of peer support that have been developed t o date by and for this population, and examine the existing empirical evidence of the feasibility, effectiveness, and utilization of each of these approaches in contributing t o the recovery of individuals with psychiatric disabiliies. These three forms are (1) naturally occumng mutual support groups, (2) consumer-run senices, and (3) the employment of consumers as providers within clinical and rehabilitative settings. Existing studies of mutual support groups suggest that they may improve symptoms, promote larger social networkr, and enhance quality of life. This research is largely from uncontrolled studies, however, and will need t o be evaluated further using prospective, controlled designs. Consumer-run services and the use of consumers as providers promise t o broaden the access of individuals with psychiatric disabilities t o peer support, but research on these more recent developments is only preliminary and largely limited t o demonstrations of their feasibility. We discuss issues entailed in participating in peer support for this population, and then close with a discussion of the implications for future policy, research, and practice.
Peer Support and Consultation Article
The interpreter who works alongside mental health professionals may have equal vulnerability to occupational stress but lack adequate training in order to recognize it or take necessary steps to offset negative impacts. This paper presents a model of intervention known as Peer Support and Consultation Project for Interpreters (PSCPI) working in mental health settings. It describes a study that was designed to determine whether or not PSCPI meetings would influence participants' immediate sense of satisfaction with several qualities thought to be consistent with developing resilience to work-related stress reactions. The findings of this study indicate a strong positive relationship between attendance at a PSCPI group meeting and increased positive perception of being part of a productive and supportive professional network, as well as having a variety of strategies for self-care and self-management. This article is an exploration of unique areas of vulnerability to cumulative occupational stress faced by sign language interpreters and the use of formalized peer support and consultation as a model for building resilience and increasing professional well-being. It is based on a literature review and data analysis from a study of the immediate impact of attendance at a Peer Support and Consultation Project for Interpreters (PSCPI) group on several factors thought to be deterrents to vicarious trauma (VT). Having worked with individuals who have experienced trauma, interpreters, like therapists and other so-called helping professionals, are at risk for developing cumulative occupational stress reactions (e.g., burnout, vicarious trauma, compassion fatigue, secondary traumatization) (Harvey, 2001). Unlike therapists, however, many interpreters may not recognize their vulnerability or have strategies in place to manage it (Anderson, 2006, Harvey, 2003). Definitions Saakvitne and Pearlman (1996) originally defined vicarious traumatization as the " negative transformation of the therapist's or helper's inner experience as a result of empathic engagement with survivor clients and their trauma material and a sense of responsibility or commitment to help " (p. 31). Compassion fatigue, secondary traumatization, and post-secondary traumatic stress are terms that highlight distinctions between degrees and types of disruptive and painful psychological and emotional effects and negative internal transformations that may result from work with people who have experienced trauma (Chrestman, 1999). For the purposes of this article, the terms occupational stress and vicarious trauma will be used in a more global sense as representing any negative disruption in an interpreter's sense of well-being resulting from interpreting emotionally charged
Social Psychiatry and Psychiatric Epidemiology
Purpose The evidence base for peer support work in mental health is established, yet implementation remains a challenge. The aim of this systematic review was to identify influences which facilitate or are barriers to implementation of mental health peer support work. Methods Data sources comprised online databases (n = 11), journal table of contents (n = 2), conference proceedings (n = 18), peer support websites (n = 2), expert consultation (n = 38) and forward and backward citation tracking. Publications were included if they reported on implementation facilitators or barriers for formal face-to-face peer support work with adults with a mental health problem, and were available in English, French, German, Hebrew, Luganda, Spanish or Swahili. Data were analysed using narrative synthesis. A six-site international survey [Germany (2 sites), India, Israel, Tanzania, Uganda] using a measure based on the strongest influences was conducted. The review protocol was pre-registered (Prospero: CRD42018094838). Results The search strategy identified 5813 publications, of which 53 were included. Fourteen implementation influences were identified, notably organisational culture (reported by 53% of papers), training (42%) and role definition (40%). Ratings on a measure using these influences demonstrated preliminary evidence for the convergent and discriminant validity of the identified influences. Conclusion The identified influences provide a guide to implementation of peer support. For services developing a peer support service, organisational culture including role support (training, role clarity, resourcing and access to a peer network) and staff attitudes need to be considered. The identified influences provide a theory base to prepare research sites for implementing peer support worker interventions.
The British Journal of Psychiatry, 2020
BackgroundPeer support work roles are being implemented internationally, and increasingly in lower-resource settings. However, there is no framework to inform what types of modifications are needed to address local contextual and cultural aspects.AimsTo conduct a systematic review identifying a typology of modifications to peer support work for adults with mental health problems.MethodWe systematically reviewed the peer support literature following PRISMA guidelines for systematic reviews (registered on PROSPERO (International Prospective Register of Systematic Reviews) on 24 July 2018: CRD42018094832). All study designs were eligible and studies were selected according to the stated eligibility criteria and analysed with standardised critical appraisal tools. A narrative synthesis was conducted to identify types of, and rationales for modifications.ResultsA total of 15 300 unique studies were identified, from which 39 studies were included with only one from a low-resource setting....
European psychiatry : the journal of the Association of European Psychiatrists, 2017
One-to-one peer support is a resource-oriented approach for patients with severe mental illness. Existing trials provided inconsistent results and commonly have methodological shortcomings, such as poor training and role definition of peer supporters, small sample sizes, and lack of blinded outcome assessments. This is a randomised controlled trial comparing one-to-one peer support with treatment as usual. Eligible were patients with severe mental illnesses: psychosis, major depression, bipolar disorder or borderline personality disorder of more than two years' duration. A total of 216 patients were recruited through in- and out-patient services from four hospitals in Hamburg, Germany, with 114 allocated to the intervention group and 102 to the control group. The intervention was one-to-one peer support, delivered by trained peers and according to a defined role specification, in addition to treatment as usual over the course of six months, as compared to treatment as usual alon...
A systematic review of Peer Support Workers
Little is known about whether peer support improves outcomes for people with severe mental illness. Method: A systematic review and meta-analysis was conducted. Cochrane CENTRAL Register, Medline, Embase, PsycINFO, and CINAHL were searched to July 2013 without restriction by publication status. Randomised trials of non-residential peer support interventions were included. Trial interventions were categorised and analysed separately as: mutual peer support, peer support services, or peer delivered mental health services. Meta-analyses were performed where possible, and studies were assessed for bias and the quality of evidence described.
Construção e validação de instrumento para avaliação da assistência ao comportamento suicida
2019
OBJECTIVE: To develop and validate an instrument for evaluating primary health care professionals’ assistance to people with suicidal behavior. METHODS: This was a methodological study, which began with a literature review, followed by the elaboration of an instrument. In its first version, the instrument had 34 items, divided into four domains: “professional characterization,” “professional perception ” “professional knowledge/abilities,” and “organization of the care network.” Contents were validated using the Delphi method. Semantic analysis was performed by college-educated primary health care professionals in greater and lesser strata of ability. For internal consistency analysis, Cronbach’s alpha coefficient was calculated. The study was conducted between January and December 2017. RESULTS: After four Delphi rounds, the instrument was successfully validated. In its final form, it is comprised of 50 items, divided into five domains: “professional characterization,” “professiona...
Peer support in mental health services (Review)
Current Opinion in Psychiatry, 2014
Authors: Candelaria Mahlke (UKE Medical Center Hamburg) Ute Maria Krämer (King's College London and independent survivor researcher) Thomas Becker (University Ulm), Thomas Bock, UKE Medical Center Hamburg) Abstract Purpose of review: Considering international diversity in the implementation of mental health peer support and an increasing research interest in peer support work (PSW), this review focuses on priorities in current research and practice. With grassroots in informal services for people with mental health problems, peer support has been strengthened by the recovery paradigm in mental health policy, and there are steps towards integration in statutory services. Recent findings: Current issues include benefits of peer support, its efficacy and effectiveness. The value of peer support in formal and informal settings is discussed, and organizational change processes and the challenges in peer support implementation are discussed. Recent studies have identified the need for a clarification of roles, competencies and job structure and for adequate training and supervision. Along with reported benefits for consumer and PSW involvement in care revealed by mixed method studies, destigmatization at the personal and system level is a crucial PSW component. Summary: Various types of peer support merit further evaluation. Assessing the impact of peer support on service users, peer providers and organizations require complex intervention studies, using mixed methods designs with qualitative exploration of underlying processes and experiences to complement high-quality controlled trials.