Purpose -The employment of mental health consumers as peer support workers (PSWs) to provide support to other consumers is gaining momentum around the world. The purpose of this paper is to explore the tensions and dilemmas for a social worker in developing a peer support programme at an inpatient psychiatric service in Australia. The author draws on her experience of embedding a peer support programme providing an insight into the difficulties experienced and strategies used which supported the embedding of PSWs. The discipline of social work has complimentary values to the philosophy of peer support as well as the skills to manage the broad range of activities and tasks associated with developing a new programme. Due to the profession's underlying knowledges and values social work is able to act as a bridge between mental health professionals such as doctors and nurses and PSWs giving social workers the ability to "interpret" the divergent languages, values, beliefs and practices. Design/methodology/approach -A retrospective analysis of peer support programme implementation using social work values as a point of reference. Findings -The author draws on her experience of embedding a peer support programme providing an insight into the difficulties experienced and strategies used which supported the embedding of PSWs. Due to the profession's underlying knowledges and values social work is able to act as a bridge between mental health professionals such as doctors and nurses and PSWs giving social workers the ability to "interpret" the divergent languages, values, beliefs and practices. Social implications -This paper arose out of a conference presentation and author's Master's Dissertation, for which she received honours marks. During the period she was implementing the peer support programme, there was a dearth of local (Australian) literature about peer support programme development; this paper is a response to that need as the author would have greatly appreciated some local wisdom about embedding peer support programmes. Originality/value -The authors believe this is a unique approach to a journal paper; certainly the authors have not discovered anything of its ilk previously. There is a lot of material available now about peer support, its benefits and challenges, and many are written by social work, psychology, psychiatric and nursing academics but without overt statement of the professional values which inform their practice.

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A woman’s first pregnancy can be both emotionally exciting and daunting. There are many changes to make, but there is little emotional support to adjust to the role, the focus being on the physical process which is most often managed medically (Spear, 2008; Zasloff, Schytt, & Waldenström, 2007) though warnings about what could occur are not routinely told (Kaitz, 2007, pp. 720-721). This paper presents an autoethnographic story of first time pregnancy and the unfolding labour. The methodology of autoethnography is a useful tool for conveying stories of lived experience at a level of detail often previously unrecorded, evoking for the reader a powerful insight into sometimes very personal but universal human experiences. Utilising the tools of narration, autoethnography is a powerful device for conveying plot, character and events. This autoethnography provides the vehicle to juxtapose the joy and excitement of a first pregnancy and the plan for a natural delivery with a developing complicated labour and the ongoing difficulties of breast feeding, and concludes with some thoughts about how better to support first time mothers through the process.