Challenges faced by peer support workers during the integration into hospital-based mental health-care teams: Results from a qualitative interview study

Otte, Ina; Werning, Anna; Nossek, Alexa; Vollmann, Jochen; Juckel, Georg; Gather, Jakov

doi:10.1177/0020764020904764

Cited by 35 publications

(64 citation statements)

References 40 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Such a framework gives other mental health professionals an idea about the role of their new colleagues and can, thus, avoid problems during the integration process (Asad and Chreim 2016 ). This view is in accordance with our own findings in the qualitative interview and focus group parts of our study (Otte et al 2020a , 2020b ) and with the findings of Collins et al ( 2016 ). The latter interviewed psychiatrists about their attitudes towards PSWs in the UK and stated that, given the influence of psychiatrists on other team members, a lack of knowledge about the role of PSWs can pose a danger to their integration.…”

Section: Discussionsupporting

confidence: 91%

“…Furthermore, our findings suggest that PSWs benefit from the mutual exchange in transregional PSWMs during their role-finding process. This is in line with the results of our interview study, in which PSWs stated that they perceived these transregional meetings, which can be understood as a peer support for PSWs, as especially helpful (Otte et al 2020b ). Potential strains on PSWs and the need for support on various levels is addressed in several publications (Ahmed et al 2015 ; Byrne et al 2019 ; Cabral et al 2014 ; Davidson et al 2012 ; Nestor and Galletly 2008 ; Simpson et al 2014 ).…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Evolvement of Peer Support Workers’ Roles in Psychiatric Hospitals: A Longitudinal Qualitative Observation Study

Nossek

Werning

Otte

et al. 2020

Community Ment Health J

Self Cite

View full text Add to dashboard Cite

Peer support workers (PSWs) use their experiential knowledge and specific skills to support patients in their recovery process. The aim of our study was to examine the integration and role-finding process of PSWs in adult psychiatric hospitals in Germany. We conducted open nonparticipant observations of 25 multiprofessional team meetings and 5 transregional peer support worker meetings over a period of six months. The data were analyzed using qualitative content analysis. Regarding the integration of PSWs into multiprofessional teams, we identified three subcategories: “Features of success,” “challenges” and “positioning between team and patients.” Concerning the PSWs’ roles, we developed two subcategories: “Offers” and “self-perception.” The PSWs’ specific roles within a multiprofessional mental healthcare team evolve in a process over a longer period of time. This role-finding process should be supported by a framework role description which leaves sufficient freedom for individual development. Regular opportunities for mutual exchange among PSWs can help to address specific support needs at different points in time.

show abstract

Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 99%

Evolvement of Peer Support Workers’ Roles in Psychiatric Hospitals: A Longitudinal Qualitative Observation Study

Nossek

Werning

Otte

et al. 2020

Community Ment Health J

Self Cite

View full text Add to dashboard Cite

show abstract

“…These may all be sensitive issues for PSWs to explore in training, for example, due to personal experiences, which may be more difficult to explore in moderated web-based discussions. Furthermore, individuals considering PSW training may struggle with motivation [ 62 ] and the pressure to succeed [ 63 ], and role challenges can include overwork and symptom recurrence [ 64 ]. There is some evidence that a therapeutic alliance in digital interventions is possible [ 65 ], but the extent to which the requisite resilience and motivation for the PSW role can be fostered through web-based training delivery is an important future focus.…”

Section: Discussionmentioning

confidence: 99%

Initial Training for Mental Health Peer Support Workers: Systematized Review and International Delphi Consultation

Charles¹,

Nixdorf²,

Ibrahim³

et al. 2021

JMIR Ment Health

View full text Add to dashboard Cite

Background Initial training is essential for the mental health peer support worker (PSW) role. Training needs to incorporate recent advances in digital peer support and the increase of peer support work roles internationally. There is a lack of evidence on training topics that are important for initial peer support work training and on which training topics can be provided on the internet. Objective The objective of this study is to establish consensus levels about the content of initial training for mental health PSWs and the extent to which each identified topic can be delivered over the internet. Methods A systematized review was conducted to identify a preliminary list of training topics from existing training manuals. Three rounds of Delphi consultation were then conducted to establish the importance and web-based deliverability of each topic. In round 1, participants were asked to rate the training topics for importance, and the topic list was refined. In rounds 2 and 3, participants were asked to rate each topic for importance and the extent to which they could be delivered over the internet. Results The systematized review identified 32 training manuals from 14 countries: Argentina, Australia, Brazil, Canada, Chile, Germany, Ireland, the Netherlands, Norway, Scotland, Sweden, Uganda, the United Kingdom, and the United States. These were synthesized to develop a preliminary list of 18 topics. The Delphi consultation involved 110 participants (49 PSWs, 36 managers, and 25 researchers) from 21 countries (14 high-income, 5 middle-income, and 2 low-income countries). After the Delphi consultation (round 1: n=110; round 2: n=89; and round 3: n=82), 20 training topics (18 universal and 2 context-specific) were identified. There was a strong consensus about the importance of five topics: lived experience as an asset, ethics, PSW well-being, and PSW role focus on recovery and communication, with a moderate consensus for all other topics apart from the knowledge of mental health. There was no clear pattern of differences among PSW, manager, and researcher ratings of importance or between responses from participants in countries with different resource levels. All training topics were identified with a strong consensus as being deliverable through blended web-based and face-to-face training (rating 1) or fully deliverable on the internet with moderation (rating 2), with none identified as only deliverable through face-to-face teaching (rating 0) or deliverable fully on the web as a stand-alone course without moderation (rating 3). Conclusions The 20 training topics identified can be recommended for inclusion in the curriculum of initial training programs for PSWs. Further research on web-based delivery of initial training is needed to understand the role of web-based moderation and whether web-based training better prepares recipients to deliver web-based peer support.

show abstract

“…Kokemusasiantuntijatoimintaan kohdistuneessa tutkimuksessa on tarkasteltu toiminnan merkitystä sosiaali-ja terveyspalveluissa ja niiden kehittämisessä (24)(25)(26)(27), kokemusasiantuntijoiden ja ammattilaisten yhteistyötä sairaalaorganisaatioissa ja mielenterveyspalveluissa (18,(28)(29)(30) sekä kokemusasiantuntijuuden merkitystä osallisuuden mahdollistajana ja toisaalta osallistamispolitiikan välineenä (31)(32)(33). Kokemusasiantuntijatoiminnan vaikutuksia tarkastelleet tutkimukset osoittavat, että toiminta edistää asiakkaan elämänhallintaa, hyvinvoinnin ylläpitämistä ja tyytyväisyyttä elämään (34,35), kohentaa itseluottamusta ja elämänlaatua (27) sekä voi vähentää sairaalakäyntejä (36).…”

Section: ) Tutkimustulosten Merkitys Käytännössäunclassified

COVID-19-pandemian aiheuttaman poikkeustilanteen merkitys kokemusasiantuntijatoiminnalle mielenterveystyössä

Martin

Laitila

Kivistö

et al. 2021

SLA

View full text Add to dashboard Cite

COVID-19-pandemia keväällä 2020 sai aikaan nopeita ja mittavia muutoksia terveydenhuollossa. Toimintaa organisoitiin uudelleen, jotta pystyttäisiin turvaamaan riittävät resurssit testaamiseen ja tartunnan saaneiden hoitoon sekä minimoimaan tartuntariski. Muutokset ilmenivät myös psykiatrisessa erikoissairaanhoidossa. Tutkimuksen kontekstina oli sairaanhoitopiiri, jossa kokemusasiantuntijatoiminta on vakiintunut toimintamalli ammatillisen mielenterveystyön rinnalla. Tutkimuksessa selvitettiin poikkeustilanteen aiheuttamia muutoksia mielenterveystyön kokemusasiantuntijatoiminnassa, muutoksille annettuja merkityksiä sekä kokemusasiantuntijatoiminnan kehittämistarpeita. Aineistona olivat sairaanhoitopiirissä tehdyt fokusryhmähaastattelut mielenterveystyön ammattilaisille, kokemusasiantuntijoille ja asiakkaille. Aineisto kerättiin kesän ja syksyn 2020 aikana osana laajempaa kokemusasiantuntijuuden merkityksiä tarkastelevaa tutkimusta. Aineisto on analysoitu laadullisen aineistolähtöisen sisällönanalyysin keinoin. Kokemusasiantuntijatoiminnassa COVID-19-pandemian aikana tapahtuneet muutokset konkretisoituivat kokemusasiantuntijoiden työtehtävissä. Kokemusasiantuntijatoiminnan muutosten merkitykset liittyivät sekä yksilö- että organisaatiotasolle. Yksilötasolla korostuivat vertaistuen toteutumiseen ja mielekkääseen toimintaan liittyvät merkitykset sekä taloudelliset ja tunnetason merkitykset. Organisaatiotasolla merkityksenannot liittyivät palvelujen monipuolisuuden vähenemiseen, kokemusasiantuntijakoulutuksen toteuttamiseen ja yhteistyön toteutumiseen. Kokemusasiantuntijatoiminnassa havaitut kehittämistarpeet kohdentuivat kokemusasiantuntijuuden jatkuvuuden ja monipuolisuuden varmistamiseen sekä etäpalveluiden kehittämiseen. Kokemusasiantuntijat kokivat siirtymisen etätyöhön monin tavoin haasteellisena. Tutkimus nosti esiin tarpeen huomioida myös kokemustoimijoiden jaksaminen. Tutkimustulokset osoittivat, miten kokemusasiantuntijatoiminnan merkitys eri toimijoiden näkökulmasta korostui, kun toimintaa ryhdyttiin poikkeustilanteessa rajoittamaan. Tutkimus toi esiin kokemusasiantuntijatoiminnan kehittämistarpeita. Esille tuli myös toiminnan haavoittuvuus ympäristössä, jossa sillä on jo merkittävä ja vakiintunut asema. Mielenterveystyötä ohjaavat rakenteelliset tekijät ovat kokemusasiantuntijuuden tulevaisuuden kannalta laajempi yhteiskunnallinen kysymys.

show abstract

Challenges faced by peer support workers during the integration into hospital-based mental health-care teams: Results from a qualitative interview study

Cited by 35 publications

References 40 publications

Evolvement of Peer Support Workers’ Roles in Psychiatric Hospitals: A Longitudinal Qualitative Observation Study

Evolvement of Peer Support Workers’ Roles in Psychiatric Hospitals: A Longitudinal Qualitative Observation Study

Initial Training for Mental Health Peer Support Workers: Systematized Review and International Delphi Consultation

COVID-19-pandemian aiheuttaman poikkeustilanteen merkitys kokemusasiantuntijatoiminnalle mielenterveystyössä

Contact Info

Product

Resources

About