Consumers as peer specialists on intensive case management teams: impact on client outcomes

Felton, Chip J.; Šťastný, Peter; Shern, David L.; Blanch, Andrea K.; Donahue, Sheila A.; Knight, Edward L.; Brown, Celia

doi:10.1176/ps.46.10.1037

Cited by 150 publications

(64 citation statements)

References 15 publications

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“…change in QOLNAPart of housing interventionEx-homeless, mental illness, recoveryBoisvert et al 2008 USALongitudinal47Interviews, pre/post (baseline and 9 months), and surveysQOLR, MOS-SSS, VQPeer support community programNANANASig. change in relapse rates, mental health & functioning, perceived support/affiliation“global change in lifestyle and identity that occurs in the social learning context …emphasizes beliefs and values essential to recovery”To develop a socially responsible recovery community–everyone is expected to contributeRole models who have sustained recoveryFelton et al 1995 USALongitudinal221Baseline and 3 six month intervalsRSES, PSMS, BHS, CAARS, ICMES, ISEL, QOL, LPI, CSIPeer supporters added to intensive case management vs case managers only and case managers + paraprofessionals17% <30; 65%30–5018% 50+60% Male43% Black42% White15% OtherPeers equal to case-managers. Sig.…”

Section: Resultsmentioning

confidence: 99%

“…Nine studies were completed in the USA (Bean et al 2013; Boisvert et al 2008; Felton et al 1995; Fors and Jarvis 1995; Galanter et al 1998; Resnick and Rosenheck 2008; Tracy et al 2012, 2014; Weissman et al 2005). One was completed in Canada (Stewart et al 2009) and the last study was from the Netherlands (van Vugt et al 2012).…”

Section: Resultsmentioning

confidence: 99%

“…Two studies lacked in their reporting: Tracy et al (2012, 2014) and Boisvert et al (2008) did not provide references or vital information about their measures, so their outcomes are interpreted with caution. However, three studies used the same quality of life (QOL) measure and their outcomes can be directly compared against one another (Felton et al 1995; Resnick and Rosenheck 2008; Weissman et al 2005). …”

Section: Resultsmentioning

confidence: 99%

“…None of the included studies examined adults experiencing homelessness exclusively; all incorporated some other identifying factor. The most common population drawn from was adults experiencing homelessness and dependent on substances: 494 participants from four studies (Boisvert et al 2008; Felton et al 1995; Galanter et al 1998; Resnick and Rosenheck 2008; Tracy et al 2012, 2014). The second most frequent population included adults who are homeless and diagnosed with mental health issues, with 425 participants.…”

Section: Resultsmentioning

confidence: 99%

See 3 more Smart Citations

Experts by Experience: Peer Support and its Use with the Homeless

Barker

Maguire

2017

Community Ment Health J

113

100

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The homeless population has complex needs. Peers with experience of homelessness offer unique perspectives in supporting those experiencing homelessness. Peer support fostered and developed by professional organisations, termed intentional peer support (IPS), formalises this process. This review aims to assess the effectiveness of IPS as an intervention with young adults and adult homeless persons (including streetdwelling and those within services). PyscINFO, Web of Science, MEDLINE, and CINAHL were searched, resulting in ten studies, involving 1,829 participants. Peer support has significant impacts on quality of life, drug/alcohol use, and social support. Common elements of peer support are identified, suggesting possible processes that underlie effective peer support. Shared experiences, role modelling, and social support are suggested to be vital aspects of peer support and moderate changes in homeless clients. One study was deemed to have moderate/high quality; the remaining studies had low and moderate quality. Limitations of each are discussed.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Experts by Experience: Peer Support and its Use with the Homeless

Barker

Maguire

2017

Community Ment Health J

113

100

View full text Add to dashboard Cite

show abstract

“…In addition to the concrete benefits peer support has been shown to provide, including reductions in psychiatric hospitalization, previous studies of peer support also show it to be uniquely beneficial, such that no other aspect of the mental health system can compensate for it (Landers and Zhou 2011; Chinman et al 2001; Davidson et al 2010; Felton et al 1995; Fukui et al. 2010; Solomon 2004; Stastny and Lehmann 2007; Tandora et al 2010).…”

Section: Introductionmentioning

confidence: 99%

Embodying Recovery: A Qualitative Study of Peer Work in a Consumer-Run Service Setting

Austin

Ramakrishnan

Hopper

2014

Community Ment Health J

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The use of peer support for persons with mental illness has been gaining force. While research has demonstrated the benefits of peer support, few studies have investigated the qualitative characteristics of how peer support aids persons recovering from mental illness. Therefore, this study sought to clarify the characteristics that constitute peer support and its contribution to recovery. We conducted ethnographic fieldwork and semi-structured interviews with nine peer advocates at a consumer-run organization in New York City, and identified three themes that describe how peer support influences recovery: transforming experience into expertise, understanding the mechanics of peer support, and launching peers towards their own recovery. Peer support plays a critical role in helping clients move beyond their patient role to an empowered sense of personhood. Additionally, the value of peer support highlights current deficiencies within the mental health system and how a bolder shift towards recovery might repair them.

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Consumer-providers of care for adult clients of statutory mental health services

Pitt

Lowe

Hill

et al. 2013

Cochrane Database of Systematic Reviews

230

242

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Involving consumer-providers in mental health teams results in psychosocial, mental health symptom and service use outcomes for clients that were no better or worse than those achieved by professionals employed in similar roles, particularly for case management services.There is low quality evidence that involving consumer-providers in mental health teams results in a small reduction in clients' use of crisis or emergency services. The nature of the consumer-providers' involvement differs compared to professionals, as do the resources required to support their involvement. The overall quality of the evidence is moderate to low. There is no evidence of harm associated with involving consumer-providers in mental health teams.Future randomised controlled trials of consumer-providers in mental health services should minimise bias through the use of adequate randomisation and concealment of allocation, blinding of outcome assessment where possible, the comprehensive reporting of outcome data, and the avoidance of contamination between treatment groups. Researchers should adhere to SPIRIT and CONSORT reporting standards for clinical trials.Future trials should further evaluate standardised measures of clients' mental health, adverse outcomes for clients, the potential benefits and harms to the consumer-providers themselves (including need to return to treatment), and the financial costs of the intervention. They should utilise consistent, validated measurement tools and include a clear description of the consumer-provider role (eg specific tasks, responsibilities and expected deliverables of the role) and relevant training for the role so that it can be readily implemented. The weight of evidence being strongly based in the United States, future research should be located in diverse settings including in low- and middle-income countries.

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Consumers as peer specialists on intensive case management teams: impact on client outcomes

Abstract: Integration of peer specialists into intensive case management programs appears to lead to enhanced quality of life for clients and more effective case management.

Cited by 150 publications

References 15 publications

Experts by Experience: Peer Support and its Use with the Homeless

Experts by Experience: Peer Support and its Use with the Homeless

Embodying Recovery: A Qualitative Study of Peer Work in a Consumer-Run Service Setting

Consumer-providers of care for adult clients of statutory mental health services

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