Peer support for mental illness in India: an underutilised resource

Pathare, Soumitra; Kalha, Jasmine; Krishnamoorthy, Sadhvi

doi:10.1017/s2045796018000161

Cited by 41 publications

(41 citation statements)

References 24 publications

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“…A focus on recovery involves institutional transformation [10], with more emphasis on shared decision making [11] especially in relation to medication [12], and different approaches to compulsory care [13]. As part of this transformation, some countries such as Australia [14] and the UK [15] now mandate statutory mental health services to involve patients in service development and delivery, and there is increasing uptake of peer support around the world [16,17]. One role expectation on PSWs is that they be carriers of a recovery culture into mental health systems [18], so introducing PSW roles into services is often challenging [19].…”

Section: Introductionmentioning

confidence: 99%

A systematic review of influences on implementation of peer support work for adults with mental health problems

Ibrahim

Thompson

Nixdorf

et al. 2019

Soc Psychiatry Psychiatr Epidemiol

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159

185

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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.

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Section: Introductionmentioning

confidence: 99%

A systematic review of influences on implementation of peer support work for adults with mental health problems

Ibrahim

Thompson

Nixdorf

et al. 2019

Soc Psychiatry Psychiatr Epidemiol

Self Cite

159

185

View full text Add to dashboard Cite

show abstract

“…A case study of the first Brain Gain project demonstrated the feasibility and acceptability of peer support for people living with SMI as a strategy to drastically increase contact coverage of community mental health services in low-resource urban areas [36]. In India, the QualityRights Gujarat project funded by Grand Challenges Canada has also trained PSWs as part of a broader package of mental health system reform aimed at improving compliance with the United National Convention on the Rights of Persons with Disabilities [37].…”

Section: Introductionmentioning

confidence: 99%

Using Peer Support in Developing Empowering Mental Health Services (UPSIDES): Background, Rationale and Methodology

Puschner

Repper

Mahlke

et al. 2019

Annals of Global Health

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Background: Peers are people with lived experience of mental illness. Peer support is an established intervention in which peers offer support to others with mental illness. A large proportion of people living with severe mental illness receive no care. The care gap is largest in low- and middle-income countries, with detrimental effects on individuals and societies. The global shortage of human resources for mental health is an important driver of the care gap. Peers are an under-used resource in global mental health. Objectives: To describe rationale and methodology of an international multicentre study which will scale-up peer support for people with severe mental illness in high-, middle-, and low-income countries through mixed-methods implementation research. Methods: UPSIDES is an international community of research and practice for peer support, including peer support workers, mental health researchers, and other relevant stakeholders in eight study sites across six countries in Europe, Africa, and Asia. During the first two years of UPSIDES, a series of qualitative studies and systematic reviews will explore stakeholders’ perceptions and the current state of peer support at each site. Findings will be incorporated into a conceptual framework to guide the development of a culturally appropriate peer support intervention to be piloted across all study sites. All intervention and study materials will be translated according to internationally recognised guidelines. Expected Impact: UPSIDES: will leverage the unique expertise of people with lived experience of mental illness to strengthen mental health systems in high-, middle- and low-income countries. UPSIDES will actively involve and empower service users and embed patient-centeredness, recovery orientation, human rights approaches, and community participation into services. The focus on capacity-building of peers may prove particularly valuable in low-resource settings in which shortages of human capital are most severe.

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“…When following Moran's idea of a stage-like development of mental health services, implementation of peer support in India as described by Pathare et al (2018) appears to happen at a rather early level. Major obstacles are legislators and other stakeholders adhering to a medical model of mental illness, and the lack of an active consumer movement.…”

mentioning

confidence: 99%

Peer support and global mental health

Puschner

2018

Epidemiol Psychiatr Sci

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Peer support for mental illness in India: an underutilised resource

Cited by 41 publications

References 24 publications

A systematic review of influences on implementation of peer support work for adults with mental health problems

A systematic review of influences on implementation of peer support work for adults with mental health problems

Using Peer Support in Developing Empowering Mental Health Services (UPSIDES): Background, Rationale and Methodology

Peer support and global mental health

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