Review tempers expectations for peer-led services but further studies are required

Ahmed, Anthony O.; Buckley, Peter F.

doi:10.1136/eb-2014-101802

Evid Based Mental Health

2014

DOI: 10.1136/eb-2014-101802

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Review tempers expectations for peer-led services but further studies are required

Anthony O. Ahmed

Peter F. Buckley

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Cited by 3 publications

(1 citation statement)

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“…Furthermore, much remains to be elucidated in terms of efficacy and process, such as selection of peer mentors, training, and supervision. 6 …”

mentioning

confidence: 99%

An Innovative Model of Depression Care Delivery: Peer Mentors in Collaboration with a Mental Health Professional to Relieve Depression in Older Adults

Joo

Hwang

Abu

et al. 2016

The American Journal of Geriatric Psychiatry

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Objectives Traditional mental health services are not used by a majority of older adults with depression, suggesting a need for new methods of health service delivery. We conducted a pilot study using peer mentors to deliver depression care to older adults in collaboration with a mental health professional. We evaluated the acceptability of peer mentors to older adults and examined patient experiences of the intervention. Methods Six peer mentors met 30 patients for 1 hour weekly for 8 weeks. A mental health professional provided an initial clinical evaluation as well as supervision and guidance to peer mentors concurrent with patient meetings. We measured depressive symptoms at baseline and after study completion, and depressive symptoms and working alliance at weekly peer-patient meetings. We also interviewed participants and peer mentors to assess their experiences of the intervention. Results Ninety-six percent of patients attended all eight meetings with the peer mentor and PHQ-9 scores decreased for 85% of patients. Patients formed strong, trusting relationships with peer mentors. Patients emphasized the importance of trust, of developing a strong relationship, and of the credibility and communication skills of the peer mentor. Participants described benefits such as feeling hopeful, and reported changes in attitude, behavior, and insight. Conclusions Use of peer mentors working in collaboration with a mental health professional is promising as a model of depression care delivery for older adults. Testing of effectiveness is needed and processes of recruitment, role definition, and supervision should be further developed.

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“…Furthermore, much remains to be elucidated in terms of efficacy and process, such as selection of peer mentors, training, and supervision. 6 …”

mentioning

confidence: 99%

An Innovative Model of Depression Care Delivery: Peer Mentors in Collaboration with a Mental Health Professional to Relieve Depression in Older Adults

Joo

Hwang

Abu

et al. 2016

The American Journal of Geriatric Psychiatry

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The Professional Experiences of Peer Specialists in the Georgia Mental Health Consumer Network

Ahmed

Hunter

Mabe

et al. 2015

Community Ment Health J

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There has been an increase in the number of peer-led services within the mental health care system. There however remains little information about the experiences of peers serving in such helping roles. This study explored the professional experiences of peer specialists including the basic roles, benefits, and potential challenges of the peer specialist role. Peer specialists (N = 84) completed a battery of surveys and questionnaires. Qualitative analysis of participants' responses indicated that peer specialists face difficulties such as poor compensation, limited employment opportunities, work stress, emotional stress in helping others, and maintaining personal wellness. Quantitative analyses revealed that recovery attitudes may confer clinical and psychosocial benefits for peer specialists and employment may contribute to hope, empowerment, social engagement, and competence. Peer specialists would benefit from resources and supports aimed at their continued training and supervision. Fostering the vocational advancement of peer specialists could potentially enhance their experiential recovery and community functioning.

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Recovery in Schizophrenia

Ahmed

Marino

Rosenthal

et al. 2016

Psychiatric Clinics of North America

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Review tempers expectations for peer-led services but further studies are required

Cited by 3 publications

References 4 publications

An Innovative Model of Depression Care Delivery: Peer Mentors in Collaboration with a Mental Health Professional to Relieve Depression in Older Adults

An Innovative Model of Depression Care Delivery: Peer Mentors in Collaboration with a Mental Health Professional to Relieve Depression in Older Adults

The Professional Experiences of Peer Specialists in the Georgia Mental Health Consumer Network

Recovery in Schizophrenia

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