The personal and vocational impact of training and employing people with psychiatric disabilities as providers.

Hutchinson, Dori S.; Anthony, William A.; Ashcraft, Lori; Johnson, Eugene R.; Dunn, Erin C.; Lyass, Asya; Rogers, E. Sally

doi:10.2975/29.2006.205.213

Cited by 60 publications

(56 citation statements)

References 24 publications

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“…For example, a review by Mueser and his colleagues on recovery-oriented illness management found that such interventions can reduce symptoms and relapse while improving quality of life. Other large-scale studies have indicated that rehabilitation and recovery interventions can affect role functioning outcomes (Cook et al 2005) while numerous studies have suggested that self-esteem and self-efficacy, quality of life and other subjective and objective measures of recovery are important outcomes that can be affected by such interventions (Cook et al 2005;Shern et al 2000;Hutchinson et al 2006a;Arns and Linney 1995). The results of studies are by no means unequivocal however in dictating which of many psychosocial outcomes should be studied.…”

Section: Methodsmentioning

confidence: 96%

Results of an Innovative University-based Recovery Education Program for Adults with Psychiatric Disabilities

Dunn

Rogers

Hutchinson

et al. 2008

Adm Policy Ment Health

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This study examined the effectiveness of an educational approach to psychiatric rehabilitation called the Recovery Center. Using a quasi-experimental design we recruited 97 intervention and 81 comparison participants and examined the intervention's impact on health, mental health, subjective, and role functioning outcomes. Results suggested that this intervention was effective in improving subjective outcomes, especially empowerment and recovery attitudes, both of which received primary emphasis in the intervention. The Recovery Center, which integrates a bio-psychosocial framework with psycho-educational interventions shows promise as a complement to traditional mental health services in developing readiness for rehabilitation and promoting recovery among individuals with severe psychiatric disabilities.

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Section: Methodsmentioning

confidence: 96%

Results of an Innovative University-based Recovery Education Program for Adults with Psychiatric Disabilities

Dunn

Rogers

Hutchinson

et al. 2008

Adm Policy Ment Health

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“…Job structure and career pathway The importance of employment and the shift from consumer to provider, in order for peer workers to become valued and contributing citizens, was noted by Hutchinson and colleagues. 47 More specifically, engaging in peer training and taking courses encourages peer workers to go on to successfully pursue other educational and vocational goals.…”

Section: The Existing Evidence On Peer Worker Roles In Mental Health mentioning

confidence: 99%

New ways of working in mental health services: a qualitative, comparative case study assessing and informing the emergence of new peer worker roles in mental health services in England

Gillard

Edwards

Gibson

et al. 2014

Health Services and Delivery Research

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BackgroundA variety of peer worker roles are being introduced into the mental health workforce in England, in a range of organisational contexts and service delivery settings. The evidence base demonstrating the effectiveness of peer worker-based interventions is inconclusive and largely from outside England. An emerging qualitative literature points to a range of benefits, as well as challenges to introducing the peer worker role.AimsIn this study we aimed to test the international evidence base, and what is known generally about role adoption in public services, in a range of mental health services in England. We also aimed to develop organisational learning supporting the introduction of peer worker roles, identifying learning that was generic across mental health services and that which was specific to organisational contexts or service delivery settings.TeamThe research was undertaken by a team that comprised researchers from a range of academic and clinical disciplines, service user researchers, a peer worker, and managers and service providers in the NHS and voluntary sector. Service user researchers undertook the majority of the data collection and analysis. We adopted a coproduction approach to research, integrating the range of perspectives in the team to shape the research process and interpret our findings.Study designThe study employed a qualitative, comparative case study design. We developed a framework, based on existing evidence and the experiential insight of the team, which conceptualised the challenges and facilitators of introducing peer worker roles into mental health services. The framework was used to inform data collection and to enable comparisons between different organisational contexts, service delivery settings and the perspectives of different stakeholders.SettingsThe study took place in 10 contrasting cases comprising mental health NHS trusts, voluntary sector service providers and partnerships between the NHS and voluntary sector or social care providers. Peer workers were employed in a variety of roles, paid and unpaid, in psychiatric inpatient settings, community mental health services and black and minority ethnic (BME)-specific services.ParticipantsParticipants were 89 people involved in services employing peer workers, recruited purposively in approximately equal proportion from the following stakeholder groups: service users; peer workers; (non-peer) coworkers; line managers; strategic managers; and commissioners.Data collectionAll participants completed an interview that comprised structured and open-ended questions. Structured questions addressed a number of domains identified in the existing evidence as barriers to, or facilitators of, peer worker role adoption. Open-ended questions elicited detailed data about participants’ views and experiences of peer worker roles.Data analysisStructured data were analysed using basic statistics to explore patterns in implementation across cases. Detailed data were analysed using a framework approach to produce a set of analytical categories. Patterns emerging in the structured analysis informed an in-depth interrogation of the detailed data set, using NVivo 9 qualitative software (QSR International Pty Ltd, Victoria, Australia) to compare data between organisational contexts, service delivery settings and stakeholder groups. Preliminary findings were refined through discussion with a range of stakeholders at feedback workshops.FindingsMany of the facilitators of peer worker role adoption identified in the existing evidence base were also evident in mental health services in England, although there were issues around pay, leadership, shared understanding of the role, training and management where good practice was uneven. A number of examples of good practice were evident in the voluntary sector, where peer worker roles had been established for longer and organisations were more flexible. In the NHS there were a range of challenges around introducing peer worker roles into existing structures and cultures of practice. Peer workers were able to engage people with services by building relationships based on shared lived experience – the language they used was particularly important in BME-specific services – but barriers to engagement could be created where roles were overformalised.ConclusionsKey barriers to, and facilitators of, peer worker role adoption were identified, including valuing the differential knowledge and practice that peer workers brought to the role (especially around maintaining personally, rather than professionally defined boundaries); maintaining peer identity in a role of work; changing organisational structures to support peer workers to remain well in their work; and challenging organisational cultures to empower peer workers to use their lived experience. Recommendations for future research include developing a theoretical framework articulating the change mechanisms underpinning ‘what peer workers do’, piloting and formally evaluating the effectiveness and cost-effectiveness of peer worker interventions, and mixed-method research to better understand the impact of working as a peer worker.FundingThe National Institute for Health Research Health Services and Delivery Research programme.

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“…13 Participants reported feeling more empowered after completing the programme and having higher self-worth.…”

Section: Social Outcomes and Impactmentioning

confidence: 99%

The Partners in Recovery program: mental health commissioning using value co‐creation

Cheverton

Janamian

2016

Medical Journal of Australia

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strategy -Unstoppable Together -recognises that the next few years are a crucial time for mental health. We want to ensure that millions more people are able to access the mental health services that will help them recover and stay well.Engaging with mental health experts through experience is at the heart of Mind's work. We do this both nationally and through our unique network of local Minds delivering services across England and Wales.At Mind, we believe that co-production reflects our continuing work to engage meaningfully with the people who use our services. This is reflected in our values as a network and underpins our approach to service delivery. Our ambition is that co-production becomes central to the way the Mind network operates.In 2013, we commissioned nef (the new economics foundation) to carry out a review of existing evidence regarding co-production -examining when, why, and how it has been used in mental health and what impact it has had on people's lives and their recovery. What next around co-production in mental health?We will use the evidence and the recommendations from this report to drive our work on co-production in the Mind network and ensure that we are offering the best possible support to those who use our services.We also hope the findings and the case studies will reinvigorate interest and commitment to co-production in the commissioning, design, delivery, and evaluation of services, in order to truly transform services across all mental health settings. We know that much has been done already in this area but there is much more to do before co-production becomes the norm. Foreword from MindWe're Mind, the mental health charity. We want everyone experiencing a mental health problem to get the support they need and the respect they deserve. Introduction 2The project has been developed within Mind's national programme -the Network Personalisation Programme -to position the network of local Minds as market leaders of high quality, recovery focused, personalised services that individuals want to buy. This programme contributes towards the achievement of Mind's Unstoppable Together strategy (2012)(2013)(2014)(2015)(2016) with the ultimate aim of increasing the number of people with mental health problems who are able to access timely and individual support to make their own choices via the Mind network.The need for this work on co-production within the Network Personalisation Programme emerged in a time of great financial challenge, as a way of exploring additional resources to tap in to for strengthening social care and promoting a better understanding of how to engage with communities in services that promote co-operation, equity, inclusion, and well-being. MethodologyWe used an existing database of co-production literature which is kept by nef and updated regularly with new materials to identify the key literature on coproduction in mental health. We also conducted a brief internet-based search for any new materials, and sought input from five mental health co-production specialist...

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The personal and vocational impact of training and employing people with psychiatric disabilities as providers.

Cited by 60 publications

References 24 publications

Results of an Innovative University-based Recovery Education Program for Adults with Psychiatric Disabilities

Results of an Innovative University-based Recovery Education Program for Adults with Psychiatric Disabilities

New ways of working in mental health services: a qualitative, comparative case study assessing and informing the emergence of new peer worker roles in mental health services in England

The Partners in Recovery program: mental health commissioning using value co‐creation

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