Training of mental health peer support workers in a non-western high-income city: Preliminary evaluation and experience

Tse, Samson; Tsoi, Emily W. S.; Wong, Sui‐Lam; Kan, Alice; Kwok, Caroline Fei-Yeng

doi:10.1177/0020764013481427

Cited by 37 publications

(39 citation statements)

References 34 publications

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“…Tse et al . () found that a good relationship between the MHSU and the trainer is a significant factor affecting the empowerment of the MHSU. In this study, the MHSU serving as a trainer was perceived to create a feeling of closeness and unity among the learners because they had similar experiences of mental illness.…”

Section: Discussionmentioning

confidence: 99%

Mental health service users’ experiences of an education intervention based on a European Union project: A comparison between nine European countries

Nieminen

Kaunonen

2018

Int J Mental Health Nurs

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Mental health service users (MHSUs) often face difficulties in achieving successful participation in education; however, the tools that could help them succeed are rarely investigated. This study aimed to illuminate the experiences of MHSUs in an education intervention based on a European Union (EU) project. Their experiences are compared across nine EU countries. The data were collected through individual interviews with MHSUs (n = 47) at day activity centres that provide mental health services. An inductive content analysis was used as the method of analysis. Three main categories, which include seven subcategories, are revealed by the analysis. The main categories are as follows: (i) the factors related to MHSUs' educational preparedness, (ii) the dimensions of the learning environment, and (iii) the effects of training intervention. The MHSUs' experiences with the education intervention were similar across all countries. The findings showed that this education intervention is a multidimensional process. It contains social, mental, and physical dimensions linked to a learner and learning environment. These dimensions influence the MHSUs' ability to participate in the education process. At its best, the education intervention supports the personal growth of MHSUs and prepares them for social integration. An education intervention can be a usable tool in the rehabilitation of MHSUs if the multidimensional nature of education is taken into consideration. Therefore, designing and executing education interventions requires the attendance of the MHSUs in cooperation with mental health and education professionals. Our findings suggest a tentative framework that can be used in designing and executing education for MHSUs.

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Section: Discussionmentioning

confidence: 99%

Mental health service users’ experiences of an education intervention based on a European Union project: A comparison between nine European countries

Nieminen

Kaunonen

2018

Int J Mental Health Nurs

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“…A wide range of qualitative and observation research has indicated that organizational factors such as clarity of job description, [ 32 , 33 ] access to appropriate training and support, [ 34 ] shared expectations of the peer worker role, [ 33 , 35 ] and preparation and training for the team that will be working alongside peer workers [ 36 ] are all important facilitators of the introduction of the peer worker role. It has been noted how the distinctiveness of peer support, in comparison to other forms of mental health care, can be lost in a formal environment of statutory mental health services if those organizational conditions are not met.…”

Section: Introductionmentioning

confidence: 99%

Peer support for discharge from inpatient to community mental health services

et al. 2020

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Introduction: In the period shortly after discharge from inpatient to community mental health care, people are at increased risk of self-harm, suicide, and readmission to hospital. Discharge interventions including peer support have shown potential, and there is some evidence that community-based peer support reduces readmissions. However, systematic reviews of peer support in mental health services indicate poor trial quality and a lack of reporting of how peer support is distinctive from other mental health support. This study is designed to establish the clinical and cost effectiveness of a peer worker intervention to support discharge from inpatient to community mental health care, and to address issues of trial quality and clarity of reporting of peer support interventions. Methods: This protocol describes an individually randomized controlled superiority trial, hypothesizing that people offered a peer worker discharge intervention in addition to usual follow-up care in the community are less likely to be readmitted in the 12 months post discharge than people receiving usual care alone. A total of 590 people will be recruited shortly before discharge from hospital and randomly allocated to care as usual plus the peer worker intervention or care as usual alone. Manualized peer support provided by trained peer workers begins in hospital and continues for 4 months in the community post discharge. Secondary psychosocial outcomes are assessed at 4 months post discharge, and service use and cost outcomes at 12 months post discharge, alongside a mixed methods process evaluation. Discussion: Clearly specified procedures for sequencing participant allocation and for blinding assessors to allocation, plus full reporting of outcomes, should reduce risk of bias in trial findings and contribute to improved quality in the peer support evidence base. The involvement of members of the study team with direct experience of peer support, mental distress, and using mental health services, in coproducing the intervention and designing the trial, ensures that we theorize and clearly describe the peer worker intervention, and evaluate how peer support is related to any change in outcome. This is an important methodological contribution to the evidence base. Trial registration: This study was prospectively registered as ISRCTN 10043328 on November 28, 2016.

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“…Similar to countries such as the USA [1,6], Germany, UK, Netherlands, Norway, Slovenia, Sweden [7], Canada, Australia, New Zealand [8] "Experienced Involvement" (EX-IN, peer counselling) programs are predicated on the notion that people with similar experiences can support each other in situations of emotional stress. It was Harry Stack Sullivan who first recruited people recovering from schizophrenia to become his assistants at the clinic for people affected by schizophrenia and nowadays the development of peer supporting in mental health services has spread to Asia, South America and Africa [9]. Although peer support is usually provided independent of conventional mental healthcare, the idea in Poland is that candidates for PWs, after taking the training, would be formally offered a job and become a part of the health system structure.…”

Section: Introductionmentioning

confidence: 99%

Subjective well-being, general self-efficacy and coping with stress in former psychiatric patients preparing for the peer support role: an exploratory study

Chudzicka‐Czupała

Zalewska-Łunkiewicz

2020

Health Qual Life Outcomes

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Background: People who experienced a mental crisis are involved in providing care for others who face psychiatric hospitalization. The idea of peer workforce has been developed mostly in American and European behavioral health systems. Similar program is implemented to Polish mental health care. The purpose of the study was to find out if candidates for peer support workers with different levels of subjective well-being differed also in terms of general self-efficacy and in the ways of coping with stress. Methods: As the problem has not been studied before exploratory study was conducted. The study covered a group of 72 subjects, 46 women and 26 men, aged 21-62 years (M = 41.43; SD = 10.37), former psychiatric patients, preparing for a peer worker role. We used the following questionnaires: Ryff's Psychological Well-Being (PWB) ScalesResults: The results of cluster analysis pointed to the existence of two groups of individuals with significantly different levels of subjective well-being. Then MANOVA was used. It was determined that individuals with a higher level of well-being were characterized by a higher level of self-efficacy, a higher tendency to use positive reframing strategy and propensity towards active behavior when coping with stress, as well as by a lower propensity towards self-blaming and behavioral disengagement. Conclusions: The study demonstrates that further empirical explorations are justified. The results also encourage a search for some more possible conditions of well-being. It would be advisable to train candidates for mental health peer workers by focusing on the strengthening of their subjective well being and developing active forms of coping with stress.

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Training of mental health peer support workers in a non-western high-income city: Preliminary evaluation and experience

Abstract: The programme shows potential benefits for both Warmline service users and trainees. Future studies should compare different training methods and examine the implementation of peer support services in a non-western cultural context.

Cited by 37 publications

References 34 publications

Mental health service users’ experiences of an education intervention based on a European Union project: A comparison between nine European countries

Mental health service users’ experiences of an education intervention based on a European Union project: A comparison between nine European countries

Peer support for discharge from inpatient to community mental health services

Subjective well-being, general self-efficacy and coping with stress in former psychiatric patients preparing for the peer support role: an exploratory study

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