“Very much evolving”: a qualitative study of the views of psychiatrists about peer support workers

Collins, Rachael; Firth, Lucy; Shakespeare, Thomas P.

doi:10.3109/09638237.2016.1167858

Cited by 38 publications

(54 citation statements)

References 19 publications

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“…19 Recovery-focused models are traditionally thought to contrast with diagnosis, but many clinicians who value diagnoses are supportive of recovery approaches. 28 Our model could inform the diagnostic process to be conducted in a way that is concordant with recovery principles. It particularly supports collaboration, person-centred care, and service user agency and empowerment, reflecting recommendations about service user participation.…”

Section: Discussionmentioning

confidence: 89%

Experiencing mental health diagnosis: a systematic review of service user, clinician, and carer perspectives across clinical settings

Perkins

Ridler

Browes

et al. 2018

The Lancet Psychiatry

141

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Receiving a mental health diagnosis can be pivotal for service users, and it has been described in both positive and negative terms. What influences service-user experience of the diagnostic process is unclear; consequently, clinicians report uncertainty regarding best practice. This Review aims to understand and inform diagnostic practice through a comprehensive synthesis of qualitative data on views and experiences from key stakeholders (service users, clinicians, carers, and family). We searched five databases and identified 78 papers for inclusion, originating from 13 countries and including 2228 participants. Eligible papers were assessed for quality, and data were coded and then developed into themes, which generated a model representing factors to consider for clinicians conveying, and individuals receiving, mental health diagnoses. Themes included disclosure, information provision, collaboration, timing, stigma, and functional value of diagnosis for recovery. Variations between different stakeholders and clinical contexts are explored. Findings support an individualised, collaborative, and holistic approach to mental health diagnosis.

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Section: Discussionmentioning

confidence: 89%

Experiencing mental health diagnosis: a systematic review of service user, clinician, and carer perspectives across clinical settings

Perkins

Ridler

Browes

et al. 2018

The Lancet Psychiatry

141

View full text Add to dashboard Cite

show abstract

“…Peer support may not become properly embedded in routine clinical practice if stakeholders are unwilling to integrate it into existing practice or unable to make sense of the information required to operationalise it effectively [20]. Yet, there remain concerns about the organisation and implementation of peer support, with some professionals describing peer support colleagues as increasing workload [21,22]. A non-systematic review of the barriers to PSW implementation identified a range of challenges, including cultural impediments, poor organisational arrangements, and inadequate overarching mental health policies [23].…”

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

161

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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“…A key part of recovery care-oriented approaches is an emphasis on the importance of consumer participation in shared decision-making (Simmons et al 2017). Peer support has been referred to as a wellness model in which individuals with shared experiences support others in recovery (Collins et al 2016;Gillard & Holley 2014) to reduce mental health stigma (Vayshenker et al 2016) and promote increased social inclusion (Lucksted et al 2009). This has been attributed to two essential features: '(i) people who share similar experiences can also share a common understanding of these experiences and can thereby be very helpful to each other and (ii) this sense of mutual understanding may be especially valued when it takes place within a broader context and history of feeling misunderstood' (Stratford et al 2017, p. 1).…”

Section: Introductionmentioning

confidence: 99%

‘Walking the tightrope’: The role of peer support workers in facilitating consumers’ participation in decision‐making

Cleary

Raeburn

Escott

et al. 2018

Int J Mental Health Nurs

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In adult mental health services, the participation of consumers is essential. The aim of this study was to explore the challenges faced by peer support workers when involving mental health consumers in decision-making about their care and the strategies they employed to overcome these challenges so as to improve mental health consumers' participation in decision-making and recovery. Semi-structured individual interviews were conducted with six peer support workers currently employed in psychiatric hospitals and/or community mental health systems. Thematic analysis identified challenges related to role definition, power imbalance, doctor-centric medical approaches to care, and lack of resources. Strategies to overcome these challenges that were reported, included the following: facilitating meaningful involvement for service users, appropriate use of the lived experience, building relationships and communication, promoting rights and advocacy, and promoting professionalism of peer support workers (PSWs). Nursing staff need ongoing support and education to understand and value the varied roles of PSWs and thereby empower PSWs to engage in enhancing consumer decision-making. The roles of the PSWs should be viewed as complementary, and greater appreciation and understanding of roles would better support recovery-oriented care.

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“Very much evolving”: a qualitative study of the views of psychiatrists about peer support workers

Abstract: This study provides insights into how PSWs are perceived by psychiatrists. While broadly positive attitudes exist, the research highlights certain challenges, particularly role ambiguity.

Cited by 38 publications

References 19 publications

Experiencing mental health diagnosis: a systematic review of service user, clinician, and carer perspectives across clinical settings

Experiencing mental health diagnosis: a systematic review of service user, clinician, and carer perspectives across clinical settings

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

‘Walking the tightrope’: The role of peer support workers in facilitating consumers’ participation in decision‐making

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