Future development and mainstream integration of peer support work must reconcile current tensions between standardization and loss of authenticity. Training in communicating the lived experience, setting boundaries and self-care are important steps forward.
The 3B Scale is a valid and reliable tool for measuring Being, Belonging and Becoming needs in an occupation-based mental health program. The 3B Scale is an example of an outcome measure created specifically to quantify program outcomes and demonstrates that instruments suited to unique programs can be individually configured and assist occupational therapists in their efforts to measure client perspectives. These are the essential first steps to client-centred practice and the development of practice-based evidence. The 3B Scale may be useful to similar peer-led programs, as well as community-based occupational programs that foster participation. Further research is needed to determine whether the 3B Scale can detect change over time.
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