A demonstration project involving peers as providers of evidence-based, supported employment services.

Kern, Robert S.; Zárate, Roberto; Glynn, Shirley M.; Turner, Luana R.; Smith, Kellie M.; Mitchell, Scherise; Becker, Deborah R.; Drake, Robert E.; Kopelowicz, Alex; Tovey, Wendi; Liberman, Robert Paul

doi:10.1037/h0094987

Cited by 41 publications

(33 citation statements)

References 34 publications

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“…In these other projects, as in our own, peers were accepted as service providers and were seen as adding value to a professionally-led intervention with this population. The feasibility of peer delivered services for persons with serious mental illness has been previously demonstrated in supported employment (Kern et al, 2013), case management for homeless vets (Weissman, Covell, Kushner, Irwin, & Essock, 2005), case management to intensive case management (Chinman et al, 2015; Hamilton et al, 2015; Rivera, Sullivan, & Valenti, 2007) and to ACT team recipients (Sells, Davidson, Jewell, Falzer, & Rowe, 2006). There have also been previous reports of peers assisting traditional staff in promoting smoking cessation, typically as part of a broader wellness curriculum (Ashton et al, 2010; Lee et al, 2011; Williams et al, 2006).…”

Section: Discussionmentioning

confidence: 99%

The use of peer mentors to enhance a smoking cessation intervention for persons with serious mental illnesses.

Dickerson

Savage

Schweinfurth

et al. 2016

Psychiatric Rehabilitation Journal

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Objective We evaluated a well-specified peer mentor program that enhanced a professionally-led smoking cessation group for persons with serious mental illnesses. Methods Participants were 8 peer mentors, persons with serious mental illnesses who had successfully quit smoking, and 30 program participants, persons with serious mental illnesses enrolled in a 6 month intervention. Peer mentors were trained and then helped to deliver a smoking cessation group and met with program participants individually. We assessed the mentors’ skills after training, their fidelity to the model, and the program’s feasibility and acceptability. We also measured the smoking outcomes of the program participants including change in exhaled carbon monoxide, a measure of recent smoking, and aspects of the peer mentor-program participant relationship. Results Peer mentors attained a mean score of 13.6/14 on role play assessments after training and delivered the intervention with fidelity as assessed by adherence and competence ratings (mean scores of 97% and 93%, respectively). The feasibility and acceptability of the intervention was demonstrated in that 28/30 participants met with their peer mentors regularly and only 1 participant and no peer mentor discontinued in the study. Both parties rated the interpersonal alliance highly, mean of 5.9/7. The program participants had a decline in carbon monoxide levels and number of cigarettes smoked per day (repeated measures ANOVA F=6.04, p=.008; F=15.87, p<.001, respectively). A total of 22/30 (73%) made a quit attempt but only 3 (10%) achieved sustained abstinence. Conclusions and Implications for Practice Our study adds to the growing literature about peer-delivered interventions.

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Section: Discussionmentioning

confidence: 99%

The use of peer mentors to enhance a smoking cessation intervention for persons with serious mental illnesses.

Dickerson

Savage

Schweinfurth

et al. 2016

Psychiatric Rehabilitation Journal

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“…For peer workers within mental health settings to reach full potential, they must be meaningfully employed and collaborated with as part of the larger workforce and management attitudes are thought to play a critical role (Kemp & Henderson ; Kern et al . ). Having support for peer workers from management has been identified as a facilitative factor (Franke et al .…”

Section: Introductionmentioning

confidence: 97%

‘You don't know what you don't know’: The essential role of management exposure, understanding and commitment in peer workforce development

Byrne

Roennfeldt

Wang

et al. 2019

Int J Mental Health Nurs

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The peer workforce has increased significantly in recent years; however, structured development and support for the roles are lacking. This paper explores the role of executive and senior management understanding in the employment of peer roles. In‐depth, semi‐structured interviews and one focus group were conducted with 29 participants from a range of nongovernment and public mental health services within Queensland, Australia. Findings of this study suggest management exposure to and understanding of peer work are essential to the development of an effective peer workforce. Exposure and understanding of peer roles reportedly led to greater acceptance and commitment from management. This commitment inspired action in the form of; enhanced support including advocacy/championing, increased development of roles and influenced culture within the organization to be more accepting of peer work. There was a perception that developing an ‘accepting’ organizational culture supported the integrity and expansion of peer roles including designated ‘peer management’ positions. Development of peer management positions is suggested as an effective means of improving the impact of peer perspectives, advocating for peer work and providing ongoing and timely supervision. Recommendations include the need for training and information for management on the unique function, purpose and value of peer roles; and the development of networks, including mentoring opportunities, for organizations with limited experience to gain support and advice from those with greater experience developing peer roles.

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“…Previous data show an increased incidence of admissions in high security units for compulsory treatment in those with postgraduate education, and in particular holders of diplomas in vocational specializations 3,29,30,43,45,52,56 . This may suggest that in some countries the majority of mental health service users are integrated into professional specialization programmes, which enables them to acquire vocational skills and further prevent occupational exclusion, social isolation and selfstigmatisation 58 . In the present study most of the participants who had completed secondary education had no such training.…”

Section: Discussionmentioning

confidence: 99%

Socio-demographic and clinical characteristics of adults under involuntary hospitalization in the acute mental health services of Cyprus

Kaikoushi¹,

Bella²,

Middleton³

et al. 2019

Preprint

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Background: The clinical and demographic characteristics of the adults involuntary admitted for compulsory mental health treatment have not been reported adequately. Purpose: Investigation of the socio-demographic and clinical characteristics of the adults who are involuntary hospitalized in the acute Mental Health Services in Cyprus. Method: A descriptive correlation study with cross-sectional comparisons was applied. Data collection was performed from December 2016 to February 2018 via a structured questionnaire including demographic and clinical variables. Each questionnaire was accompanied by a consent form, which was assigned by the participants before their discharge. Results: The sample consisted of 406 people, of whom 262 were male and 144 were female. The vast majority were Greek-Cypriots. The largest age groups were 45-65 years (33%) and 25-34 years (31.8%), respectively. 172 of the participants reported current substance use and 117 of them fulfilled the criteria of dual diagnosis. The most frequent diagnosis was schizophrenia or a relevant psychotic disorder (86.4%). The main cause of relapse and subsequent admission was medication non-adherence along with lack of insight (57.1%). 52% of the sample had been previously involuntary hospitalized in a psychiatric hospital. Conclusions: A high percentage of involuntary hospitalizations was noted due to non-adherence to pharmacotherapy. Re-evaluation of the effectiveness of relevant community interventions is suggested, as well as implementation of structured educational programs on therapy adherence during hospitalization. The goal is the limitation of the frequency of relapse while being in the community. Also, education on substance use prevention is also suggested for clinical populations.

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A demonstration project involving peers as providers of evidence-based, supported employment services.

Abstract: This demonstration project provides a starting point for future efforts aimed at expanding the role of peers as providers of evidence-based mental health services and provides a measured degree of optimism that this is a realistic, attainable goal.

Cited by 41 publications

References 34 publications

The use of peer mentors to enhance a smoking cessation intervention for persons with serious mental illnesses.

The use of peer mentors to enhance a smoking cessation intervention for persons with serious mental illnesses.

‘You don't know what you don't know’: The essential role of management exposure, understanding and commitment in peer workforce development

Socio-demographic and clinical characteristics of adults under involuntary hospitalization in the acute mental health services of Cyprus

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