Developing a change model for peer worker interventions in mental health services: a qualitative research study

Gillard, Steve; Gibson, S. L.; Holley, Jess; Lucock, Mike

doi:10.1017/s2045796014000407

Cited by 132 publications

(164 citation statements)

References 47 publications

(51 reference statements)

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“…In the next stage 'constant comparison' techniques were borrowed from Grounded Theory (Strauss and Corbin 1998) to develop cross-cutting themes that moved the analysis to a more explanatory level (Mason 2002). A set of themes emerged around the mechanisms of peer support, and this analysis has been reported elsewhere (Gillard et al 2014b). A further set of themes emerged that offered insight into how issues of risk management and crisis were related to the peer worker role; it is this analysis that is reported here.…”

Section: Discussionmentioning

confidence: 81%

“…Elsewhere we have reported findings suggested that building relationships based on shared lived experiencein order to both role model recovery and to act as a bridge to mental health services-is a core mechanism underlying the peer worker role (Gillard et al 2014b). As such the need to provide specific training and support to address those challenges would seem imperative.…”

Section: Discussionmentioning

confidence: 98%

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Peer Worker Roles and Risk in Mental Health Services: A Qualitative Comparative Case Study

Holley

Gillard

Gibson

2015

Community Ment Health J

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New peer worker roles are being introduced into mental health services internationally. This paper addresses a lack of research exploring issues of risk in relation to the role. In-depth interviews were carried out with 91 peer workers, service users, staff and managers. A grounded analysis revealed protective practice in minimising risk to peer worker well-being that restricted the sharing of lived experience, and a lack of insight into how peer workers might be involved in formal risk management. Alternatively, analysis revealed potential new understandings of risk management based on the distinctive, experiential knowledge that peer workers brought to the role.

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Section: Discussionmentioning

confidence: 81%

Section: Discussionmentioning

confidence: 98%

Peer Worker Roles and Risk in Mental Health Services: A Qualitative Comparative Case Study

Holley

Gillard

Gibson

2015

Community Ment Health J

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“…The peer worker embodies (Kontos and Naglie ) therapeutic change as they enact the PW role – the recovered, productive self (Gillard et al . ) – while a sense of alignment between peer worker and supported person imbues their relationship with therapeutic potential in three important ways. First, there is the sense of connection (that lies at the heart of all therapeutic relationships) between PW and supported person, made real in the shared experiential knowledge of having ‘been there’ (or somewhere similar) at some point in time.…”

Section: Discussionmentioning

confidence: 99%

Knowledge and expertise in care practices: the role of the peer worker in mental health teams

Oborn

Barrett

Gibson

et al. 2019

Sociology Health & Illness

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Our research examines how different forms of knowledge and expertise are increasingly important in caring for people experiencing mental illness. We build on theoretical developments regarding multiple ontologies of knowing about illness. We examine how experiential knowledge of mental health problems, learned by being subject to illness rather than through objective study, is enacted in mental healthcare teams. We focus on Peer Workers (PW), individuals who have lived experience of mental health problems, and who contribute knowledge and expertise to mental health care within multidisciplinary healthcare teams. Our longitudinal study was undertaken over 2 years by a multidisciplinary team who conducted 91 interviews with PW and other stakeholders to peer support within a comparative case study design. We show how workers with tacit, experiential knowledge of mental ill health engaged in care practice. First, we show how subjective knowing is underpinned by unique socialisation that enables the development of shared interactional spaces. Second, we point to how the situated nature of subjective knowing is uniquely embedded in time and space and allows for the alignment of embodied knowledge with trajectories of care. Third, we provide insight into how subjective forms of expertise might be incorporated into multidisciplinary care.

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“…Some studies, such as Solomon (7), have described mechanisms thought to yield benefits for those who receive peer specialist services (for example, use of experiential learning and natural social support and mutual benefit of peer specialist work). Others, such as Gillard et al (8), have used qualitative approaches to suggest effective mechanisms (for example, develop trusting relationships, use role modeling to build hope, challenge stigma, build skills, and promote engagement in mental health services and community supports). Although these mechanisms and theories have face validity, studies have not been done to prospectively assess their explanatory power.…”

Section: Peer Specialists’ Roles Settings and Theoretical Orientationsmentioning

confidence: 99%

Establishing a Research Agenda for Understanding the Role and Impact of Mental Health Peer Specialists

Chinman

McInnes

Eisen

et al. 2017

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Mental health peer specialists are individuals with serious mental illnesses who receive training to use their lived experiences to help others with serious mental illnesses in clinical settings. This Open Forum discusses the state of the research for mental health peer specialists and suggests a research agenda to advance the field. Studies have suggested that peer specialists vary widely in their roles, settings, and theoretical orientations. Theories of action have been proposed, but none have been tested. Outcome studies have shown benefits of peer specialists; however, many studies have methodological shortcomings. Qualitative descriptions of peer specialists are plentiful but lack grounding in implementation science frameworks. A research agenda advancing the field could include empirically testing theoretical mechanisms of peer specialists, developing a measure of peer specialist fidelity, conducting more rigorous outcomes studies, involving peer specialists in executing the research, and assessing various factors that influence implementing peer specialist services and testing strategies that could address those factors.

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Developing a change model for peer worker interventions in mental health services: a qualitative research study

Abstract: An empirically and theoretically grounded change model can be articulated that usefully informs the development, evaluation and planning of peer worker interventions.

Cited by 132 publications

References 47 publications

Peer Worker Roles and Risk in Mental Health Services: A Qualitative Comparative Case Study

Peer Worker Roles and Risk in Mental Health Services: A Qualitative Comparative Case Study

Knowledge and expertise in care practices: the role of the peer worker in mental health teams

Establishing a Research Agenda for Understanding the Role and Impact of Mental Health Peer Specialists

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