Effectiveness of one-to-one peer support for patients with severe mental illness – a randomised controlled trial

Mahlke, Candelaria; Priebe, S; Heumann, Kolja; Daubmann, Anne; Wegscheider, Karl; Böck, Thomas

doi:10.1016/j.eurpsy.2016.12.007

Cited by 108 publications

(119 citation statements)

References 30 publications

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“…Reviews of peer interventions for persons with serious mental illnesses, usually incorporating a small but significant number of individuals with BD, have demonstrated modest evidence from RCTs and other controlled studies suggesting that there are important improvements in self‐efficacy and reduction in self‐stigma 106, 107, 108, 109. The largest peer intervention study involving BD allocated 153 individuals to attend 21 weekly group psychoeducation events, with another 151 assigned to attend 21 weekly group peer support events.…”

Section: Foundations Of Managementmentioning

confidence: 99%

Canadian Network for Mood and Anxiety Treatments (CANMAT) and International Society for Bipolar Disorders (ISBD) 2018 guidelines for the management of patients with bipolar disorder

et al. 2018

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The Canadian Network for Mood and Anxiety Treatments (CANMAT) previously published treatment guidelines for bipolar disorder in 2005, along with international commentaries and subsequent updates in 2007, 2009, and 2013. The last two updates were published in collaboration with the International Society for Bipolar Disorders (ISBD). These 2018 CANMAT and ISBD Bipolar Treatment Guidelines represent the significant advances in the field since the last full edition was published in 2005, including updates to diagnosis and management as well as new research into pharmacological and psychological treatments. These advances have been translated into clear and easy to use recommendations for first, second, and third‐ line treatments, with consideration given to levels of evidence for efficacy, clinical support based on experience, and consensus ratings of safety, tolerability, and treatment‐emergent switch risk. New to these guidelines, hierarchical rankings were created for first and second‐ line treatments recommended for acute mania, acute depression, and maintenance treatment in bipolar I disorder. Created by considering the impact of each treatment across all phases of illness, this hierarchy will further assist clinicians in making evidence‐based treatment decisions. Lithium, quetiapine, divalproex, asenapine, aripiprazole, paliperidone, risperidone, and cariprazine alone or in combination are recommended as first‐line treatments for acute mania. First‐line options for bipolar I depression include quetiapine, lurasidone plus lithium or divalproex, lithium, lamotrigine, lurasidone, or adjunctive lamotrigine. While medications that have been shown to be effective for the acute phase should generally be continued for the maintenance phase in bipolar I disorder, there are some exceptions (such as with antidepressants); and available data suggest that lithium, quetiapine, divalproex, lamotrigine, asenapine, and aripiprazole monotherapy or combination treatments should be considered first‐line for those initiating or switching treatment during the maintenance phase. In addition to addressing issues in bipolar I disorder, these guidelines also provide an overview of, and recommendations for, clinical management of bipolar II disorder, as well as advice on specific populations, such as women at various stages of the reproductive cycle, children and adolescents, and older adults. There are also discussions on the impact of specific psychiatric and medical comorbidities such as substance use, anxiety, and metabolic disorders. Finally, an overview of issues related to safety and monitoring is provided. The CANMAT and ISBD groups hope that these guidelines become a valuable tool for practitioners across the globe.

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Section: Foundations Of Managementmentioning

confidence: 99%

Canadian Network for Mood and Anxiety Treatments (CANMAT) and International Society for Bipolar Disorders (ISBD) 2018 guidelines for the management of patients with bipolar disorder

et al. 2018

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“…), with improved self‐efficacy indicated in newer trials (Mahlke et al . ). Qualitatively, hope and strength of social networks have been explored as important outcomes for people in receipt of support from PW (Walker and Bryant ).…”

Section: Introductionmentioning

confidence: 97%

“…The employment of PW by mental health service organisations is increasingly common internationally (Gillard et al 2013). Recent reviews have indicated the impact of peer support in mental health services on outcomes such as hope, empowerment and self-rated recovery (King andBender Simmons 2018, Lloyd-Evans et al 2014), with improved self-efficacy indicated in newer trials (Mahlke et al 2017). Qualitatively, hope and strength of social networks have been explored as important outcomes for people in receipt of support from PW (Walker and Bryant 2013).…”

Section: Introductionmentioning

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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“…The peer support workers were also viewed as role models for recovery and regarded as easy to build rapport with [5,6]. Other positive outcomes suggested in the literature [4] include increases in quality of life, empowerment, functioning [7][8][9], sense of control and community belonging [10], improved social integration [5,11] and self-efficacy [12], all essential components in recovering from mental illness. Other studies suggest a diminished need for mental health services, reduced substance abuse, fewer hospitalizations, and decreased levels of depression and psychosis [10,13].…”

Section: Introductionmentioning

confidence: 99%

Service Users Experience of Peer Support in Swedish Mental Health Care: A “Tipping Point” in the Care-Giving Culture?

Rosenberg

Argentzell

2018

J. Psychosoc. Rehabil. Ment. Health

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Peer support workers are increasingly considered an essential ingredient in recovery-oriented mental health services. While research continues to point to promising results concerning the ability of these workers to positively impact service users' experience of hope, quality of life and even health, peer support workers have only recently been introduced in Sweden and the aim of this study was to investigate service users' experience of receiving peer support in Swedish mental health services. The results were described with three main themes corresponding to three levels of focus from the service user perspective; experience-based knowledge, competence and non-judgmental awareness (individual level), peer support as impacting the relationship with the caring environment (organizational level), and awakening hope for a life beyond the illness (community level). The results suggest the addition of peer support workers as contributing not just to individual outcomes, but to a more trusting relationship to Swedish psychiatric services, which are often considered to work primarily from a medically oriented treatment paradigm.

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Effectiveness of one-to-one peer support for patients with severe mental illness – a randomised controlled trial

Cited by 108 publications

References 30 publications

Canadian Network for Mood and Anxiety Treatments (CANMAT) and International Society for Bipolar Disorders (ISBD) 2018 guidelines for the management of patients with bipolar disorder

Canadian Network for Mood and Anxiety Treatments (CANMAT) and International Society for Bipolar Disorders (ISBD) 2018 guidelines for the management of patients with bipolar disorder

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

Service Users Experience of Peer Support in Swedish Mental Health Care: A “Tipping Point” in the Care-Giving Culture?

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