Effectiveness of Peer Support in Reducing Readmissions of Persons With Multiple Psychiatric Hospitalizations

Sledge, William H.; Lawless, Martha; Sells, Dave; Wieland, Melissa; O’Connell, Maria; Davidson, Larry

doi:10.1176/ps.62.5.pss6205_0541

Cited by 200 publications

(156 citation statements)

References 13 publications

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“…There has been a growing movement in psychological practice toward the inclusion of peer support approaches, whereby individuals with experience of mental health problems provide support for people with similar experiences [49]. The potential value of peer support has been widely discussed in the literature and is associated with improved functioning, empowerment, and confidence [49], reductions in hospital admissions [50], and increased social networks and wellbeing [51]. The notion that social media could provide an accessible avenue for peer support is not new necessarily.…”

Section: Discussionmentioning

confidence: 99%

#WhyWeTweetMH: Understanding Why People Use Twitter to Discuss Mental Health Problems

Berry¹,

Lobban²,

Belousov³

et al. 2017

J Med Internet Res

202

149

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BackgroundUse of the social media website Twitter is highly prevalent and has led to a plethora of Web-based social and health-related data available for use by researchers. As such, researchers are increasingly using data from social media to retrieve and analyze mental health-related content. However, there is limited evidence regarding why people use this emerging platform to discuss mental health problems in the first place.ObjectivesThe aim of this study was to explore the reasons why individuals discuss mental health on the social media website Twitter. The study was the first of its kind to implement a study-specific hashtag for research; therefore, we also examined how feasible it was to circulate and analyze a study-specific hashtag for mental health research.MethodsText mining methods using the Twitter Streaming Application Programming Interface (API) and Twitter Search API were used to collect and organize tweets from the hashtag #WhyWeTweetMH, circulated between September 2015 and November 2015. Tweets were analyzed thematically to understand the key reasons for discussing mental health using the Twitter platform.ResultsFour overarching themes were derived from the 132 tweets collected: (1) sense of community; (2) raising awareness and combatting stigma; (3) safe space for expression; and (4) coping and empowerment. In addition, 11 associated subthemes were also identified.ConclusionsThe themes derived from the content of the tweets highlight the perceived therapeutic benefits of Twitter through the provision of support and information and the potential for self-management strategies. The ability to use Twitter to combat stigma and raise awareness of mental health problems indicates the societal benefits that can be facilitated via the platform. The number of tweets and themes identified demonstrates the feasibility of implementing study-specific hashtags to explore research questions in the field of mental health and can be used as a basis for other health-related research.

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Section: Discussionmentioning

confidence: 99%

#WhyWeTweetMH: Understanding Why People Use Twitter to Discuss Mental Health Problems

Berry¹,

Lobban²,

Belousov³

et al. 2017

J Med Internet Res

202

149

View full text Add to dashboard Cite

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“…Overall, findings from these four RCTs showed that professional and peer mentor services were not significantly different yet these findings have to be interpreted conservatively because they fundamentally represent support of a null hypothesis (no difference between peer and professional case managers). More recently, Sledge et al (2011) reported on an intervention that enrolled people with serious mental illness who had two or more psychiatric hospitalizations during the past 18 months. Participants were randomized to weekly support of peer mentors or aftercare as usual.…”

Section: Integrated Care and Patient Navigatorsmentioning

confidence: 99%

Peer Navigators and Integrated Care to Address Ethnic Health Disparities of People with Serious Mental Illness

Corrigan

Pickett

Batia

et al. 2014

Social Work in Public Health

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People of color with serious mental illnesses experience high rates of morbidity and mortality. Patient navigators, developed for cancer care, may help this group benefit from integrated care. This review examined patient navigators’ key ingredients for cancer care for relevance to patients of color for application of peer services to psychiatric goals. Among cancer patients, navigators lead to greater treatment engagement and improved health outcomes for ethnic minority groups. Research also suggests peers can improve integrated care by providing effective psychiatric services to individuals with mental illness. Ongoing research examines peer navigators’ impact on integrated care for patients of color.

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“…Prior studies conducted in Western countries have demonstrated that services provided by multidisciplinary outreach teams who had CPs as team members were able to accomplish a variety of improvements in client outcomes. These included: an ability to quickly create treatment relationships, improve the quality of services, shorten periods of hospitalization, reduce re-hospitalization, lengthen the time spent living in the community, promote the recovery of the users of these services, and improve quality of life [7–11]. It has also been demonstrated that having CPs on multidisciplinary teams promoted the recovery of CPs.…”

Section: Introductionmentioning

confidence: 99%

Consumer providers' experiences of recovery and concerns as members of a psychiatric multidisciplinary outreach team: A qualitative descriptive study from the Japan Outreach Model Project 2011-2014

Kido¹,

Kayama²

2017

PLoS ONE

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ObjectiveThe objective of this study was to clarify consumer providers (CPs) subjective experiences as members of a psychiatric multidisciplinary outreach team that provided services to individuals with a mental illness living in the community.MethodsA qualitative descriptive study was conducted through semi-structured interviews. Participants were clients hired as CPs in the Japanese Outreach Model Project from September 2011 until March 2014. Of the seventeen CPs, nine participated in this study. We looked at the CPs' subjective experiences of fulfillment and difficulty.ResultsIn the process of providing services, CPs experienced both achievements and concerns. They had a sense of achievement by caring for their clients and they experienced that they themselves were recovering. They were also concerned about having inadequate knowledge and skills to provide psychiatric services to their clients. Further, there were concerns about their dual role on the multidisciplinary team and being support staff while they were still using mental health services themselves.ConclusionThe results show that the activities of CPs included fulfillment, recovery, and dilemmas. Clarifications will likely contribute to an increase in understanding and cooperation between CPs and other professionals with whom they work. Further studies are needed to investigate policies related to mental health consumers who are also providers of mental health services.

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Effectiveness of Peer Support in Reducing Readmissions of Persons With Multiple Psychiatric Hospitalizations

Abstract: Despite the study's limitations, findings suggest that use of peer mentors is a promising intervention for reducing recurrent psychiatric hospitalizations for patients at risk of readmission.

Cited by 200 publications

References 13 publications

#WhyWeTweetMH: Understanding Why People Use Twitter to Discuss Mental Health Problems

#WhyWeTweetMH: Understanding Why People Use Twitter to Discuss Mental Health Problems

Peer Navigators and Integrated Care to Address Ethnic Health Disparities of People with Serious Mental Illness

Consumer providers' experiences of recovery and concerns as members of a psychiatric multidisciplinary outreach team: A qualitative descriptive study from the Japan Outreach Model Project 2011-2014

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