Integration of Peer Specialists Working in Mental Health Service Settings

Kuhn, Wendy; Bellinger, Jillian; Stevens-Manser, Stacey; Kaufman, Laura

doi:10.1007/s10597-015-9841-0

Cited by 35 publications

(15 citation statements)

References 20 publications

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“…Educating immediate supervisors of PSWs about the role can also facilitate integration since supervisors “broker” the relationship between the organization and PSWs and between the PSWs and co-workers (Kuhn et al, 2015 ). The importance of supervision is strongly highlighted in the literature and has been associated with “success” and sustainability of peer support programs (Creamer et al, 2012 ; Gopalan et al, 2017 ; Kemp & Henderson, 2012 ; Siantz et al, 2016 ; Walker & Bryant, 2013 ).…”

Section: Resultsmentioning

confidence: 99%

“…Evidence points to a workplace strategy alongside change management to effectively promote the PSW role integration (Gates et al, 2010 ; Gillard et al, 2017 ). A workplace strategy that develops a comprehensive peer support program structure and appropriate human resource policies enables the sustainability of PSWs’ role (Gillard et al, 2017 ; Kuhn et al, 2015 ).…”

Section: Resultsmentioning

confidence: 99%

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A Narrative Review of Factors Influencing Peer Support Role Implementation in Mental Health Systems: Implications for Research, Policy and Practice

Mirbahaeddin

Chreim

2022

Adm Policy Ment Health

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With increasing calls to incorporate recovery principles into conventional mental health care, the importance of peer support worker (PSW) services has gained attention. However, studies consistently show that PSWs remain underutilized. Although research addresses several factors that influence formal implementation of their role, there is lack of a comprehensive framework that synthesizes the factors and addresses their interlevel interactions. This paper provides a narrative review and synthesis of literature on multilevel factors that influence formal PSW role implementation in mental health systems. We conducted a search of literature and reviewed 38 articles that met inclusion criteria. Our thematic analysis involved identifying first and second order categories that applied across studies, and developing third order interpretations through iterations. We synthesized the findings in a multilevel framework consisting of macro, meso and micro level influences. Influencing factors at the macro level include broader socio-cultural factors (medical model, recovery values, professional power dynamics, training and certification), regulatory and political factors (policy mandates, political commitment), and economic and financial factors (funding, affordability of services). Factors at the meso level include organizational culture, organizational leadership, change management, and human resource management policies. Micro level influences pertain to relationships between PSWs and team members, and PSW wellbeing. Interlevel interactions are also outlined. Limitations and implications for research, policy and practice are addressed.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

A Narrative Review of Factors Influencing Peer Support Role Implementation in Mental Health Systems: Implications for Research, Policy and Practice

Mirbahaeddin

Chreim

2022

Adm Policy Ment Health

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“…There is a growing literature on the value of peer specialists (former patients who have experienced recovery) for building empathy and relationships within a mental health team (29). With a good induction to the workplace, peer specialists have been shown to integrate well with the mental health team and improve the experience of patients (30, 31).…”

Section: Discussionmentioning

confidence: 99%

Trust and Community Treatment Orders

2019

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There are conflicting views about the benefits of community treatment orders (CTOs) for people with mental illness. While there is a significant literature on the coercive nature of CTOs, there is less on the impact that CTOs have upon trust. A recovery-oriented approach requires a trusting therapeutic relationship and the coercion inherent in the CTO process may make it difficult for trust to be built, nurtured, and sustained between workers and patients. Our aim was therefore to examine the role of trust within the CTO experience for mental health workers and patients on CTOs. Methods: We conducted a thematic discourse analysis of 8 in-depth interviews with people who were currently on a CTO and 10 interviews with multi-disciplinary mental health workers in Adelaide, Australia (total N = 18 interviews). The interviews were coded and analyzed with the assistance of a patient representative. The findings reveal the challenges and opportunities for trust within the coercive relationship of a CTO. Findings: We found that patients have diverse experiences of CTOs and that trust or mistrust played an import role in whether or not they found the CTO beneficial.

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“…With the introduction of a non-clinical peer support workforce under the direct supervision of licensed mental health professionals without experience working as a PSW (NPS), a frequently cited issue in the literature is a lack of role clarity (Gates & Akabas, 2007;Wolf et. al, 2010;Kuhn et. al, 2015;Jenkins et al, 2017).…”

Section: Introductionmentioning

confidence: 98%

Perceptions of Supervisors of Peer Support Workers (PSW) in Behavioral Health: Results from a National Survey

Foglesong

Spagnolo

Cronise

et al. 2021

Community Ment Health J

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This content analysis of open-ended survey responses compares and contrasts perceptions on supervision from supervisors with experience providing direct peer support services (PS) and supervisors without experience providing direct peer support services (NPS).A 16-item online survey was distributed via the National Association of Peer Supporters (N.A.P.S.) listserv and through peer networks and peer run organizations. Responses from 837 respondents, across 46 US states, were analyzed. Four open ended questions assessed supervisors' perceptions on differences supervising peer support workers (PSW) as compared to other staff, important qualities of PSW supervisors, roles when supervising a PSW, and concerns about PSWs in the organization. Among NPS and PS, three major differences in themes emerged: the knowledge required of supervisors, understanding of the role of the PSW, and supervisors' beliefs regarding PSW competencies. PS have a more nuanced understanding of the peer support worker role and the impact of lived experience in the role.

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Integration of Peer Specialists Working in Mental Health Service Settings

Cited by 35 publications

References 20 publications

A Narrative Review of Factors Influencing Peer Support Role Implementation in Mental Health Systems: Implications for Research, Policy and Practice

A Narrative Review of Factors Influencing Peer Support Role Implementation in Mental Health Systems: Implications for Research, Policy and Practice

Trust and Community Treatment Orders

Perceptions of Supervisors of Peer Support Workers (PSW) in Behavioral Health: Results from a National Survey

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