Patients’ views: peer support worker on inpatient wards

Rooney, Joy M.; Miles, Nadine; Barker, Tom

doi:10.1108/mhsi-02-2016-0007

Cited by 12 publications

(10 citation statements)

References 20 publications

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“…For example, "intentional peer support" defines crisis as "emotional and psychological pain" and peer support as being with another who has experienced similar pain in a relationship of trust and "mutual empowerment" 145 . This model has been introduced into acute inpatient environments in the UK 146 , and smallscale qualitative studies show that patients can find it helpful in providing per soncentred emotional and practical sup port and in modelling hope 147 . Research into the implementation and effectiveness of peer support in crisis and acute services is ongoing globally 148 and, while some study findings on discharge and readmis sion to acute care seem promising 128 , a ro bust evidence base is still needed 149,150 .…”

Section: The Contribution Of Service User-led and Co-produced Initiat...mentioning

confidence: 99%

Acute psychiatric care: approaches to increasing the range of services and improving access and quality of care

et al. 2022

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Acute services for mental health crises are very important to service users and their supporters, and consume a substantial share of mental health resources in many countries. However, acute care is often unpopular and sometimes coercive, and the evidence on which models are best for patient experience and outcomes remains surprisingly limited, in part reflecting challenges in conducting studies with people in crisis. Evidence on best approaches to initial assessment and immediate management is particularly lacking, but some innovative models involving extended assessment, brief interventions, and diversifying settings and strategies for providing support are potentially helpful. Acute wards continue to be central in the intensive treatment phase following a crisis, but new approaches need to be developed, evaluated and implemented to reducing coercion, addressing trauma, diversifying treatments and the inpatient workforce, and making decision‐making and care collaborative. Intensive home treatment services, acute day units, and community crisis services have supporting evidence in diverting some service users from hospital admission: a greater understanding of how best to implement them in a wide range of contexts and what works best for which service users would be valuable. Approaches to crisis management in the voluntary sector are more flexible and informal: such services have potential to complement and provide valuable learning for statutory sector services, especially for groups who tend to be underserved or disengaged. Such approaches often involve staff with personal experience of mental health crises, who have important potential roles in improving quality of acute care across sectors. Large gaps exist in many low‐ and middle‐income countries, fuelled by poor access to quality mental health care. Responses need to build on a foundation of existing community responses and contextually relevant evidence. The necessity of moving outside formal systems in low‐resource settings may lead to wider learning from locally embedded strategies.

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Section: The Contribution Of Service User-led and Co-produced Initiat...mentioning

confidence: 99%

Acute psychiatric care: approaches to increasing the range of services and improving access and quality of care

et al. 2022

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show abstract

“…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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“…The teacher, also the senior author, was employed by this NHS Trust as a part-time peer support worker. An early, small, qualitative, thematic study of patients' views, soon after involvement of peer support on an inpatient recovery/ rehabilitation ward, provided new insights for a then rare evidence base (Rooney, Miles, and Barker, 2016). Over the next two years, patients' early warning signs, and bite size psychology groups provided by peer support, evolved into taught courses because a peer support worker successfully studied teacher further education, and training (DET) part-time.…”

Section: Background To This Research Study Curriculum Learning Outcom...mentioning

confidence: 99%

Psychosocial Health Education Within Community Mental Health Inpatient Recovery Wards In UK: Patients’ Voices

Rooney,

Brain

2023

JETS

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Societies include people vulnerable to mental health distress; such people may find themselves detained. Mental health recovery wards seek to rehabilitate individuals who suffer severe, and enduring mental health distress, through community living, to re-establish, or learn new life-skills. The National Institute of Clinical Excellence (NICE) recommended more structured group activity to improve interpersonal functioning, including psychologically informed approaches. Psychosocial health education is qualified teacher-led, rather than psychoeducation, psychology, or interventions implemented by other health professionals, peer support workers, or storytelling by patients to each other. This study outlines patients’ evaluations of psychosocial education within inpatient recovery/rehabilitation wards during 2016-2021. Patients (87%; n=82) who opted to attend 12 courses, provided anonymous voices through use of a numerical rating scale, manuscript written free text (n=93), and completed a short questionnaire (n=10), across two National Health Service (NHS) wards in the West Midlands, England, UK. Patients’ voices were qualitatively analysed thematically. Ten distinguished themes suggested that psychosocial education was interesting, enjoyable, sociable, transformative, of decent quality, and projected to be of much benefit to patients’ future lives. Ratings (n=270) were hierarchically analysed using GENSTAT to distinguish patients’ preferences. Preferences for courses from patients’ voices were exercise and mental health, wellness planning, feelings and emotions, Tai chi, mood and food, steps to confidence, stress busting, hearing voices, peer recovery, self-esteem, motivation, and bite size psychology. Patients believed education, with goal setting supported by all staff, provided new embedded knowledge, applicable to integration into society, with improved interpersonal functioning.

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Patients’ views: peer support worker on inpatient wards

Cited by 12 publications

References 20 publications

Acute psychiatric care: approaches to increasing the range of services and improving access and quality of care

Acute psychiatric care: approaches to increasing the range of services and improving access and quality of care

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

Psychosocial Health Education Within Community Mental Health Inpatient Recovery Wards In UK: Patients’ Voices

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