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AimThe aims of this paper is to: 1) describe the preparation, selection, training and support of a group of Peer Support Workers (PSWs) recruited to provide support alongside conventional aftercare to service users discharged from acute psychiatric units in London, England; and 2) report the findings of an evaluation of the training and support provided. Results of the trial are reported elsewhere (under review).
From hospital to homeMental health service users recently discharged from hospital often fail to continue with treatments including medication, relapse and are readmitted to hospital. In England, it was reported that between 20% and 40% of psychiatric patients were readmitted within six months of discharge, with the peak period within the first month
The Peer Support ProjectThe Peer Support Project was designed as a pilot randomised controlled trial (RCT) comparing peer support alongside care as usual following discharge, with usual care alone. Follow-up was at one month and three months post-discharge. Peer Support Workers (PSWs) would make initial contact while the service user was still an inpatient and then offer four weeks' support following discharge. This would be in
Recruitment and selectionThe preparation and support of the PSWs and development of training materials was stage all demonstrated an understanding of the skills and attitude needed to effectively support a peer. Fictious scenarios were used to allow enquirers to consider how they might effectively support someone. Based on this discussion, a mutual decision was reached between the PSC and enquirer as to whether they were ready to attend the Open Day.The second stage of selection was attendance at an Open Day, facilitated by mental health staff at City University London, members of 'SUGAR: Service user and carer group advising on research', and the training programme facilitators (Susan Henry (SH), Cerdic Hall (CH)).Twenty-five participants were given an introductory presentation on peer support and then took part in paired and group exercises that reflected the style and content of the 12 week training programme. They could opt out of selection mid-way through the day. Those who remained were asked to select five other people in the group who they thought would make effective peer supporters. This was then matched to the observations and reflections of the facilitating team. Successful applicants were then contacted the next day and offered a training place following further discussion of any concerns or questions. Those considered not ready to be offered training as a PSW were also contacted and given feedback and encouragement about other possible initiatives. Sixteen participants were selected for training.
Overview of trainingTraining was delivered over 12 weekly one day sessions from April to July 2010 in a newly built medical education and training centre attached to a hospital sit...