‘Walking the tightrope’: The role of peer support workers in facilitating consumers’ participation in decision‐making

Cleary, Michelle; Raeburn, Toby; Escott, Phil; West, Sancia; Lopez, Violeta

doi:10.1111/inm.12474

Cited by 37 publications

(40 citation statements)

References 23 publications

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“…The classic AHD is challenging to complete without assistance and generates feelings of uncertainty about decision‐making (Easter et al, 2017). Thus, from a service management perspective (the access, registration and dissemination of AHD documents) the inclusion of agents with different therapeutic roles such as peer support workers (Cleary, Raeburn, Escott, West, & Lopez, 2018), in interdisciplinary teams might be a productive strategy (Gieselmann et al, 2018). Nonetheless, in our opinion, mental health nurses would be the best therapeutic agents to lead education about AHDs, either as a joint crisis plan or an f‐AHD.…”

Section: Discussionmentioning

confidence: 99%

Knowledge and attitudes of Spanish mental health professionals towards advance healthcare directives

Juliá‐Sanchis

Cabañero‐Martínez

Martí

et al. 2020

Psychiatric Ment Health Nurs

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Accessible summary What is known on the subject? AHDs in mental health are fundamental tools in advance care planning processes. It is an important method for involving mental healthcare users in clinical decisions and in providing effective healthcare based around user preferences. AHDs can be applied in situations in which the person may forfeit their legal capacity, according to the Convention on the Rights of Persons with Disabilities. However, the use of AHDs as described above is not yet a reality in Spain. What the paper adds to existing knowledge? The present study surveys the knowledge and attitudes of mental healthcare providers towards AHDs in clinical practice. Although providers had a moderate–low level of knowledge about AHDs, they presented positive attitudes towards them. What are the implications for practice? The use of AHDs in mental healthcare practice poses challenges to the Spanish mental healthcare system. Acquiring up‐to‐date data on the knowledge and attitudes of providers towards AHDs allows organizations to address aspects of their service that require reinforcement. This data could also be used by other countries just starting to use AHDs, as an initial step towards supporting the implementation of a multistage intervention process. More in‐depth training for providers would help improve their competence to implement or honour the statements set out in AHDs, the related legal and ethical issues, and liability issues related to their implementation. The Spanish mental healthcare system requires structural changes so that providers can embrace new ways of relating to users and to organize partnerships and a continuity of care centred on user preferences. Abstract IntroductionAdvance healthcare directives (AHDs) in mental health offer important information regarding service users’ preferences. However, whether AHDs are truly understood by providers is questionable. AimTo survey the knowledge and attitudes of mental health professionals towards AHDs and examine any associations with sociodemographic and occupational variables. MethodWe cross‐sectionally surveyed the knowledge and attitudes of 113 mental health professionals by using two validated questionnaires. ResultsParticipants showed very positive attitudes and high levels of knowledge about the conceptual definition and application of AHDs in clinical practice but their knowledge of the legalities, procedure and registration of AHDs was poor. Working in a community, having a career specializing in mental health or having personally signed an AHD was associated with enhanced knowledge about them. Moreover, female sex or employment as an auxiliary nursing‐care technician was associated with stronger positive attitudes. DiscussionLegal and structural changes will be needed to implement AHDs in Spain and to promote competence among healthcare providers in order to include AHDs in everyday practice. Implications for practiceThe Spanish mental healthcare system requires legal and structural changes and must improve healthcare p...

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Section: Discussionmentioning

confidence: 99%

Knowledge and attitudes of Spanish mental health professionals towards advance healthcare directives

Juliá‐Sanchis

Cabañero‐Martínez

Martí

et al. 2020

Psychiatric Ment Health Nurs

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“…However, SDL currently fails to account for documented power differentials between consumers and traditional health providers (Cleary et al . ; McLean ; Scholz et al . ).…”

Section: Theoretical Frameworkmentioning

confidence: 99%

‘It depends what you mean by leadership’: An analysis of stakeholder perspectives on consumer leadership

Stewart

Scholz

Gordon

et al. 2018

Int J Mental Health Nurs

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Contemporary mental health policies call for increased involvement of consumers in leadership across mental health service design, delivery, and evaluation. However, consumer leadership is not currently well understood within academia or in mental health services themselves. This study investigates how consumer leadership is currently conceptualized by stakeholders at the service delivery level. To this end, semistructured interviews were conducted with 14 mental health organization members identifying as consumer leaders, colleagues supporting consumer leaders, or organization executives. Interview data were analysed using an inductive thematic analysis to develop a broad understanding of participants’ perceptions of consumer leadership. Findings indicate constructions of consumer leadership within mental health organizations can be understood in relation to four themes: consumer leadership roles, requirements, purpose, and process. Inconsistencies across participants’ perceptions of consumer leadership were identified as constituting barriers to its development, highlighting the need to better clarify the nature of consumer leadership.

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“…integration into the work environment and limited exchange and acceptance from professionals). These topics are already identified in other studies as being challenges (Asad & Chreim, 2016;Cronise et al, 2016), and they are described as being a perception of a power imbalance between doctors and PSSs (Cleary, Raeburn, Escott, West, and Lopez (2018). Other challenges include attitudes of rejection from non-peer staff, along with the challenge of being treated as a patient rather than as a colleague (Walker & Bryant, 2013).…”

Section: States (International Association Of Peer Supportersmentioning

confidence: 90%

Peer support in Switzerland – Results from the first national survey

Burr

Rother

Elhilali

et al. 2019

Int J Mental Health Nurs

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Peer work is now known in Switzerland for 10 years and has developed strongly. The aim of the study was to describe peer support specialists’ (PSSs’) work conditions and job satisfaction, as well as the challenges of integration into the workforce in Switzerland. A further aim was to identify possible development topics in the preparation of PSSs for working with peer support work (PSW) training and interventions within the working field. We launched a survey with a self‐developed questionnaire for people with lived experiences with mental illness and recovery who were working as PSSs or experts by experience in education, research, politics, and other areas in the German‐speaking region of Switzerland. The survey took place from 1 September 2017 to 15 November 2017. The results show that PSSs were working mostly in 1:1 contact with service users and in education and noticeably less in politics and research. Their work conditions and job satisfaction seemed good. Most PSSs had job descriptions matching their duties, were satisfied with their salaries, and indicated being satisfied or very satisfied with their work. Amongst other aspects, the greatest challenge reported was integration into the inter‐disciplinary working team. PSS training should better consider the working areas of experts by experience in the fields of politics and research to reinforce employment opportunities in these work areas. To increase the impacts of PSSs and to improve integration into the workspace, the preparation of professionals and institutions should be improved by means of information sessions, trainings, and guidelines.

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‘Walking the tightrope’: The role of peer support workers in facilitating consumers’ participation in decision‐making

Cited by 37 publications

References 23 publications

Knowledge and attitudes of Spanish mental health professionals towards advance healthcare directives

Knowledge and attitudes of Spanish mental health professionals towards advance healthcare directives

‘It depends what you mean by leadership’: An analysis of stakeholder perspectives on consumer leadership

Peer support in Switzerland – Results from the first national survey

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