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Peer workers in mental health services: literature overview

  • Steve Gillard and Jessica Holley
Summary

Peer worker roles are being introduced in mental health services in the UK and internationally, to support individuals in their recovery. There is substantial qualitative evidence that demonstrates benefits at an individual level and some evidence of impact on service use and costs, although there are currently few high-quality randomised controlled trials supporting these findings, especially from the UK. A growing body of research indicates that careful consideration of organisational issues regarding the introduction of peer worker roles – the distinctiveness and shared expectations of the role, strategic alignment, organisational support – might maximise their impact. Properly supported and valued peer workers are an important resource to the multidisciplinary team, offering experiential knowledge and the ability to engage patients in their treatment through building relationships of trust based on shared lived experience.

LEARNING OBJECTIVES

  1. Appreciate the origins of the peer worker role and how the role has been introduced into mental health services to date.
  2. Understand the evidence for the benefits of peer worker roles, for patients, peer workers and mental health service delivery.
  3. Demonstrate awareness of the organisational and team-level barriers to and facilitators of introducing peer workers into, or alongside, existing multidisciplinary mental health teams.

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Copyright
Corresponding author
Dr Steve Gillard, St George's, University of London, Institute of Population Health Research, Cranmer Terrace, London SE23 3AE, UK. Email: sgillard@sgul.ac.uk
Footnotes
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Declaration of Interest

None.

Footnotes
References
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Bach, S, Della Rocca, G (2000) The management strategies of public service employers in Europe. Industrial Relations Journal, 31: 8296.
Berry, C, Hayward, Ml, Chandler, R (2011) Another rather than other: experiences of peer support specialist workers and their managers working in mental health services. Journal of Public Mental Health, 10: 238–49.
Chinman, M, Shoai, R, Cohen, A (2010) Using organizational change strategies to guide peer support technician implementation in the Veterans Administration. Psychiatric Rehabilitation Journal, 33: 269–77.
Coatsworth-Puspoky, R, Forchuk, C, Ward-Griffin, C (2006) Peer support relationships: an unexplored interpersonal process in mental health. Journal of Psychiatric and Mental Health Nursing, 13: 490–7.
Corrigan, P (2006) Impact of consumer-operated services on empowerment and recovery of people with psychiatric disabilities. Psychiatric Services, 57: 1493–6.
Creamer, MC, Varker, T, Bisson, J et al (2012) Guidelines for peer support in high-risk organizations: an international consensus study using the Delphi method. Journal of Traumatic Stress, 25: 134–41.
Currie, G, Finn, R, Martin, G (2009) Professional competition and modernizing the clinical workforce in the NHS. Work Employment Society, 23: 267–84.
Daniels, A, Grant, E, Filson, B et al (2010) Pillars of Peer Support: Transforming Mental Health Systems of Care through Peer Support Services. The Carter Center.
Davidson, L, Chinman, M, Sells, D et al (2006) Peer support among adults with serious mental illness: a report from the field. Schizophrenia Bulletin, 32: 443–50.
Davidson, L, Bellamy, C, Guy, K et al (2012) Peer support among persons with severe mental illnesses: a review of evidence and experience. World Psychiatry, 11: 123–8.
Deegan, P, Rapp, C, Holter, M et al (2008) Best practices: a program to support shared decision making in an outpatient psychiatric medication clinic. Psychiatric Services, 59: 603–5.
Department of Health (2007) Best Practice Guidance to Support the Implmentation of New Ways of Working (NWW) and New Roles. Care Services Improvement Partnership/National Institute for Mental Health in England.
Department of Health (2008) A Common Purpose: Recovery in Future Mental Health Services. TSO (The Stationery Office).
Department of Health (2009) Achieving World Class Productivity in the NHS 2009/10–2013/14. TSO (The Stationery Office).
Department of Health (2011) No Health Without Mental Health: A Cross-Government Mental Health Outcomes Strategy for People of All Ages. TSO (The Stationery Office).
Department of Health (2012) No Health Without Mental Health: Implementation Framework. TSO (The Stationery Office).
Dickinson, C (2008) Mapping new roles in mental health services: the development of four new mental health roles 2004–2006. Journal of Mental Health Training, Education and Practice, 3: 411.
Dierdorff, E, Morgeson, F (2007) Consensus in work role requirements: the influence of discrete occupational context on role expectations. Journal of Applied Psychology, 92: 1228–41.
Faulkner, A, Bassett, T (2010) A Helping Hand: Consultation with Service Users about Peer Support. Together for Mental Wellbeing.
Gates, LB, Akabas, SH (2007) Developing strategies to integrate peer providers into the staff of mental health agencies. Administration and Policy in Mental Health and Mental Health Services Research, 34: 293306.
Gillard, S, Borschmann, R, Turner, K et al (2012) Producing different analytical narratives, coproducing integrated analytical narrative: a qualitative study of UK detained mental health patient experience involving service user researchers. International Journal of Social Research Methodology, 15: 239–54.
Gillard, SG, Edwards, C, Gibson, SL et al (2013) Introducing peer worker roles into UK mental health service teams: a qualitative analysis of the organisational benefits and challenges. BMC Health Services Research, 13: 188.
Gillard, S, Edwards, C, Gibson, S et al (2014) New Ways of Working in Mental Health Services: a qualitative, comparative case study assessing and informing the emergence of new Peer Worker roles in mental health services in England NIHR Journals. Health Services Delivery & Research, in press.
Jacobson, N, Trojanowski, L, Dewa, C (2012) What do peer support workers do? A job description. BMC Health Services Research, 2: 205.
Kemp, V, Henderson, R (2012) Challenges faced by mental health peer support workers: peer support from the peer supporter's point of view. Psychiatric Rehabilitation Journal, 35: 337–40.
Lawn, S, Smith, A, Hunter, K (2008) Mental health peer support for hospital avoidance and early discharge: an Australian example of consumer driven and operated service. Journal of Mental Health, 17: 498508.
Marwaha, S, Johnson, S (2005) Views and experiences of employment among people with psychosis: a qualitative descriptive study. International Journal of Social Psychiatry, 51: 302–16.
Mead, S, MacNeil, C (2006) Peer support: what makes it unique. International Journal of Psychosocial Rehabilitation, 10: 2937.
Medical Research Council (2000) A Framework for the Development and Evaluation of RCTs for Complex Interventions to Improve Health. MRC.
Min, SY, Whitecraft, J, Rothbard, AB et al (2007) Peer support for persons with co-occurring disorders and community tenure: a survival analysis. Psychiatric Rehabilitation Journal, 30: 207–13.
Moran, GS, Russinova, Z, Gidugu, V et al (2012) Challenges experienced by paid peer providers in mental health recovery: a qualitative study. Community Mental Health Journal, 49: 111.
Moran, GS, Russinova, Z, Yim, JY et al (2014) Motivations of persons with psychiatric disabilities to work in mental health peer services: a qualitative study using self-determination theory. Journal of Occupational Rehabilitation, 24: 3241.
Mowbray, CT, Moxley, DP, Collins, ME (1998) Consumers as mental health providers: first person accounts of benefits and limitations. Journal of Behavioral Health Services and Research, 25: 397411.
Munn-Giddings, C, Boyce, M, Smith, L et al (2009) The innovative role of user-led organisations. A Life in the Day, 13: 1420.
Nadler, DA, Tushman, ML (1980) A model for diagnosable organisational behaviour. Organisational Dynamics, 9: 3551.
National Institute for Mental Health in England (2005) NIMHE Guiding Statement on Recovery. NIMHE.
Ochocka, J, Nelson, G, Janzen, R et al (2006) A longitudinal study of mental health consumer/survivor initiatives: Part 3. A qualitative study of impacts of participation on new members. Journal of Community Psychology, 34: 273–83.
Ockwell, C (2012) Challenges and triumphs: developing an inpatient peer support project. Journal of Mental Health Training, Education and Practice, 7: 94100.
Pitt, V, Lowe, D, Hill, S et al (2013) Consumer-providers of care for adult clients of statutory mental health services. Cochrane Database of Systematic Reviews, 3: CD004807.
Pollitt, A, Winpenny, E, Newbould, J et al (2012) Evaluation of the Peer Worker Programme at Cambridgeshire and Peterborough NHS Foundation Trust. RAND Corporation.
Repper, J, Carter, T (2011) A review of the literature on peer support in mental health services. Journal of Mental Health, 20: 392411.
Repper, J, Watson, E (2012) A year of peer support in Nottingham: the peer support workers and their work with individuals. Journal of Mental Health Training, Education and Practice, 7: 7984.
Repper (2013) Peer Support Workers: Theory and Practice. Centre for Mental Health/Mental Health Network, NHS Confederation.
Resnick, SG, Rosenheck, RA (2008) Integrating peer-provided services: a quasi-experimental study of recovery orientation, confidence, and empowerment. Psychiatric Services, 59: 1307–14.
Roberts, G, Wolfson, P (2004) The rediscovery of recovery: open to all. Advances in Psychiatric Treatment, 10: 3748.
Salzer, MS, Liptzin Shear, S (2002) Identifying consumer-provider benefits in evaluations of consumer-delivered services. Psychiatric Rehabilitation Journal, 25: 281–8.
Schmidt, LT, Gill, KJ, Pratt, CW et al (2008) Comparison of service outcomes of case management teams with and without a consumer provider. American Journal of Psychiatric Rehabilitation, 11: 310–29.
Scott, A, Doughty, C, Kahi, H (2011) Peer Support Practice in Aotearoa New Zealand. Mental Health Commission.
Seebohm, P, Munn-Giddings, C, Brewer, P (2010) What's in a name? A discussion paper on the labels and location of self-organising community groups, with particular reference to mental health and Black groups. Mental Health and Social Inclusion, 14: 23–9.
Stewart, S, Watson, S, Montague, R et al (2008) Set up to fail? Consumer participation in the mental health service system. Australasian Psychiatry, 16: 348–53.
Trachtenberg, M, Parsonage, M, Shepherd, G (2013) Peer Support in Mental Health Care: Is It Good Value for Money? Centre for Mental Health/Mental Health Network, NHS Confederation.
Turner, RH (1990) Role change. Annual Review of Sociology, 16: 87110.
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BJPsych Advances
  • ISSN: 1355-5146
  • EISSN: 1472-1481
  • URL: /core/journals/bjpsych-advances
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Peer workers in mental health services: literature overview

  • Steve Gillard and Jessica Holley
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