Despite challenges, several reviews and meta-analyses have assessed the effectiveness of peer support interventions for adults with mental health challenges, finding that client and program characteristics varied widely [15,16,17,18]. Provide options and referrals for outside mental health resources when needed. J Ment Health. WebObjectives: Recovery is a process through which people experiencing mental illness learn to live with their disorder and reach social insertion and citizenship. This search strategy was conducted in the Embase, MEDLINE and PsycInfo databases (full search strategies available at SearchRxiv [31,32,33]). Study quality was rated as good overall. Peer Support, Peer Problems | Hogg Foundation for Mental Health Table 4 shows two [47, 48] found significant reduction of negative affect over time. What is peer support? How can it help mental health therapy? Syst Rev. The Mental Health of Children and Adolescents: Report on the Second Australian Child and Adolescent Survey of Mental Health and Wellbeing. The lack of clarity in the evidence we did find (e.g. peer support 2018;12(3):4747. For example, peer workers delivered a range of services, such as peer education, peer support, mentoring, psychoeducation, and case management, in different settings and mediums (see Table 1 for examples of peer support). Peer Support in Mental Health: Literature Review - PubMed 2018;59(6):68491. 15. WebPeer support has been described as a system of giving and receiving help based on key principles that include shared responsibility, and mutual agreement of what is helpful. 1. Further rigorously designed trials of peer delivered interventions for young people need to be conducted with a focus on understanding the mechanisms of action underpinning peer support. Challenges for peer support providers included negative working relationships with mental health WebTo learn more about building your peer support program, (PTSD) and other mental health challenges exclusively for professional fire fighters, paramedics and dispatchers. Magenta B. Simmons,Sharla Cartner,Roxxanne MacDonald,Sarah Whitson,Alan Bailey&Ellie Brown, Centre for Youth Mental Health, The University of Melbourne, Parkville, VIC, Australia, Magenta B. Simmons,Sharla Cartner,Sarah Whitson,Alan Bailey&Ellie Brown, You can also search for this author in Google Scholar. However, there is a need for more evidence that describes how and why youth peer support practice might be effective. While these reviews focused on services for individuals with severe mental illnesses (typically psychoses, bipolar disorder, severe depression), several meta-analyses have assessed peer support specifically for common mental health disorders (e.g. Webpeer support intervention for older adults, Reclaiming Joy. Native and Indigenous Communities and Mental Health The youth peer support workforce is rapidly expanding to child and adolescent mental health services (Tisdale et al., 2021). Much of mental health research is based on a medical/clinical model that focuses on individual deficits [58]. As our steering group members pointed out, better representation from minority groups in the workforce is more likely to result in culturally safer environments. Cultural Diversity and Mental Health Depression and anxiety were measured as secondary, exploratory outcomes at pre-intervention, post-intervention, and after the booster session (23weeks later). In line with our institutional requirements, we did not have to seek ethical approval to involve either group as advisors. Challenges WebThis toolkit will address these challenges and provide strategies for preventing many of these challenges from occurring. However, limited research has examined impacts on those who provide youth mental health peer support work. Our hope is that as the field develops further and there is improved consistency in both approaches (e.g., outcomes) and reporting that this will be possible. We found a number of programs operating in a range of countries, yet we did not find any associated evaluations, suggesting a lost opportunity to properly understand how these programs are helping young people who experience depression and anxiety. While the majority of work in this area has focused on providing peer work within existing mental health services, an additional challenge is that many young people do not access formal clinical services for their mental health concerns [27]. 2021;175(11):114250. Peer support in mental health care: Is it good value for money? Mental Health Peer Support for Mental Health Recovery mental health Recovery model of mental illness: a complementary approach to psychiatric care. Data were extracted from eligible studies into a standardised template (see Supplementary File 2) covering intervention details, attributes of peer workers, and outcomes measured. CCBHCs are responsible for providing peer specialist and recovery coaches, peer counseling, and family/caregiver supports. 2009;79(Pt 1):6986. Additionally, interviews were conducted with nine experts from eight countries, including Australia, Brazil, Canada, India, Kenya, Nigeria, the United States, and Zambia. Peer support services are services designed and delivered by individuals who have experienced a mental or substance use disorder Yet, peer workers are also distinct from traditionally qualified experts. Peer WebPeer support is recognized as an evidence-based practice for individuals with mental Although the core elements of the intervention remained the same as the HOP model described aboves, changes included: 1) a shift in focus from severe mental illness to depression and anxiety; 2) the revision of course materials, including vignettes, to include reference to college staff and peers; and 3) an additional section focusing on disclosure through social media. (2011) [7] surveyed 275 young people with a mental health disorder in Australia to examine factors related to help-seeking and self-help behaviours. Further, given that a number of barriers to implementing peer work in practice have been identified for adults (e.g. Peer Support and Mental Health: A Review of the Evidence Therefore, peer support is a strong candidate intervention for young people with depression and anxiety, as people in this age group experience high rates of such concerns, and they are likely to be more receptive to seeking help from peers before or during engagement with formal clinical services. While the intervention was shown to improve vocational functioning and reduce hospital emergency service use compared to TAU, no effect was found for depression symptoms (p=0.42) or any peer support related constructs over the 18-month follow-up period (e.g. Stewart L, Moher D, Shekelle P. Why prospective registration of systematic reviews makes sense. Lastly, only two of the studies used a co-design approach to intervention development. The impact of working as a peer worker in mental health Available from: https://cabidigitallibrary.org/doi/full/https://doi.org/10.1079/searchRxiv.2022.00008. This emerging form of unsolicited communication among self-forming online communities of patients and individuals with diverse health All of these elements were generally lacking in the literature we reviewed, but are critical for moving the field forward. In total, nine trials met inclusion criteria. 2013;24(112):42633. In terms of understanding who peer support may or may not work for, we were unable to answer this. The OEF is a repository for all available randomised and non-randomised controlled trials, systematic reviews and meta-analyses that evaluate prevention and treatment strategies for common mental disorders and related challenges that have their peak onset during adolescence and early adulthood (mean age 1225). A number of barriers to implementation have been identified, including role confusion (i.e. tasks becoming clinical in nature), professional stigma (i.e. Similarly, involvement from experienced youth peer workers will also help ensure interventions are appropriate, feasible, and meaningful. BMC Psychiatry Peer-supported self-management for people discharged from a mental health crisis team: a randomised controlled trial. What science has shown can help young people with anxiety and depression: Identifying and reviewing the active ingredients of effective interventions. of peer support Honest, Open, Proud for adolescents with mental illness: pilot randomized controlled trial. You can kind of just feel the power behind what someone's An international steering group of youth peer workers and young people who had received peer support was established and convened by a lived experience expert (RM). 2022. Results are reported according to mental health conditions due to differences within peer support models used for different mental health conditions (e.g., group models more commonly used for eating disorders, digital interventions more common for mood disorders). While some young people receive help from trained professionals, a large proportion experience barriers to accessing services or do not have their needs fully met by services [6]. Participants (n=118) were randomised to receive HOP-C (n=63) or a waitlist control (n=55). 2018;392(10145):40918. Consequently, empirical work that tests this proposed model is required. challenges We Peer Peer support for people with long-term mental health problems has shown promise in facilitating personal recovery processes as well recovery-focused changes in services [1,2,3,4,5,6,7].Peer support in mental health care, whether provided one-on-one or in groups, is defined as a system of giving and receiving help founded on key The intervention also increased time until first readmission. WebAims: People with serious mental illness are increasingly turning to popular social media, including Facebook, Twitter or YouTube, to share their illness experiences or seek advice from others with similar health conditions. 2019; Naslund et al. For the updated search (July 2021 to July 2022), three reviewers (EB, MBS, and BM listed in acknowledgements section) independently screened all titles/abstracts and resulting full texts, with disagreements resolved together by EB and MBS. Mol Psychiatry. Following removal of 413 duplicates, 2,569 papers were screened for eligibility. It was created at the start of the pandemic after We also aimed to examine: 1) the contexts (e.g., geographical location, setting, format) in which peer support works; 2) who it does and does not work for; and 3) how it works. A recent meta-analysis of 192 epidemiological studies demonstrated that the peak age of onset for mental disorders was 14.5years and the median was 18years, leading authors to call for a focus on indicated, selective and/or universal preventive interventions for mental disorders during mid/late adolescence and young adulthood (page 286, [2]). CAS For those who received peer support, depression scores were lower than controls, most participants reported intervention satisfaction, and it was cost-effective. J Community Psychol. Only two studies focused specifically on depression and anxiety, with the rest focused on general mental health challenges, relapse prevention after first episode psychosis, substance use disorders and four focused on the prevention of eating disorders. My lived experience has benefitted my current work of researching these Person- and family-centered care also involves peer- and family-support services. WebOne of the most significant challenges in bridging the mental health treatment gap is the glaring shortage of trained mental health workers in health care systems worldwide [87, 88]. experience of mental health challenges, receipt of treatment, and recovery). Adolescents. There are also limitations specific to the review design and methodology. Peer During the teenage years striking changes take place in the body as well as the brain. There are also unresolved issues beyond the scope of research, such as what happens to youth peer workers when they age out of the age-related role requirements. Peers may also use generally available social media forums that are open to anyone. Similarly, Huang, Yan [22] reviewed randomised controlled trials (RCTs) of women with perinatal depression who received either peer support or TAU. 2016;39(3):25665. 9 Altmetric Metrics Abstract Background Peers support specialists have Peer Support Peer support specialists are individuals with lived experience who offer PubMed This study was the only included study to conduct a cost-effectiveness analysis aimed at calculating value for money of delivery of the intervention. Your privacy choices/Manage cookies we use in the preference centre. Time constraints prohibited us from registering our protocol before completing the review, as the work was undertaken through commission for a contract with a short duration and there were significant delays to protocol registrations being processed due to the COVID-19 global pandemic. We would like to acknowledge additional technical support from Sarah Bostock, Stefanie De Silva, Alicia Randell, Samantha Cooke, Kelly Allott, Nicola Acevedo, Bridget Moore, steering group members (Rafi Armanto, Nawira Baig, Diana Dimitrov, Aisling Dillon, Mahalia Dixon, Cassandra Jankovic, Kiera Jean Lowe, Lauren Luliani, Niamh Petrie, and one anonymous member), and experts who participated in interviews (Mikaela Basile, Michelle Blanchard, Naeem Dalal, Mardi Daley, Raffael Masuda, Janet Walker, and three anonymous interviewees). Aside from the considerable lack of geographical diversity, the settings also limit our knowledge of the context in which peer support might work, given that only some young people attend mental health services and university. Effectiveness of peer support intervention on perinatal depression: A systematic review and meta-analysis. Youth peer support, as a practice that aligns youth engagement and participatory approaches, has become increasingly popular in the context of youth mental health services. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. Drawing on the existing knowledge held by the youth peer workforce and young people who have accessed peer support interventions is the most promising avenue for determining the ways in which peer support is an active ingredient for youth depression and anxiety. Many mental health disorders emerge in mid- to late adolescence and contribute to the existing burden of disease among young Controlled trials of interventions to improve mental health in young people (mean age 1424), delivered by a peer worker with lived experienced of mental health challenges were included. In line with adult literature, depression-related measures were more commonly used and anxiety-related measures were largely absent [52]. It may be for particular groups of people (with a specific health condition or from a certain ethnic group, for instance). Limited Funds Shouldnt Go to Peer Support or Peer-Delivered Services. BMJ. WebPeer-to-peer support group for teens faced with mental health challenges and/or difficult family dynamics. Pfeiffer PN, Heisler M, Piette JD, Rogers MA, Valenstein M. Efficacy of peer support interventions for depression: a meta-analysis. The Recovery Model in Mental Health They use these experiences and empathy to support other people and their families receiving mental health services. There was also variation within the peer worker roles, including core competencies, training and supervision received by peer workers. But training only goes so far. Retrieved records are screened against pre-defined eligibility criteria at title/abstract and full-text stages, and included studies are coded within the database to support searching. Sydney: RichmondPRA and Mind Australia. searchRxiv. The program consisted of pairing an older adult volunteer, with lived experience with a participant (older adult who receives peer support. All studies were successful in reducing body image concerns and eating disorder risk. CASP (Randomised Controlled Trial) Checklist [online] Available at: https://casp-uk.net/casp-tools-checklists/. The support was mutual. The development of a peer workforce in NSW is one of the recommendations in Living Well: A Strategic Plan for Mental Health in NSW: 2014-2024 Section 8.2, (Living Well). 2018;12(5):96471. peer support First, we utilised the Orygen Evidence Finder (OEF) database [28]. However, this trend has been met with concerns from administrators, campus leaders, A team of researchers across the United States recently released research in Psychiatric Services in Advance detailing the best ways to support and supervise peer specialists in the mental health workforce. Effects identified which may overlap with peer support mechanisms included help-seeking intentions (family/friends, professionals), stage of recovery, and empowerment (self-esteem, optimism; see Supplementary File 5). J Adolesc. peer support in the field of mental health, there are only. Google Scholar. PubMed Chinman M, McCarthy S, Mitchell-Miland C, Daniels K, Youk A, Edelen M. Early stages of development of a peer specialist fidelity measure. ResearchSquare. peer support can help boost your mental health Introduction. Peer Support WebWA Warm Line is a peer support help line for people living with emotional and mental health challenges. Understanding how peer support programs operate effectively in low-resource settings and in varying cultural contexts, yet retain relevant core values of peer supportwhere appropriate,is equally as important. Your US state privacy rights, A support group is a gathering of people facing common issues to share whats troubling them. Challenges Faced by Mental Health Peer Support Workers: Peer peer support These interventions were both digital in nature, which is unsurprising given that user-centred design methodologies are common in the development of digital solutions. Peer support workers can challenge stigma and discrimination by https://doi.org/10.1186/s12888-023-04578-2, DOI: https://doi.org/10.1186/s12888-023-04578-2. WebThe peer-support message of hope and strength reshapes the conversation around MBS, SC, AB and EB undertook screening. Demand for college peer counselors is booming. Pote I. Other critical gaps in the literature include exploring the best ways to test the effectiveness of peer support interventions in this area. In 2019, employers were just starting to grasp the prevalence of mental health challenges at work, the need to address stigma, and the emerging link to diversity, equity, and inclusion (DEI). Studies reporting randomised controlled trials of group peer support The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
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