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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
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Peer support in mental health services.

Candelaria I Mahlke1, Ute M Krämer, Thomas Becker

  • 1aDepartment of Psychiatry and Psychotherapy, Center for Psychosocial Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany bInstitute of Psychiatry, King's College London, UK cDepartment of Psychiatry and Psychotherapy II, Ulm University, Bezirkskrankenhaus Guenzburg, Guenzburg, Germany.

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Peer support work (PSW) is increasingly integrated into mental health services, showing benefits for individuals and organizations. Further research is needed to evaluate diverse peer support models and their impact, particularly using mixed methods.

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Area of Science:

  • Mental Health Research
  • Psychosocial Interventions
  • Healthcare Policy

Background:

  • Peer support work (PSW) originated from informal mental health services.
  • The recovery paradigm has strengthened PSW, promoting integration into statutory services.
  • International diversity in PSW implementation necessitates focused research.

Purpose of the Study:

  • To review current research and practice priorities in mental health peer support.
  • To identify key issues, benefits, and challenges in PSW implementation.
  • To guide future evaluation of diverse peer support models.

Main Methods:

  • Literature review focusing on current research and practice in PSW.
  • Analysis of benefits, efficacy, and effectiveness of peer support.
  • Discussion of organizational change, implementation challenges, and role clarification.

Main Results:

  • Peer support offers benefits in both formal and informal settings.
  • Key challenges include defining roles, competencies, and providing adequate training/supervision.
  • Destigmatization at personal and system levels is a critical component of PSW.
  • Mixed-methods studies highlight benefits for service users and PSW involvement.

Conclusions:

  • Various peer support types require further evaluation.
  • Complex intervention studies using mixed methods are essential for assessing PSW impact.
  • Qualitative exploration is crucial to complement controlled trials in understanding PSW processes and experiences.