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Supporting Peer Support Workers and Their Supervisors: Cluster-Randomized Trial Evaluating a Systems-Level

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A training program improved organizational climate for peer support workers but did not reduce mental health stigma or improve recovery. This suggests enhanced value for peer support roles may boost retention and outcomes.

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Attitudes toward mental illnessBurnoutProgram evaluationRecoverySelf-help

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Area of Science:

  • Mental Health Services
  • Workforce Development
  • Organizational Psychology

Background:

  • Peer support workers are a growing segment of the mental health workforce.
  • Limited research exists on effective support and supervision strategies for peer support workers.
  • This study addresses the need to evaluate training efficacy for peer support personnel and their supervisors.

Purpose of the Study:

  • To evaluate the efficacy of a training program designed to strengthen the peer support workforce and its supervision.
  • To assess the impact of the training on peer-supportive organizational climate, mental health stigma, and peer support worker recovery.

Main Methods:

  • A cluster-randomized trial with 10-month follow-up was conducted at mental health services sites in Los Angeles County.
  • Peer support workers and supervisors received training from a peer-run organization on stigma reduction, workforce building, cultural competence, and trauma-informed supervision.
  • Primary outcomes included peer-supportive organizational climate, mental health stigma, and peer support worker recovery.

Main Results:

  • Sites receiving the training demonstrated significantly higher scores on peer-supportive organizational climate compared to control sites (Cohen's d=0.35, p=0.04).
  • No significant differences were observed between conditions for mental health stigma (Cohen's d=0.04) or peer support worker recovery (Cohen's d=0.14).

Conclusions:

  • The training positively impacted the organizational climate supporting peer support work.
  • The training did not directly reduce mental health stigma or improve peer support worker recovery.
  • Findings suggest the training may enhance the perceived value of peer support roles, potentially improving retention and client outcomes.