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Understanding the barriers and facilitators to delivering peer support effectively in England: a qualitative
Una Foye1, Natasha Lyons2, Prisha Shah3
1NIHR Mental Health Policy Research Unit, Department of Mental Health Nursing Research Institute of Psychiatry, Psychology & Neuroscience, Kings College London, London (KCL), SE5 8AF, UK. una.foye@kcl.ac.uk.
Peer Support Workers (PSWs) face challenges and enablers in their roles. Effective peer support requires clear boundaries, adequate training, supportive teams, and systemic integration for successful mental health service delivery.
Area of Science:
- Mental Health Services
- Psychosocial Interventions
- Healthcare Workforce Studies
Background:
- Peer support roles are expanding globally within mental health services.
- This study examines facilitators and barriers from the perspective of Peer Support Workers (PSWs).
- Focus on PSW experiences across diverse UK settings.
Purpose of the Study:
- To identify key facilitators enabling effective peer support delivery.
- To explore significant barriers hindering the optimal performance of PSWs.
- To inform future development and integration of peer support roles.
Main Methods:
- Semi-structured qualitative interviews with 35 paid mental health PSWs in England.
- Collaborative and participatory research approach.
- Thematic analysis guided by general principles.
Main Results:
- Identified need for role flexibility with structure and boundaries.
- Highlighted importance of training, supervision, and supportive leadership.
- Noted systemic issues like funding, pay, and integration tensions.
Conclusions:
- Peer support work is complex, with both facilitators and barriers.
- Awareness of these factors is crucial for effective job design and integration.
- Findings inform support systems and team integration for increasing PSW roles.
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