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Exploring the Design, Development, and Implementation of a Peer-Led Community Café in Mental Health Service

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This study explored a peer-led community café for mental health crisis support in Ireland. Key findings emphasize co-production, person-centered care, and out-of-hours services for better recovery outcomes.

Keywords:
RE‐AIMcommunity caféco‐productioncrisisimplementation sciencemental healthpeer support

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Area of Science:

  • Mental Health Services Research
  • Community Psychology
  • Healthcare Management

Background:

  • Mental health crisis support services require innovative, accessible models.
  • Peer-led initiatives offer unique benefits in mental healthcare.
  • Stakeholder perspectives are crucial for effective service design and implementation.

Purpose of the Study:

  • To explore the design, development, and implementation of a peer-led community café for individuals experiencing mental health crises.
  • To gather insights from key stakeholders in Ireland regarding the community café model.
  • To identify best practices for supporting mental health recovery through community-based services.

Main Methods:

  • Qualitative descriptive study involving 12 stakeholders (Operations Team, Senior Healthcare Management).
  • Data collected through stakeholder convenings and individual interviews (February-July 2023).
  • Thematic content analysis (Burnard's framework) and RE-AIM framework mapping, with input from a lived-experience individual.

Main Results:

  • Essential elements identified: person-centeredness, co-production, and alternative out-of-hours service provision.
  • Challenges related to sustainability and governance were noted.
  • Importance of staff support was highlighted as critical for service delivery.

Conclusions:

  • Close collaboration among services, practitioners, users, and community partners is vital for mental health service development.
  • Prioritizing co-production and person-centered delivery enhances service effectiveness.
  • Addressing out-of-hours provision, staff support, sustainability, and governance is key to meeting service user needs.