Identifying the Core Competencies for Crisis Peer Support Specialists: an e-Delphi Study

Peer support specialists (PSS) are essential in behavioral health and substance use crisis services by providing support, hope, and encouragement to those in crisis. Despite their benefits, there is a lack of consensus on the core competencies required for PSS working in crisis settings. This study identifies key competencies to inform the development of a Crisis Peer Support Specialist Training curriculum. An e-Delphi survey method was used to collect opinions from subject matter experts (SMEs) working Early Intervention Support Services (EISS) programs. The three-round process gathered qualitative and quantitative input on the required competencies of PSS in crisis settings. Responses from SME were analyzed using thematic coding and a Likert-scale ranking system to determine perceived importance. Four key areas were identified as essential competencies: knowledge, skills, attitudes, and unique contributions. The highest-ranked competencies emphasized ethics and maintaining professional boundaries, demonstrating empathy, and providing a welcoming presence. Consensus from the SME was reached on the core competencies necessary for PSS in crisis settings. Findings highlight the key competencies a PSS requires for delivering services in crisis settings. The results informed the development of a specialized training program for PSS in these settings. Future research should continue to explore the required competencies across different crisis care settings.