Ellis LA, Campbell AJ, Sethi S, ODea BM. 1 for PRISMA flow diagram; [39]). There was a significant difference between groups in favour of the intervention group for the primary endpoints (reduction in stigma stress post-intervention and improvement in quality of life at follow up). But training only goes so far. They use these experiences and empathy to support other people and their families receiving mental health services. Authentic peer support work: challenges and opportunities WebJuly/August 2015 Issue. While these reviews focused on services for individuals with severe mental illnesses (typically psychoses, bipolar disorder, severe depression), several meta-analyses have assessed peer support specifically for common mental health disorders (e.g. Effects identified which may overlap with peer support mechanisms included help-seeking intentions (family/friends, professionals), stage of recovery, and empowerment (self-esteem, optimism; see Supplementary File 5). 2018;392(10145):40918. 2021;12(1119). Peer This recent evidence suggests that peer support may reduce hospitalisations, an important objective outcome for health services worldwide. The contributions made by YPSWs are a promising development to facilitate consumer-centered and recovery-oriented care. CCBHCs are responsible for providing peer specialist and recovery coaches, peer counseling, and family/caregiver supports. 2020;15(4): e0231180. mental health support Curr Opin Psychiatry. A Sanvello subscription costs $8.99 per month or $53.99 per year. We 2018;69(9):96177. 2011;4(4):4617. My lived experience has benefitted my current work of researching these Help you explore activities that interest you. Actionable Items to Address Challenges Incorporating Only two studies focused specifically on depression and anxiety, with the rest focused on general mental health challenges, Secondly, detailed descriptions of peer support interventions are required that explain: 1) the theoretical underpinning, core values and principles of the intervention; 2) how fidelity to is assessed; 3) the nature of the role and how the peer workers were supported to adhere to these values and principles in their role (i.e. No research participants were involved in this study. De Silva S, Bailey AP, Parker AG, Montague AE, Hetrick SE. statement and Chapman SA, Blash LK, Mayer K, Spetz J. WebBeing a peer is not just about having experienced mental health challenges, it is also about understanding the meaning of such experiences within the communities of which the person is a part. WebPeer Support and Peer Support Services Via Hope uses the following definition of peer support: peer support is the act of people who have had similar experiences with mental health challenges giving each other encouragement, hope, assistance, guidance, and understanding that aids in recovery. 2016;39(3):25665. Of the nine studies identified, four were undertaken in North America, two in Oceania, and one each in Asia, Europe, and South America. An overview of trial results is presented in Table 4, where available effect sizes were converted to cohens d, and if statistics for conversion were missing, original effect sizes from articles were reported. Last updated on Aug 21, 2023 Peer support is a valuable and 2013;24(112):42633. Your privacy choices/Manage cookies we use in the preference centre. Part of mental health support negative attitudes from others and lack of credibility), and lack of support (i.e. Outside of the USA, the CHOICE project [25, 26] in Australia found that in a youth mental health service where the majority of clients present with anxiety and/or depression, participants (aged 16 to 25years) who received the intervention (use of a co-designed shared decision-making tool with support from a youth peer worker) reported feeling more involved in treatment decisions compared to the comparison group. This group program was co-facilitated by a peer worker and aimed to support individuals in their decisions to disclose their mental illness and therefore reduce the impact of stigma for adolescents. While the majority of work in this area has focused on providing peer work within existing mental health services, an additional challenge is that many young people do not access formal clinical services for their mental health concerns [27]. This chapter highlights findings from several important systematic reviews You can kind of just feel the power behind what someone's of Peer Support in Mental Health These interventions were both digital in nature, which is unsurprising given that user-centred design methodologies are common in the development of digital solutions. Overall, peer worker-led interventions across studies had significantly better outcomes compared to control groups (which included waitlist controls, a video and expressive writing condition, and an assessment-only control condition; see Table 3). The body project 4 all: A pilot randomized controlled trial of a mixed-gender dissonance-based body image program. An international steering group of youth peer workers and young people who had received peer support was established and convened by a lived experience expert (RM). of peer support While the intervention was shown to improve vocational functioning and reduce hospital emergency service use compared to TAU, no effect was found for depression symptoms (p=0.42) or any peer support related constructs over the 18-month follow-up period (e.g. Trachtenberg M, Parsonage M, Shepherd G, Boardman J. In a longitudinal mixed methods study, 32 peer workers providing peer 9 Altmetric Metrics Abstract Background Peers support specialists have Peer-supported self-management for people discharged from a mental health crisis team: a randomised controlled trial. Actions taken by young people to deal with mental disorders: findings from an Australian national survey of youth. Table 4 shows two [47, 48] found significant reduction of negative affect over time. Peer Services | Mental Health America J Affect Disord. Intentional Peer Support) [57] and also the collectivist nature of many cultures worldwide, as recognised by one of the trials identified in our review [51]. peer support When youre going through a challenging or traumatic time, family members and friends It can be done anytime or anywhere when two or In the mental health care system, funds are extremely limited and all too many of them go to what many of us call the worried well.. peer support can help boost your mental health 3 . depression and anxiety). Youth peer support workers (YPSWs) are young adults with lived experience of mental illness during childhood or adolescence who support young people receiving treatment in mental health services. Covidence was used to manage screening [37]; for the initial search, after removing duplicates, two reviewers (SC, EB) independently screened all titles/abstracts and resulting full texts, with disagreements resolved by a third reviewer (MBS). A further limitation is that we did not prospectively register the review protocol, meaning that the opportunity to reduce bias and duplication, and improve transparency was lost [53]. ; Purpose: Meaningful daily routines such as school, work, family, and community participation are important during the recovery process and for ; 2018. p. d. Fava N, Simmons MB, Anderson R, Zbukvic I, Baker D. Side by side: supporting youth peer work in mental health services. Additional outcomes reported by included trials. J Ment Health. Participants (n=118) were randomised to receive HOP-C (n=63) or a waitlist control (n=55). Cultural Diversity and Mental Health Involving young people with lived experience of anxiety and depression in all aspects of peer support intervention design and testing will improve the quality and significance of such endeavours [61]. All studies were successful in reducing body image concerns and eating disorder risk. Aside from the considerable lack of geographical diversity, the settings also limit our knowledge of the context in which peer support might work, given that only some young people attend mental health services and university. Recognize and evaluate conflicts, use active listening skills, and offer support. Table 3 shows the characteristics of all nine studies, including sample, peer worker, and intervention characteristics. Peer Support Unintended consequences of institutionalizing peer support Honing in on mental health. We also opted for the pre-print to be published in ResearchSquare(doi.org/10.21203/rs.3.rs-1617867/v1 [40]. Melbourne: Orygen 2020. The effectiveness of peer support from a person with lived experience of mental health challenges for young people with anxiety and depression: a systematic review, https://doi.org/10.1186/s12888-023-04578-2, https://www.orygen.org.au/Training/Evidence-Finder, https://www.who.int/news-room/fact-sheets/detail/adolescent-mental-health, https://doi.org/10.1079/searchRxiv.2022.00008, https://casp-uk.net/casp-tools-checklists/, http://creativecommons.org/licenses/by/4.0/, http://creativecommons.org/publicdomain/zero/1.0/. With the growing demand for comprehensive mental health services in higher education, students and campus leaders have identified student peer support programs as an alternative or supplement to traditional clinical services and approaches. 2023 BioMed Central Ltd unless otherwise stated. Gen Hosp Psychiatry. While some young people receive help from trained professionals, a large proportion experience barriers to accessing services or do not have their needs fully met by services [6]. 15. 2017;55:88115. Huang R, Yan C, Tian Y, Lei B, Yang D, Liu D, et al. volume23, Articlenumber:194 (2023) there is similar potential to leverage the bottom-up and user-driven nature of these online peer networks to support mental health recovery, empowerment Peer support involves the provision of support and services to persons with mental illness by individuals who have a current or past experience of mental health problems (Davidson et al. Studies were assessed for quality independently by SC and MBS using the Critical Appraisal Skills Programme (CASP; [38]; see Supplementary File 3). Further rigorously designed trials of peer delivered interventions for young people need to be conducted with a focus on understanding the mechanisms of action underpinning peer support. Peer Support for Older Adults The most common setting was universities (6 studies), with only two mental health service settings and one community researchcentre. Pfeiffer, Heisler [21] included studies comparing peer support versus treatment as usual (TAU) or group cognitive behavioural therapy (CBT) for adults experiencing depression. The Horyzons project: a randomized controlled trial of a novel online social therapy to maintain treatment effects from specialist first-episode psychosis services. Using both peer-reviewed and grey literature, Gopalan and colleagues (2017) [24] undertook a United States-specific scoping review of youth peer support services and research for young people under 25years old with emotional or behavioural problems. Stigma and lack of access to services create significant barriers to mental health treatment for older adults living in the community. In total, six studies were conducted in high income countries and two in low- and middle-income countries. Peer Support Mead S, McNeil C. Peer support: What makes it unique? The OEF is a repository for all available randomised and non-randomised controlled trials, systematic reviews and meta-analyses that evaluate prevention and treatment strategies for common mental disorders and related challenges that have their peak onset during adolescence and early adulthood (mean age 1225). WebAuthentic peer support was noted to be important to the recovery of mental health service users; yet, participants revealed that many positions continue to reflect more generic duties. peer support Adolescents. Outcomes related to depression or anxiety were extracted and descriptive synthesis was undertaken due to the heterogeneity of studies. Peer support services are services designed and delivered by individuals who have experienced a mental or substance use disorder Social Media 2020;5(2):16878. UPSIDES (Using Peer Support In Developing Empowering Mental Health Using Peer Support to Strengthen Mental Health During the We also aimed to examine: 1) the contexts (e.g., geographical location, setting, format) in which peer support works; 2) who it does and does not work for; and 3) how it works. CCBHCs are responsible for providing peer specialist and recovery coaches, peer counseling, and family/caregiver supports. The first group engaged in online CBT via MoodGym and the second group engaged in an online peer support group via MoodGarden (see Table 3 for intervention characteristics). WebThe peer support role comes with challenges and opportunities for the PSW, and potentially for the patients and the surrounding work team. Beyond Twelve Steps, Peer-Supported Mental Health Care 2016;49(6):591602. Lastly, only two of the studies used a co-design approach to intervention development. For adults with mental health conditions, peer support has been shown to be moderately effective at improving health outcomes and reducing healthcare costs [23][24][25][26]. Becker CB, Wilson C, Williams A, Kelly M, McDaniel L, Elmquist J. Peer-facilitated cognitive dissonance versus healthy weight eating disorders prevention: A randomized comparison. Depression and anxiety were measured as secondary, exploratory outcomes at pre-intervention, post-intervention, and after the booster session (23weeks later). Pharmacoeconomics. The last of the included studies evaluated an intervention for young methamphetamine users in Thailand [51], which was compared with an active control group. Solmi M, Radua J, Olivola M, Croce E, Soardo L, Salazar de Pablo G, et al. a friend or family member). Gen Hosp Psychiatry. training and supervision). Attempts have been made to formalise peer support for promoting mental health and wellbeing in educational settings [8]. 2011;33(1):2936. 2006;30(3):20713. Peer Support The groups met for two hours fortnightly for the duration of the project. According to the World Health Organisation [3], the point prevalence of anxiety disorders was 3.6% in young people aged 10 to 14years and 4.6% in those aged between 15 and 19years, while the point prevalence of depression disorders was 1.1% and 2.8% in young people aged 10 to 14years and 15 to 19years, respectively. 2017;68(8):76470. The contributions made by YPSWs are a promising development to facilitate consumer-centered and recovery-oriented care. This emerging form of unsolicited communication among self-forming online communities of patients and individuals with diverse health By Frederic G. Reamer, PhD. Challenges However, mental health services are not always favourable settings for peer workers. peer support in mental health Though, developing and testing lived experience-based peer support in younger groups requires careful consideration of what age one might expect a peer worker to be [55, 56]. CAS J Cyber Ther Rehabil. WebThere are different types of peer support, but they all aim to: bring together people with shared experiences to support each other. 1237. Altogether, the available evidence suggests that peer work is a safe, effective, flexible and cost-effective intervention for adults, which promotes hope, empowerment, patient activation and self-efficacy, and reduces hospitalisations. peer support of Peer Support Kessler RC, Amminger GP, Aguilar-Gaxiola S, Alonso J, Lee S, Ustun TB. Only one trial tested an intervention designed for anxiety and depression. In the mental health sector these groups tend to be organised and run by carers and family members of people living with a mental illness or people who have experienced mental health problems, not Early Interv Psychiatry. Consequently, empirical work that tests this proposed model is required. Terms and Conditions, Fava N, O'Bree B, Randall R, Kennedy H, Olsen J, Matenson E, et al. Attrition rates between post-intervention and follow-up were the same for both groups (n=11); reasons included being uncontactable or refusing to complete follow-up. The degree to which informal support from peers, such as friends and acquaintances, is helpful will depend on how capable and willing peers are to provide such support. The peer support group demonstrated a greater reduction in depression scores compared to TAU, but not significantly different to CBT, suggesting possible efficacy at the level of established treatments [21]. Peer workers support individuals experiencing mental health challenges by drawing on their shared lived experience. WebAbout Peer support workers are people who have lived experience of mental health challenges themselves. searchRxiv. The intervention also increased time until first readmission. 2010;16(6):102530. Whilst there were significant effects for stigma related outcomes favouring the intervention group, there was no significant effects for either depression (p=0.74) or anxiety (p=0.21). Article Peer Existing models of care and available treatment approaches fail to adequately address the global crisis of mental health care. White S, Foster R, Marks J, Morshead R, Goldsmith L, Barlow S, et al. WebPeer support is a supportive relationship between people who have a lived experience in common. WebAims: People with serious mental illness are increasingly turning to popular social media, including Facebook, Twitter or YouTube, to share their illness experiences or seek advice from others with similar health conditions. There are also limitations specific to the review design and methodology. Google Scholar. Honest, Open, Proud for adolescents with mental illness: pilot randomized controlled trial. Evidence for Peer Support May 2019 - Mental Health America In total, nine trials met inclusion criteria. Following removal of 413 duplicates, 2,569 papers were screened for eligibility. Implementing peer support services within mental health care may Evidence for Peer Support - Mental Health America Five included studies found positive outcomes (and no detriment) in this setting, including reduced anxiety, reduced affect, increased self-esteem, and higher perceived online social support, suggesting that peer work can be effective within a university environment for young adults. It may be for particular groups of people (with a specific health condition or from a certain ethnic group, for instance). Springer Nature. Support Groups: Types, Benefits, and What Resende TRO, Almeida M, dos Santos Alvarenga M, Brown TA, de Carvalho PHB. Participants most frequently sought help from family (77% of respondents) and close friends (73%), more so than general practitioners (53%). Early Interv Psychiatry. A number of barriers to implementation have been identified, including role confusion (i.e. Peer As young people globally grapple with the increase in social isolation, uncertainty about the future, and other experiences that are related to poorer mental health, having sufficient workforce supply to serve the demand of those seeking help is essential. online forums. Conclusions: There is an internationally growing trend to adopt PSSs within All nine studies were RCTs and all together included 2,003 participants. J Abnorm Psychol. The effectiveness of peer support from a person with lived experience of mental health challenges for young people with anxiety and depression: A systematic review [PsycInfo]. Study quality was rated using the Critical Appraisal Skills Programme; reporting adheres to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement. The impact of a peer counselling scheme to address bullying in an all-girl London secondary school: a short-term longitudinal study. WebBoth quantitative and qualitative evidence indicate that peer support lowers the overall This study was designed to examine a future of mental health care Psychiatr Serv. one-to-one support sometimes called mentoring or befriending. This positive approach focuses on a person's competencies and strengths rather than on the symptoms. WebThis toolkit will address these challenges and provide strategies for preventing many of these challenges from occurring. WebThis review examined research on mentoring for youth (ages 18 and younger) who are experiencing mental health challenges, including those with a formal diagnosis, as established by the Diagnostic and Statistical Manual of Mental Disorders (DSM), those experiencing what has been defined in the literature as internalizing problems Although peer support can occur across multiple settings such as schools and specialised services (e.g.,homelessness support), there is a rapidly growing peer workforce in mental health services, especially in high income countries [9]. Community Interventions to Promote Mental Health The authors declare that they have no competing interests. Peer Support for Mental Health Recovery Through the sharing of experiences, theyre able to offer support, encouragement, and comfort to the other group members, and receive the same in return. The effectiveness of peer support from a person with lived experience of mental health challenges for young people with anxiety and depression: a systematic review. A systematic review of influences on implementation of peer support work for adults with mental health problems. WHO World Mental Health Surveys International College Student Project: Prevalence and distribution of mental disorders. Ways forward. WebThe peer support program provides an opportunity for you to connect with a peer support worker for three to 12 months. Peer workers mediated the message board that the participants posted on. World Psychiatry. MBS and EB designed the review with assistance from AB. The NICE cost-effectiveness threshold: what it is and what that means. Peer Support, Peer Problems. Education. Effectiveness of peer support intervention on perinatal depression: A systematic review and meta-analysis. The steering group (see below for details)was consulted about any additional items to include in the form, and was amended accordingly (e.g., inclusion of detail about whether or not peer workers were matched to peers). Honest, open, proudcollege: Effectiveness of a peer-led small-group intervention for reducing the stigma of mental illness. 2006).Peer support is based on the idea that a person who has experience of a mental health problem is better placed to empathise and understand the One targeted depression and anxiety, two stigma-distress (any mental disorder), one first episode psychosis, four studies preventing eating disorders and one drug misuse. This systematic review involved two search strategies. Critical Appraisal Skills Programme ratings. Mentoring for Youth with Mental Health Challenges
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