Table 3 shows the characteristics of all nine studies, including sample, peer worker, and intervention characteristics. Peer counselors work in various settings such as community clinics, hospitals, and crisis teams. Ibrahim N, Thompson D, Nixdorf R, Kalha J, Mpango R, Moran G, et al. But training only goes so far. Conclusions: There is an internationally growing trend to adopt PSSs within Reasons for exclusion are reported in Fig. Peer Work in Australia: A New Future for Mental Health. 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 [MEDLINE]. WebYouth 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. The OEF currently contains studies published between 1980 and 30 June 2020, therefore, we undertook a second search process to retrieve studies published to 30 June 2021, and a third to update the search to retrieve studies published to 21 July 2022. However, for this review we had access to the backend database, which allowed us to construct a detailed and reproducible search strategy focused on peer support related terms (OEF backend database provided in Supplementary File 1). Peer workers mediated the message board that the participants posted on. A team of researchers across the United States recently released research in Psychiatric Services in Advance detailing the best ways to support and supervise peer specialists in the mental health workforce. Controlled trials of interventions to improve mental health in young people (mean age 1424), delivered by a peer worker with lived experienced of mental health challenges were included. We excluded studies where the peer worker was not required to have lived experience due to the core values of peer support in the mental health context (i.e., as opposed to how the term peer support is used in an educational context) being focused on a sharing of lived experiences of mental health challenges and mental health service use [36]. Graham ID, McCutcheon C, Kothari A. Google Scholar. Critical Appraisal Skills Programme ratings. 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]. 2018;59(6):68491. The OEF is presented as an online database publicly available for basic searching (https://www.orygen.org.au/Training/Evidence-Finder). As a Full article: Experiences and Challenges in the Role as Intervention-specific fidelity (as opposed to more general measures of fidelity to the principles of peer support such as [41]) was assessed for two studies [34, 42] and was high for both. Conclusions: There is an internationally growing trend to adopt PSSs within Peer Support: Research and Reports | Mental Health Terms and Conditions, J Ment Health. 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. The age range of interest in this review (i.e., 1424years), is not often reflected in study inclusion criteria. Help you explore activities that interest you. WebHealth and social support services provided by peers have the potential to reduce disparities in outpatient service use among minority transition age youth (youth ages 1624, hereafter youth) with serious mental illness who remain underserved by the public mental health system (Alegria et al. Inclusive dissonance-based body image interventions for college students: Two randomized-controlled trials of the EVERYbody Project. one-to-one support sometimes called mentoring or befriending. Although the Orygen Evidence Finder (OEF) includes studies retrieved from the key databases we would have targeted in a review not using the OEF (i.e., PsycInfo, MEDLINE and Embase), the OEF team manually screen studies for inclusion. Huang R, Yan C, Tian Y, Lei B, Yang D, Liu D, et al. Peers often provide significant informal support to people who are facing mental health challenges. Twelve-month prevalence continues to increase with age; for example, in an international survey of 14,000 university students, around 18.5% experienced major depressive disorder and 16.7% generalised anxiety disorder [4]. 2011;33(1):2936. No studies were excluded on the basis of quality. Mutual support and mutual aid are the names more likely to refer to volunteer-based groups. This positive approach focuses on a person's competencies and strengths rather than on the symptoms. 2013;24(112):42633. Although they should not be seen as cheap labour, with the right support structures in place [26], peer workers are able to be trained more readily than other professions. 2012;1:7. Social Media Utilization of peers in services for youth with emotional and behavioral challenges: A scoping review. searchRxiv. 2013;89(9):6214. 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. PubMed Honing in on mental health. Our hope is that as the field develops further and there is improved consistency in both approaches (e.g., outcomes) and reporting that this will be possible. tasks becoming clinical in nature), professional stigma (i.e. As peer work is increasingly becoming a focus of research, it is important that knowledge is well translated into program implementation to ensure that youth peer workers are supported and programs are cost-effective and adequately integrated into existing services. 1. mental health support We sought to investigate in which ways, in which contexts, and for whom, peer support appears to work or not work. Peer support has become increasingly popular for young people with anxiety and depression, but the evidence base is unclear. 3 . Mental Health mental health support We would like to acknowledge additional technical support from Sarah Bostock, Stefanie De Silva, Alicia Randell, Samantha Cooke, Kelly Allott, Nicola Acevedo, Bridget Moore, steering group members (Rafi Armanto, Nawira Baig, Diana Dimitrov, Aisling Dillon, Mahalia Dixon, Cassandra Jankovic, Kiera Jean Lowe, Lauren Luliani, Niamh Petrie, and one anonymous member), and experts who participated in interviews (Mikaela Basile, Michelle Blanchard, Naeem Dalal, Mardi Daley, Raffael Masuda, Janet Walker, and three anonymous interviewees). People with lived experience of a mental health condition often experience social exclusion through reduced social participation in their communities [1, 2].In turn this reduced social contact and support are recognised as risk factors for exacerbating mental ill-health [1, 3, 4].Community and cultural engagement (CCE) in activities such as In 2020, a charity called It's Worth Talking About was formed to provide peer support groups for men and women across the region and the rest of the UK. Peer support interventions in adult populations generally did not impact quality of life, overall symptom severity, social inclusion [15], depression and anxiety symptoms [16], measures of hospitalisation [16], or service satisfaction [18]. PRISMA flow diagram summarising study selection processes through the review. WebAbout Peer support workers are people who have lived experience of mental health challenges themselves. This recent evidence suggests that peer support may reduce hospitalisations, an important objective outcome for health services worldwide. PubMed employers and/or peer workers not knowing what the role is and how it fits within the service), role diffusion (i.e. Int J Psychosoc Rehabil. 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. For those who received peer support, depression scores were lower than controls, most participants reported intervention satisfaction, and it was cost-effective. 2022. 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. BMC Psychiatry 23, 194 (2023). Training for leaders to address work WebThe peer-support message of hope and strength reshapes the conversation around 2018;12(3):4747. Mental illness accounts for about one-third of the worlds disability caused by all adult health problems, resulting in enormous personal suffering and socioeconomic costs.1 Severe mental A systematic review and meta-analysis of group peer support Peer-supported self-management for people discharged from a mental health crisis team: a randomised controlled trial. Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. Additionally, most of the parents also believed that a peer support leader would be more likely to understand what challenges a teenager was facing than adults Regardless, peer support interventions appear to be effective at improving hope, empowerment, increasing patient activation and self-efficacy [15, 16]. However, there was wide variability in patient populations, with many studies focusing on subpopulations, such as perinatal mothers. 2021;20(2):23343. Generativity among persons providing or receiving peer or mutual support: A scoping review. Peer support has been widely tested in educational settings with children and adolescents; however, peers are not required to have lived experience, meaning they dont contribute to our understanding of lived experience as an active ingredient or align with the core principles of peer support in mental health contexts. 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]. In total, 43 articles were identified, which included only three randomised controlled trials. Demand for college peer counselors is booming. Mental Health Support 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]. ; 2018. p. d. Fava N, Simmons MB, Anderson R, Zbukvic I, Baker D. Side by side: supporting youth peer work in mental health services. Psychiatr Serv. In 1948, the World Health Organization defined health as a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity [].Multi-sector and community-based Peer support Dissonance-based eating disorder prevention improves intuitive eating: a randomized controlled trial for Brazilian women with body dissatisfaction. 2021;175(11):114250. The contributions made by YPSWs are a promising development to facilitate consumer-centered and recovery-oriented care. This systematic review examined implementation barriers and facilitators for peer support worker interventions that are integrated into mental health provider organizations. Peer Support in Mental Health: Literature Review - PubMed [13]) and are likely exacerbated for young people [55, 56], future research should use designs incorporating implementation science methodologies from the outset. teentribe The rest were designed for young people at risk of eating disorders or body image concerns (n=4); any mental illness (n=2), alcohol and drug misuse (n=1), and first episode psychosis (n=1). 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). Therefore, peer support is a strong candidate intervention for young people with depression and anxiety, as people in this age group experience high rates of such concerns, and they are likely to be more receptive to seeking help from peers before or during engagement with formal clinical services. Early Human Dev. In recent years, peer support groups have become a popular way to help people with their mental health. How to Challenge Six Myths About Peer Support and Wellness Peer support services are services designed and delivered by individuals who have experienced a mental or substance use disorder Trachtenberg M, Parsonage M, Shepherd G, Boardman J. Available from: https://cabidigitallibrary.org/doi/full/https://doi.org/10.1079/searchRxiv.2022.00008. The Chronic Misunderstanding of the Peer Role Peer Support According to the companys website, an average initial therapy appointment costs $140, followed by $85 for each follow-up session. 2011;5(4):33542. Australian Journal Primary Health. Early Interv Psychiatry. Retrieved records are screened against pre-defined eligibility criteria at title/abstract and full-text stages, and included studies are coded within the database to support searching. 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]. Through peer support, people with experience managing recovery from a The variability of this requirement, which is mirrored in research with adults [15,16,17], is just one factor that is indicative of the generally heterogeneous array of definitions of peer support, in terms of the setting, intervention, and characteristics of thepeerworker. In line with our institutional requirements, we did not have to seek ethical approval to involve either group as advisors. Int J Eat Disord. However, more recent evidence [19] has demonstrated a reduction in 12-month rate of readmission to acute care following a self-management program delivered by peer workers after patients had left the care of mental health crisis teams. J Community Psychol. Four studies tested slightly different versions of a lived-experience peer worker-led intervention known as the Body Project Collaborative (see Table 3 for intervention details), which aims to prevent eating disorders and body dissatisfaction. Similarly, Huang, Yan [22] reviewed randomised controlled trials (RCTs) of women with perinatal depression who received either peer support or TAU. Peer support Kessler RC, Amminger GP, Aguilar-Gaxiola S, Alonso J, Lee S, Ustun TB. The lack of clarity in the evidence we did find (e.g. Specific mechanisms of action for peer support in youth depression and anxiety are yet to be proposed and tested. (link is external) over a months time. 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. Mead S, McNeil C. Peer support: What makes it unique? Growing up in recovery: 3 peer programs that - Mental Health This is at odds with both the theoretical underpinnings of peer support models (e.g. McCabe C, Claxton K, Culyer AJ. WebBackground: Being aware of the challenges that may occur during the implementation of peer support work in psychiatry is important to facilitate the integration of peer support workers (PSWs) into multidisciplinary mental health-care teams. By Frederic G. Reamer, PhD. Data were extracted from eligible studies into a standardised template (see Supplementary File 2) covering intervention details, attributes of peer workers, and outcomes measured. The National Institute for Health and Care Excellence, Preferred Reporting Items for Systematic Reviews and Meta-Analyses. 2010;16(6):102530. The effectiveness of one-to-one peer support in mental health services: a systematic review and meta-analysis. German D, Sutcliffe CG, Sirirojn B, Sherman SG, Latkin CA, Aramrattana A, et al. UPSIDES (Using Peer Support In Developing Empowering mental health Services) is a six-country consortium carrying out Peer support specialists are individuals with lived experience who offer The searches retrieved 2,982 papers in total (see Fig. Mental health challenges availability of peer supervision, appropriate training and professional development) [13, 14]. ; 2020. Further, given that a number of barriers to implementing peer work in practice have been identified for adults (e.g. Resende TRO, Almeida M, dos Santos Alvarenga M, Brown TA, de Carvalho PHB. The intervention had been adapted prior to the trial using community based participatory research methods for use in College settings. mental health Adolescents. 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. This study was designed to examine a Unhealthy behaviors such as smoking, drinking, and illicit drug use often begin during adolescence and are closely related to increased morbidity and mortality and represent major public health challenges . We have nonetheless ensured reporting is in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement [39] (see Supplementary file 4 for checklist). Peer workers may act as a bridge between, for example, untrained friends and accessing mental health services. J Affect Disord. The emphasis on social relationships and contributing to the community may have affected feelings of isolation and stigma, particularly within a collectivist culture such as Thailand.
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