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Ser HXE, Pua XYV, Li Z, Goh YS. Experiences of Certified Peer Support Specialist Providing Formal Peer Support in Mental Health Services: A Systematic Review and Meta-Synthesis. Int J Ment Health Nurs 2024. [PMID: 39252191 DOI: 10.1111/inm.13415] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/25/2023] [Revised: 08/13/2024] [Accepted: 08/18/2024] [Indexed: 09/11/2024]
Abstract
Peer support specialists (PSSs) in mental healthcare services are individuals recovering from mental health conditions and providing formal peer support to clients with similar conditions. Despite evidence of the benefits of this modality and the increasing demand for it, little is known about the PSSs' experiences in mental healthcare services. This review systematically synthesises available qualitative data on the certified PSSs' experiences in providing formal peer support in mental healthcare services. A search was performed across six electronic databases and one grey literature database for all published and unpublished qualitative studies in English between 2014 and 2022. Mixed-methods studies were included if their qualitative data were extractable. This review included PSSs who provided formal peer support to clients with similar mental health conditions. The included studies were appraised through the Critical Appraisal Skills Program Qualitative checklist, while data extraction was done through a customised tool. Our meta-synthesis revealed an overarching theme on certified PSSs' journey in mental healthcare services, alongside four main themes: (i) emotional impacts of being PSSs, (ii) struggle to justify their roles, (iii) complex roles of PSSs and (iv) sources of support. The review has provided an insightful understanding of the PSSs' roles and needs, for which there is a need to cultivate a supportive working environment. Given the difficulties in adopting the PSSs' roles, as demonstrated by our findings, future research should explore how mental healthcare organisations can address their work-related challenges and cultivate a supportive working environment.
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Affiliation(s)
- Hui Xian Eileen Ser
- Alice Lee Centre for Nursing Studies, Yong loo Lin School of Medicine, National University of Singapore, Singapore, Singapore
| | - Xin Yi Vera Pua
- Alice Lee Centre for Nursing Studies, Yong loo Lin School of Medicine, National University of Singapore, Singapore, Singapore
| | - Ziqiang Li
- Institute of Mental Health, Singapore, Singapore
| | - Yong Shian Goh
- Alice Lee Centre for Nursing Studies, Yong loo Lin School of Medicine, National University of Singapore, Singapore, Singapore
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Moeller SB, Larsen PV, Austin S, Slade M, Arendt IMTP, Andersen MS, Simonsen S. Scalability, test-retest reliability and validity of the Brief INSPIRE-O measure of personal recovery in psychiatric services. Front Psychiatry 2024; 15:1327020. [PMID: 38807686 PMCID: PMC11130469 DOI: 10.3389/fpsyt.2024.1327020] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/24/2023] [Accepted: 04/29/2024] [Indexed: 05/30/2024] Open
Abstract
Introduction Mental health services have transitioned from treating symptoms to emphasizing personal recovery. Despite its importance, integrating personal recovery into clinical practice remains work in progress. This study evaluates the psychometric qualities of the Brief INSPIRE-O, a five-item patient-reported outcome measure assessing personal recovery. Method The study collected data from 2018 to 2020 at the Mental Health Services, Capital Region of Denmark, using an internet-based system examining 8,192 non-psychotic patients - receiving outpatient treatment. Materials This study evaluated the Brief INSPIRE-O and used measures of symptomatology (SCL-10), well-being (WHO-5), and social functioning (modified SDS). Results The study population comprised 76.8% females with a mean age of 32.9 years, and diagnoses included anxiety (28%), depression (34%), and personality disorder (19%). The mean Brief INSPIRE-O score (39.9) was lower than the general population norm (71.1). The Brief INSPIRE-O showed acceptable test-retest reliability (0.75), scalability (0.39), and internal consistency (0.73). Correlations with other mental health criteria were in the expected direction for symptomatology (-0.46), well-being (0.60), and social functioning (-0.43) and remained consistent across diagnoses. Discussion The Brief INSPIRE-O demonstrated strong psychometric qualities and could be recommended as a measure of personal recovery for use in both research and clinical practice. Its strong theoretical basis and short completion time make it suitable for use for research. Incorporating Brief INSPIRE-O into clinical assessment will further support the process of mental health systems re-orientating towards personal recovery.
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Affiliation(s)
- Stine Bjerrum Moeller
- Psychotherapeutic Center Stolpegård, Region Hovedstad Psychiatry, København, Denmark
- Department of Psychology, Faculty of Health Sciences, University of Southern Denmark, Odense, Denmark
- Department of Trauma and Torture Survivors, Mental Health Services of Southern Denmark, Vejle, Denmark
| | - Pia Veldt Larsen
- Mental Health Services in the Region of Southern Denmark, Vejle, Denmark
| | - Stephen Austin
- Department of Psychology, Faculty of Health Sciences, University of Southern Denmark, Odense, Denmark
- Psychiatric Research Unit, Psychiatry Region Zealand, Slagelse, Denmark
| | - Mike Slade
- Institute of Mental Health, University of Nottingham, Nottingham, United Kingdom
- Faculty of Nursing and Health Sciences, Nord University, Bodø, Norway
| | - Ida-Marie T. P. Arendt
- Department of Psychology, Faculty of Health Sciences, University of Southern Denmark, Odense, Denmark
- Department of Trauma and Torture Survivors, Mental Health Services of Southern Denmark, Vejle, Denmark
| | | | - Sebastian Simonsen
- Psychotherapeutic Center Stolpegård, Region Hovedstad Psychiatry, København, Denmark
- Department of Psychology, Faculty of Social Sciences, University of Copenhagen, Copenhagen, Denmark
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Leung KCY, Bakr B, Chung C, Parmar M, Elhindi J, Brakoulias V. A streamlined multidisciplinary metabolic clinic in psychiatric recovery service: a pilot study. Front Psychiatry 2024; 15:1344453. [PMID: 38445084 PMCID: PMC10913053 DOI: 10.3389/fpsyt.2024.1344453] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/08/2023] [Accepted: 02/07/2024] [Indexed: 03/07/2024] Open
Abstract
Background The metabolic syndrome (MetS) is a collection of risk factors for cardiovascular disease and type-2 diabetes, that includes central obesity, hypertension, hyperglycaemia and dyslipidaemia. An audit indicated inadequate MetS screening in an Australian psychiatric recovery service. Objectives We aimed to improve MetS screening, identification and intervention by offering streamlined lifestyle education, clinical reviews and discharge planning. This pilot program prioritized holistic, culturally-sensitive, patient-centric, and trauma-informed approaches to enhance metabolic health outcomes. Methods A Metabolic Clinic was piloted in two psychiatric rehabilitation cottages (n=35), which involved disciplines of dietetics, exercise physiology, diversional therapy, occupational therapy, peer workforce, social work, clinical psychology, pharmacy, nursing and medical. Another cottage (n=15) was assigned as the comparison and received standard care. A 12-week, 3-times-per-week lifestyle and behavioral program, called MetFit, was devised and offered to those identified at screening for the treatment cottages. Outcome measures were feasibility measures, the five metabolic parameters (waist circumference, blood pressure, fasting serum triglycerides, high-density lipoprotein, and glucose), functional measures, and a meal questionnaire. Results The treatment cottages had qualitative advantages in screening and identifying MetS. Of four enrolled consumers in MetFit, an improvement of triglycerides (p=0.08), squats (p=0.02), and push-ups (p=0.07) was observed. Major challenges of enrolment included an overall lack of acknowledgment of its importance, poor motivation of consumers and resources limitation. Conclusions The one-stop provision of groups, peer support and inpatient pathway with multidisciplinary team-integration was generally accepted by consumers and the MDT and has iteratively demonstrated the urgent need for consumer-centered physical care and a cultural shift to foster collaboration within a psychiatric service.
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Affiliation(s)
- Kelvin CY. Leung
- Recovery Service, Cumberland Hospital, WSLHD, Sydney, NSW, Australia
- Research and Education Network, WSLHD, Sydney, NSW, Australia
- Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia
| | - Bianca Bakr
- Recovery Service, Cumberland Hospital, WSLHD, Sydney, NSW, Australia
| | - Cindy Chung
- Recovery Service, Cumberland Hospital, WSLHD, Sydney, NSW, Australia
| | - Mayuri Parmar
- Recovery Service, Cumberland Hospital, WSLHD, Sydney, NSW, Australia
| | - James Elhindi
- Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia
| | - Vlasios Brakoulias
- Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia
- School of Medicine and Translational Health Research Institute, Western Sydney University, Sydney, NSW, Australia
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Parker S, Arnautovska U, Korman N, Harris M, Dark F. Comparative Effectiveness of Integrated Peer Support and Clinical Staffing Models for Community-Based Residential Mental Health Rehabilitation: A Prospective Observational Study. Community Ment Health J 2023; 59:459-470. [PMID: 36057000 PMCID: PMC9981709 DOI: 10.1007/s10597-022-01023-8] [Citation(s) in RCA: 6] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/13/2022] [Accepted: 08/22/2022] [Indexed: 11/28/2022]
Abstract
This observational study compared the outcomes of consumers receiving community-based residential mental health rehabilitation support in Australia under a clinical staffing model and an integrated staffing model where Peer Support Workers are the majority component of the staffing profile. Reliable and clinically significant (RCS) change between admission and discharge in functional and clinical assessment measures were compared for consumers receiving care under the clinical (n = 52) and integrated (n = 93) staffing models. Covariate analyses examined the impact of known confounders on the outcomes of the staffing model groups. No statistically significant differences in RCS improvement were identified between the staffing models. However, logistic regression modelling showed that consumers admitted under the integrated staffing model were more likely to experience reliable improvement in general psychiatric symptoms and social functioning. The findings support the clinical and integrated staffing models achieving at least equivalent outcomes for community-based residential rehabilitation services consumers.
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Affiliation(s)
- Stephen Parker
- School of Medicine, The University of Queensland, Brisbane, Australia. .,Metro South Addiction and Mental Health Services, Woolloongabba, Australia. .,Metro North Addiction and Mental Health Service, Chermside, Australia. .,The Prince Charles Hospital, Chermside, QLD, 4032, Australia.
| | - U Arnautovska
- School of Medicine, The University of Queensland, Brisbane, Australia
| | - N Korman
- School of Medicine, The University of Queensland, Brisbane, Australia.,Metro South Addiction and Mental Health Services, Woolloongabba, Australia
| | - M Harris
- School of Public Health, The University of Queensland, Brisbane, Australia
| | - F Dark
- School of Medicine, The University of Queensland, Brisbane, Australia.,Metro South Addiction and Mental Health Services, Woolloongabba, Australia
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Parker S, Dark F, Newman E, Wyder M, Pommeranz M, Walgers R, Meurk C. Staff Experiences of Integrating Peer Support Workers and Clinical Staff in Community-Based Residential Mental Health Rehabilitation: A Pragmatic Grounded Theory Analysis. Community Ment Health J 2022; 59:703-718. [PMID: 36422740 DOI: 10.1007/s10597-022-01054-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/18/2022] [Accepted: 11/07/2022] [Indexed: 11/25/2022]
Abstract
Mental health services are increasingly incorporating the views and expertise of people with a lived experience of mental illness in service delivery. A novel approach to this is the 'integrated staffing model' being trialled at two Australian public residential mental health rehabilitation services (Community Care Units, CCUs) where peer support workers (PSWs) occupy the majority of staff roles and work alongside clinicians. Semi-structured interviews were completed with fifteen staff 12-to-18-months after service commencement. Transcripts were analysed following principles of grounded theory analysis. Key emergent themes were: (1) recovery is a deeply personal and non-linear process; (2) The CCU as a transitional learning environment; (3) the integrated staffing model facilitates an effective rehabilitation team; and (4) coming together under the integrated staffing model required a steep learning curve. The findings suggest that the integrated staffing approach may provide a pathway to facilitate the meaningful inclusion of PSWs in rehabilitation settings.
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Affiliation(s)
- Stephen Parker
- School of Medicine, University of Queensland, St Lucia, Australia. .,The Prince Charles Hospital, Metro North Addiction and Mental Health Service, Chermside, Australia. .,Metro South Addiction and Mental Health Services (MSAMHS), 199 Ipswich Road, Woolloongabba, QLD, 4102, Australia. .,School of Medicine, Griffith University, Nathan, QLD, Australia.
| | - Frances Dark
- School of Medicine, University of Queensland, St Lucia, Australia.,Metro South Addiction and Mental Health Services (MSAMHS), 199 Ipswich Road, Woolloongabba, QLD, 4102, Australia
| | - Ellie Newman
- Metro South Addiction and Mental Health Services (MSAMHS), 199 Ipswich Road, Woolloongabba, QLD, 4102, Australia
| | - Marianne Wyder
- Metro South Addiction and Mental Health Services (MSAMHS), 199 Ipswich Road, Woolloongabba, QLD, 4102, Australia
| | - Matthew Pommeranz
- Metro South Addiction and Mental Health Services (MSAMHS), 199 Ipswich Road, Woolloongabba, QLD, 4102, Australia
| | - Rebecca Walgers
- Metro South Addiction and Mental Health Services (MSAMHS), 199 Ipswich Road, Woolloongabba, QLD, 4102, Australia
| | - Carla Meurk
- Queensland Centre for Mental Health Research, Forensic Mental Health Group, Wacol, QLD, Australia.,School of Public Health, University of Queensland, Herston, Australia
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