ABSTRACT
In the past decades, psychiatric care has changed from the traditional medical model to a more person-centered and recovery-focused approach. In this process, peer support workers are essential, because with their lived experience of crisis and recovery they are able to spread hope.This article gives an overview of the recent literature describing the current change model of peer support, reporting the evidence of peer support, as well as the current stage of implementation of peer support in different psychiatric contexts.An overview of the current state of research, selected by the authors, based on repeated systematic literature searches in peer support research projects, is given. Additionally, some examples of user involvement from the Hamburg EX-IN Curriculum, trialogs between sufferers, relatives and professionals, as well as the so-called psychosis seminars are described in more detail.Peer support has shown promising results in one-to-one and group settings, case management, crisis interventions, and the reduction of coercive measures.Although there are promising results of peer support in various clinical contexts, multiple challenges in the implementation of peer support are reported. They need to be overcome by the inclusion of all staff members in the change process of the system in order to further develop user-oriented and recovery-oriented psychiatric care.
Subject(s)
Crisis Intervention , Peer Group , Psychotic Disorders/therapy , Counseling , Evidence-Based Medicine , Germany , Humans , Interpersonal Relations , Psychotic Disorders/psychologyABSTRACT
Objective Participation of mental health services users in research is increasingly acknowledged in Germany. Principles for successful involvement include research training for service users. The aims of the project were (1) to develop and (2) to evaluate a research training. Methods The research training was developed in five participatory meetings and piloted with 28 participants. They answered questions on the research training and about their interest in research, research-related empowerment and research participation. Results Interest in research did not change. But there is a difference between research-related empowerment before (t1) and after (t2) the research training (zâ=â-â2.237; pâ=â0.025). The number of participants registered in scientific studies increased from 4 (t1) to 8 three months later (t3) whereas the number of participants reporting own research ideas decreased from 7 (t1) to 5 (t3). Conclusion Although interest has not been affected, the evaluation shows significant effects on research-related empowerment in participants. Results concerning transfer are divergent. However, feedback was positive. We are planning to disseminate and refine the training.
Subject(s)
Biomedical Research/education , Mental Disorders/psychology , Mental Disorders/therapy , Patient Participation/psychology , Psychiatry/education , Adult , Biomedical Research/organization & administration , Curriculum , Female , Germany , Hospitals, University , Humans , Male , Middle Aged , Patient Satisfaction , Pilot Projects , Power, Psychological , Program Evaluation , Transfer, PsychologyABSTRACT
Severe mental illness comes along with cyclic hospital re-admission, heavy losses in quality of life and stigmatization. Therefore a refinement of intervention is still required, for patients themselves and their relatives. In mental health services there is an international trend toward recovery-orientated interventions, like peer support. In Germany this is the first trial to implement peer-support area-wide in a metropolis. This article describes the implementation of the network, the methodology of the research setting and the baseline data of the randomized controlled trial.
Subject(s)
Caregivers/psychology , Mental Disorders/psychology , Mental Disorders/therapy , Peer Group , Social Support , Adult , Chronic Disease , Crisis Intervention , Female , Germany , Hospitalization , Humans , Male , Middle Aged , Quality of Life/psychology , Social Stigma , Young AdultABSTRACT
Evidence shows that poor mental health literacy and stigmatization have negative consequences on mental health. However, studies on interventions to improve both are often heterogenic in methodology and results. The psychenet-campaign in Hamburg was developed and implemented in collaboration with patients and relatives and comprised multidimensional interventions focusing on education and contact to patients. The main goals were the improvement of mental health literacy and destigmatization and the long-term implementation within Hamburg's mental health care system.
