Peer support in adult mental health services: A metasynthesis of qualitative findings.

Walker, Gill; Bryant, Wendy

doi:10.1037/h0094744

Cited by 310Mental Health and Patient InvolvementPsychiatric care and mental health servicesFamily Caregiving in Mental Illness

Peer support in adult mental health services: A metasynthesis of qualitative findings.

Walker, Gill, Bryant, Wendy·2013·Psychiatric Rehabilitation Journal

DOI 10.1037/h0094744

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Abstract

OBJECTIVES: Peer support involves people in recovery from psychiatric disability offering support to others in the same situation. It is based on the belief that people who have endured and overcome a psychiatric disability can offer useful support, encouragement, and hope to their peers. Although several quantitative reviews on the effectiveness of peer support have been conducted, qualitative studies were excluded. This study aimed to synthesize findings from these studies. METHOD: A qualitative metasynthesis was conducted, involving examination, critical comparison, and synthesis of 27 published studies. The experiences of peer support workers, their nonpeer colleagues, and the recipients of peer support services were investigated. RESULTS: Peer support workers experiences included nonpeer staff discrimination and prejudice, low pay and hours, and difficulty managing the transition from "patient" to peer support worker. Positive experiences included collegial relationships with nonpeer staff, and other peers; and increased wellness secondary to working. Recipients of peer support services experienced increased social networks and wellness. CONCLUSIONS AND IMPLICATIONS FOR PRACTICE: The findings highlight training, supervision, pay, nonpeer staff/peer staff relationships, as important factors for statutory mental health peer support programs.

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Systematic reviews from HICs on peer support indicated promising results, in terms of increased empowerment, confidence, self-esteem, hope, social support and functioning, for both the peers and persons with mental illness.
“Systematic reviews from HICs on peer support indicated promising results, in terms of increased empowerment, confidence, self-esteem, hope, social support and functioning, for both the peers and persons with mental illness [25, 28].”
From Barefoot therapists: barriers and facilitators to delivering maternal mental health care through peer volunteers in Pakistan: a qualitative study (2016) · cites this paper as [28]
Other studies found that peers offered friendship, shared personal experience, used empathic skills to build rapport, and were perceived as respected members of the community.
“This is consistent with findings from other studies in which peers offered friendship, shared personal experience [42], and used empathic skills to build rapport [28, 43, 44] and were perceived respected members of the community [45].”
From Barefoot therapists: barriers and facilitators to delivering maternal mental health care through peer volunteers in Pakistan: a qualitative study (2016) · cites this paper as [28]
Other studies highlighted training and supervision as crucial to maintain community health volunteers' interest and motivation, to enhance their credibility, and for the success of the peer support role.
“The significance of training and supervision was also highlighted in other studies as crucial to maintain community health volunteers’ interest and motivation [48], to enhance their credibility [49] and for the success of the peer support role [28].”
From Barefoot therapists: barriers and facilitators to delivering maternal mental health care through peer volunteers in Pakistan: a qualitative study (2016) · cites this paper as [28]
Studies on peer support in adult mental health services in HICs have indicated monetary benefit as a significant factor for peers' motivation.
“While studies on peer support in adult mental health services in HICs have indicated monetary benefit as a significant factor for peers’ motivation [28]”
From Barefoot therapists: barriers and facilitators to delivering maternal mental health care through peer volunteers in Pakistan: a qualitative study (2016) · cites this paper as [28]

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Can peer support workers benefit mental health services?
(2024) · doi:10.3310/nihrevidence_64594
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Exploring the experiences of mental health peer support workers: interactions with colleagues and managing wellbeing
Taylor, L. (2020) · ePrints Soton (University of Southampton)

Authors: Walker, G., & Bryant, W.
Affiliations: Brunel University of London (GB)
ORCID: Bryant, Wendy
Venue: Psychiatric Rehabilitation Journal
Publisher: American Psychological Association (APA)
Published: 2013-03
Volume: 36
Issue: 1
Pages: 28-34
ISSN: 1095-158X (ISSN-L)
1559-3126
DOI: 10.1037/h0094744
OpenAlex: W2318446137
Cited by: 310
References: 58
Citations by year: 2026: 19 · 2025: 21 · 2024: 30 · 2023: 30 · 2022: 40 · 2021: 34 · 2020: 31 · 2019: 24 · 2018: 21 · 2017: 25 · 2016: 14 · 2015: 13 · 2014: 7 · 2013: 1
FWCI: 21.12
Type: journal article
Language: en
Open access: closed
Locations: Psychiatric Rehabilitation Journal (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Health Professions › General Health Professions › Mental Health and Patient Involvement
Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
Social Sciences › Psychology › Clinical Psychology › Family Caregiving in Mental Illness
Keywords: peer support, peer support workers, adult mental health services, psychiatric disability, recovery, prejudice and discrimination, social networks, wellness
MeSH terms: Workforce, Adult, Humans, Mental Health Services, Peer Group, Self-Help Groups, Qualitative Research

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Peer support in adult mental health services: A metasynthesis of qualitative findings.

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