Presentation on theme: "Peer support Mike Slade Institute of Psychiatry"— Presentation transcript:
1Peer support Mike Slade Institute of Psychiatry South London and Maudsley NHS Foundation Trust29 April 2010
2What do recovered people identify as important to their recovery? HopeIdentityMeaningPersonal responsibilityAndresen R et al (2003) The experience of recovery from schizophrenia: towards anempirically-validated stage model, Australian and New Zealand Journal of Psychiatry, 37,
3RECOVERY SUPPORT TASKS aka The job of mental health professionals1. Fostering relationships2. Promoting well-being3. Offering treatments4. Improving social inclusion
4Fostering relationships with… …oneself…valued others…peers…professionals…the world
5What is peer support? A “credible role model” Multiple levels Davidson L, Rakfeldt J, Strauss J (2010) The roots of the recovery movement in psychiatry, Chichester: Wiley-BlackwellMultiple levelsMutual self-help groupsPeer support workersPeer-led services
6What do mutual self-help groups do? Personal stories and community narrativesRole modelsOpportunity role structuresSocial support, sense of belonging, connectionRandall KW, Salem DA (2005) Mutual-help groups and recovery: the influence of settings on participants’ experience of recovery. In: Ralph RO, Corrigan PW, eds. “Recovery in Mental Illness: Broadening our Understanding of Wellness”, Washington DC: American Psychological Association, 173–205.
7Mutual self-help groups Hearing Voices Network (www.hearing-voices.org)Schizophrenics Anonymous(www.sanonymous.org)I surrender. I admit I need help; I can’t do it aloneI choose to be well. I take full responsibility for my choicesI now come to believe that I have great inner resources and I will try to use these resources to help myself and othersI forgive myself for all the mistakes I have made. I also forgive everyone who has injured or harmed meI make a decision to turn my life over to the care of God, as I understand Him…I ask to be changed in depth
8Personal stories Stories matter. Many stories matter. Stories have been used to dispossess and malign, but stories can also be used to empower and to humanise.Stories can break the dignity of a people, but stories can also repair that broken dignityChimanda Adichi
9Peer Support Worker policy All mental health services will be expected to recruit and train service users as part of the workforceDepartment of Health (2001) The Journey to Recovery –The Government’s vision for mental health care, London: Department of Health.Peer support and natural support networks are seen as important in recovery as well as giving good value for money. …A common theme is shifting the balance of staffing…from medical to nursing, social care, talking therapy and peer support workersHM Government (2009) New Horizons, London: Department of Health, pp
10Peer support workersI have often noticed that when I employed a madman who had just recovered his senses either to sweep or to assist a servant, and then to become himself a servant…that his state improved every month, and that somewhat later he was totally cured.Jean-Baptiste Pussin, Governor of the Asylym at Bicêtre, 1793
11Benefits 1. For the Peer Support Worker 2. For other staff 3. For other service users4. For the systemScottish Government (2009) Evaluation of the Delivering for Mental Health Peer Support Worker Pilot Scheme, Scottish Government Social Research.
13Key We Way www.wellink.org.nz/services/keyweway.htm
14RCT evidence: peer-led services In-patient mental health services (n=393)Consumer-operated unlocked service vs. locked inpatient unitImprovements in symptoms and great improvement in satisfactionGreenfield TK et al (2008) A Randomized Trial of a Mental Health Consumer-ManagedAlternative to Civil Commitment for Acute Psychiatric Crisis,American Journal of Community Psychology, 42,Consumer-operated mental health services (n=1,827)Drop-in / peer support / education & advocacy vs TAUImprovements in empowerment, dose-effectRogers ES et al (2007) Effects of participation in consumer-operated service programs on bothpersonal and organizationally mediated empowerment: Results of multisite study,Journal of Rehabilitation Research & Development, 44,
15100 Ways to support recovery Free to download from:rethink.org/100wysPractice guidePersonal Recovery and Mental IllnessCambridge University PressBook20-22 Sep 2010, LondonFurther information at:researchintorecovery.comConference