Peer Support in Mental Health Services

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1 Peer Support in Mental Health Services Dr Julie Repper Director ImROC Recovery Lead Notts Healthcare NHS Trust Professor University of Nottingham Editor Mental Health and Social Inclusion

2 nd then you meet someone who has been through it and as survived, in fact they are living a meaningful, Just imagine that you are.. rightened lone nable to explain how you feel eople treat you differently nable to believe that you will get through this ou can t trust your self

3 So this is peer support? eople explicitly drawing on their own lived experiences to support others eople who have been there and moved on in their lives so they embody ecovery and convey messages of hope eople who have found ways out of similar crises and so bring experience nd confidence to support others eople who know how important it is to ave someone who believes in you and kes you seriously and gives you time

4 he words of peer support workers y know I m not the expert, they know we re us, both trying to beat the same demons, we re trying to work things through together said to her I ve got my own experience of tal illness, I ve been on the ward myself and n, and with that she sort of jumped up and e me this huge big bear hug ople who are going through it will look at you

5 Today ringing peer support into services hat difference does it make? ow does it make a difference? eeping true to core principles eer support around the world ommon challenges and some solutions

6 Intentional Peer Support mployment of people with lived rience of mental health conditions ental health services role includes explicitly drawing on own experiences to support rs going through similar things work as volunteers, interns or employees, but job description ld include

7 What difference does peer support make? views of evidence suggest that ing psws to teams a) does no harm b) improves lives of people supported c) influences culture d) cuts costs d) improves lives of peers

8 t benefits (recoup cost of salary 3:1) pact on the lives of people supported roved empowerment greater belief in, and ity to, overcome difficulties, feel more erstood and accepted e hopeful - inspired by meeting people who e similar experiences and people who have rcome similar challenges uction in service use, longer community re, fewer crises

9 How? I want to be able to show people that owever low you go down, there is a way p, and there is a way out I just want to help people kind of realise hat s important for them, not what s mportant for me The thing I try to install is, no matter here you are, if you want to get omewhere else you can, there s always a

10 ogress personal recovery: ills learnt on the job aid their n recovery Peer Support can change the lives of peer support workers reased self-esteem, confidence empowerment. nefits of being employed (financial, social, status, ucture) combined with the supervision and safety a job in which they are free to disclose their ficulties

11 How? st and foremost I find it a really fulfilling job, I look forward to work ry day. Planning my own diary and supporting people in what they do ork hard to keep myself well now, got a reason to look after myself better en you re driving to visit somebody and you re lping them to work towards their goals and you t think, how cool is this? I can t believe I get d for it! made a real big difference to me you know, just contributing

12 er Support can change the system ommunication: help providers and patients to understand each ther better nhance provision: complement work of other team members by dded skills in community inclusion and development, coaching and roblem solving hange staff attitudes: inspire belief in Recovery reak down barriers between us and them ; challenge ssumptions.

13 ifferent factions forming and stories are developing about arious forms of peer support... But there are all kinds of challenges... ifferent roles, definitions, codes of conduct, job descriptions, rganisations, training, supervision. isk of becoming socialised into the normal way of working mbiguity about relationships, boundaries, disclosure & anagement of personal information

14 Sticking to the defining characteristics of peer support Mutuality Reciprocity Strengths based Communityfacing Nonprescriptive Personcentred Recoveryfocused Safe Progressive

15 Mutuality his refers to sharing experiences: Demonstrating that they share similar experiences fear, guilt, feeling overwhelmed Sharing coping strategies things that have worked for them ll done with care a fundamental part of training: For the benefit of the other person, not themselves Nothing said in secret Judge what to say, how to say it, how much to say, when and to whom

16 Facilitate access to opportunities to do the things they want to do identify goals, take steps to achieve them, find the community resources and supports to covery Focused very interaction needs to Inspire hope Enable person to take back control develop understanding and/or self management skills

17 ommunity Facing er workers often know the local community well and need constantly develop their knowledge of resources, activities d facilities that can support people to regain roles and lationships. ccess is not judged by the quality of the relationship tween peer and person so much as by the quality and ntribution that the person can make to improving their roles

18 Reciprocity is refers to learning from each other ing and taking in the supportive ationship hough peer worker is generally further ahead in ir recovery journey, they can Acknowledge when they hear a good idea, coping strategy, place to feel included Learn new skills by doing with - sewing, music, sport

19 trengths Based ather than focusing on deficits, disabilities, needs nd dysfunctions, peer support workers build on trengths, resilience, assets and skills. hey build skills in identifying strengths which ight not be acknowledged by the person, and hen use these to build confidence, identify new oals and progress towards them.

20 ince peers share their own experiences they often hear more than ther staff about traumatic experiences and about high risk Safe his refers to the safety of both the peer support worker and the erson they are supporting. motional, social and psychological safety all need to be onsidered. sound code of conduct is required, and this needs to be nderstood by peers.

21 Non-Directive eer workers are trained to use active listening as their rimary tool. hey may use a problem solving approach and they might xpress their own views and experiences but they are not here to give advice or tell people what to do. eople can find their own solutions and understandings given ime within a supportive and interested relationship.

22 erson-centred very individual is different and it is important for eer workers to avoid assuming that they can nderstand others solely with reference to their wn experience. ll support needs to be based on the individual ituation and the individual s goals and supports vailable to them.

23 Progressive t is tempting for peer workers to fall into a friendship ather than a professional role. However, friends are ery different and need to be enabled through the upport rather than provided by peer workers. t can be helpful to set a time limit for peer support so hat both parties are aware of the need to move orward and work towards goals outside the service

24 r Support around the World eer support is the biggest and growing - new role in the US and the UK. eer support workers are developing across Europe (we have trained peers Italy, Belgium, offered support for training in Sweden, Norway, France, witzerland) lso developing in less developed countries like Uganda, India, and in apan, Hong Kong and Asia where we have offered support and training. eer workers have developed separately in Canada, Australia and New ealand. here are national accreditation systems in Australia and New Zealand and S. Local accreditation in UK and in Italy.

25 ritical questions in developing peer support here will they be employed - what sort of services and what ind of roles? hat training will they be offered a nationally accredited raining course or locally determined? hat sort of career pathway? hat sort of support and supervision will be provided? hat will you do about other staff with lived experience are hey peers too?

26 Finally t is well worth investing in Peer support hey really do drive change Recovery focused change in services nd improve the experience and outcomes of people using services hey are not a cheap option

27 Thank you

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