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Managing Peer Support Workers in Swedish Mental Health Services—A Leadership Perspective on Implementation and Sustainability

Grim, Katarina ; Bergmark, Magnus ; Argentzell, Elisabeth LU and Rosenberg, David (2023) In Journal of Psychosocial Rehabilitation and Mental Health 10(3). p.313-329
Abstract

Even though it has been demonstrated that peer support contributes to positive outcomes for service users, organizational implementation issues remain. The aim of the current study was to examine an implementation of peer support from the perspective of managers in order to develop knowledge of factors influencing sustainability of this initiative. Eighteen managers were interviewed in connection with the introduction of peer support in sixteen mental health settings. Interviews were analyzed utilizing inductive and deductive approaches. The results suggested that managers were predominantly positive in their evaluation of peer support as a recovery-oriented addition to their services, but noted developmental issues regarding role,... (More)

Even though it has been demonstrated that peer support contributes to positive outcomes for service users, organizational implementation issues remain. The aim of the current study was to examine an implementation of peer support from the perspective of managers in order to develop knowledge of factors influencing sustainability of this initiative. Eighteen managers were interviewed in connection with the introduction of peer support in sixteen mental health settings. Interviews were analyzed utilizing inductive and deductive approaches. The results suggested that managers were predominantly positive in their evaluation of peer support as a recovery-oriented addition to their services, but noted developmental issues regarding role, professional identity, supervision and financing in relation to other traditional personnel. The involvement of the user movement, especially with regard to training and supervision helped prepare staff and support peer workers, yet there was some apprehension attached to the critical scrutiny that this `outsider’ perspective might imply. The results confirm previously noted uncertainties regarding peer support as an integrated component of mental health systems and illuminate a number of culturally conditioned challenges that may hamper peer support from being implemented with the same approach as other interventions. In response, the present study suggests a number of focus areas that should be attended to in future implementation efforts, including issues related to staff roles, power dynamics, connection to the user movement and reconsideration of the value of experience-based knowledge. In the Swedish context, a government level commitment was identified as critical to ensure stable funding.

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Please use this url to cite or link to this publication:
author
; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Manager perspectives, Mental health services, Peer support, Sustainable implementation
in
Journal of Psychosocial Rehabilitation and Mental Health
volume
10
issue
3
pages
313 - 329
publisher
Springer
external identifiers
  • scopus:85139936854
ISSN
2198-9834
DOI
10.1007/s40737-022-00311-6
language
English
LU publication?
yes
id
2d886dcc-005c-45d2-b071-52fd05182907
date added to LUP
2023-01-23 08:38:29
date last changed
2023-10-26 14:53:45
@article{2d886dcc-005c-45d2-b071-52fd05182907,
  abstract     = {{<p>Even though it has been demonstrated that peer support contributes to positive outcomes for service users, organizational implementation issues remain. The aim of the current study was to examine an implementation of peer support from the perspective of managers in order to develop knowledge of factors influencing sustainability of this initiative. Eighteen managers were interviewed in connection with the introduction of peer support in sixteen mental health settings. Interviews were analyzed utilizing inductive and deductive approaches. The results suggested that managers were predominantly positive in their evaluation of peer support as a recovery-oriented addition to their services, but noted developmental issues regarding role, professional identity, supervision and financing in relation to other traditional personnel. The involvement of the user movement, especially with regard to training and supervision helped prepare staff and support peer workers, yet there was some apprehension attached to the critical scrutiny that this `outsider’ perspective might imply. The results confirm previously noted uncertainties regarding peer support as an integrated component of mental health systems and illuminate a number of culturally conditioned challenges that may hamper peer support from being implemented with the same approach as other interventions. In response, the present study suggests a number of focus areas that should be attended to in future implementation efforts, including issues related to staff roles, power dynamics, connection to the user movement and reconsideration of the value of experience-based knowledge. In the Swedish context, a government level commitment was identified as critical to ensure stable funding.</p>}},
  author       = {{Grim, Katarina and Bergmark, Magnus and Argentzell, Elisabeth and Rosenberg, David}},
  issn         = {{2198-9834}},
  keywords     = {{Manager perspectives; Mental health services; Peer support; Sustainable implementation}},
  language     = {{eng}},
  number       = {{3}},
  pages        = {{313--329}},
  publisher    = {{Springer}},
  series       = {{Journal of Psychosocial Rehabilitation and Mental Health}},
  title        = {{Managing Peer Support Workers in Swedish Mental Health Services—A Leadership Perspective on Implementation and Sustainability}},
  url          = {{http://dx.doi.org/10.1007/s40737-022-00311-6}},
  doi          = {{10.1007/s40737-022-00311-6}},
  volume       = {{10}},
  year         = {{2023}},
}