5 principles of peer support

This is recognised in policy documents in England, Scotland and Wales. They demonstrate the role that services can play in this if they can make the right opportunities available. Relationships with others who share your experience are unlikely to be helpful if they are overly prescriptive, burdensome, or felt to be unsafe (in terms of trust and confidentiality). When people feel a sense of belonging they are more apt to feel engaged and motivated. This is clearly an important area for further study. The recent Schizophrenia Commission (2012, p.35) specifically recommends that all mental health providers should review opportunities to develop specific roles for peer workers. Being employed as a peer worker is generally seen as a positive and safe way to re-enter the job market and thus resume a key social role (Mowbray et al., 1998). We also learned that recognition need not be elaborate or expensive, but merely authentic and deserved. London: Sainsbury Centre for Mental Health. 2. Relationship-focused 4. Fundamental Principles Within Peer Support - Post-Secondary Peer The research article, Making a Case for Culturally Humble Leadership Practices through a Culturally Responsive Leadership Framework (Campos-Moreira et al. How will you do that? With a problem-focused lens, the goal is to figure out what people dont like about the program and the team works to fix those issues, and in the process hopefully more people will attend. Learn how BCcampus supports open education and how you can access Pressbooks. In the United States, 27 states have collaborated to create a scoping and guidance document for peer support (Daniels et al., 2010). 5 Altmetric Metrics Abstract Purpose Evidence suggests that the distinctive relational qualities of peer supportcompared to clinical-patient relationshipscan be eroded in regulated healthcare environments. Is there a way the focus can be shifted to better meet the needs of the group? Safety: peer support has structures in place to create physical and emotional safety and one of those structures is the supervision that peer supporters should be offered. Visit the SAMHSA YouTube channel, Visit SAMHSA on LinkedIn Peer workers have also been employed in various different roles and settings in Australia (Franke et al., 2010), New Zealand (Scott et al., 2011) and various parts of Europe (Castelein et al., 2008). In his book he calls leaders positive change catalysts with leaders participating equally as one of the many essential voices at the table.. When we are a part of a team and we feel that sense of acknowledgement from our leaders and fellow team members, it fosters connection. Cookie information is stored in your browser and performs functions such as recognising you when you return to our website and helping our team to understand which sections of the website you find most interesting and useful. SAMHSA's mission is to lead public health and service delivery efforts that promote mental health, prevent substance misuse, and provide treatments and supports to foster recovery while ensuring equitable access and better outcomes. PDF Guidelines for the Practice and Training of Peer Support London: Department of Health. Question everything. This Code serves as a guide for responsibility and ethical standards for NCC AP National Certified Peer Recovery Support Specialists. It can be fueled by interests, or a desire to make an impact on the world. There is even beginning to be some evidence that peers, working alongside traditional professionals, can be highly cost effective and reduce demands on other services. Self-determination theory has application across all cultures, genders and ages. Below is the Peer Support Canada Code of Conduct (shared with permission): I will act ethically, according to the values and principles of peer support. Peer support is about meeting people where they are at and serving others with a knowledge of equity. In the Creating an Ecology of Self-Determination module, under the section Encouragement and Self-Determination there are 5 points discussed regarding offering encouragement. Support, time and recovery STR workers) and with peer advocacy. We experience intrinsic motivation when we feel a sense of enjoyment or purpose in the work itself. In this case, we particularly wish to acknowledge the contribution of those whose work on the theory and practice of peer support has led the field and inspired others. Language has power. Voluntary. Care Quality Commission (2009) Mental health acute inpatient services survey. Alternatively, they may be employed in addition to staff in existing teams (inpatient or community) to bring a specific focus on the needs of service users: As will be evident from the above, the peer support role as an adjunct to existing staff roles has considerable overlap with nonpeer support roles (e.g. How do Peer Providers Apply the Principles of Peer Support? Language itself is a key example of social constructionism. Celebrating wins and victories, and mourning losses together supports the cultivation of a strong, connected culture. Domains and Core Competencies in Peer Support. In our review, we summarize the principles of peer support, the effects of peer support and the challenges of peer support, as demonstrated in the articles. I will treat all people with respect and dignity. Working together, co-producing services alongside traditional mental health professionals, they can offer a truly comprehensive and integrated model of care. There are five core values that are essential to peer support. Of course, formal processes do not guarantee that the role will be allowed to develop in a creative and sensitive way, but they do provide a framework within which this is possible and within which distortions should they occur can be clearly identified. When things dont go as planned, or we feel like we messed up, we can avoid getting stuck in a shame spiral when we get curious and choose to learn instead of ruminating on our mistakes. Ashcroft, L. & Anthony, W. (2008) Eliminating Seclusion and Restraint in Recovery-Oriented Crisis Services. We have argued strongly for the value of establishing peer support roles to promote recovery in mental health organisations. It essentially applies a lot of what we have already talked about within this training, but focuses on groups. Improve an existing youth peer group by using these principles. I just stand back and watch him work his magic. Supporting learning in Recovery Colleges (Perkins et al., 2012) working with staff to co-produce and co-deliver courses and facilitate productive engagement. Peer support workers serve with a social justice mindset, and intentionally practice empathy, compassion & self-compassion. We often get stuck on wanting to know the answers, but the question is often more important than the answer, because it opens the door to exploration. The post was therefore converted to a peer healthcare assistant and three part time peers were recruited. outpatient consultations) helping the service user think through questions and concerns prior to appointments and how best to convey these to professionals. This can specifically help to establish the culture of shared decision making (e.g. How will you identify strengths of your team members? We intentionally build on already existing strengths. However, it is not always enough simply to share experiences related to mental health. A leader, first and foremost, is human. Healthcare organizations, nurses and other medical staff need to know the six principles of trauma-informed care: safety; trustworthiness and transparency; peer support; collaboration and mutuality; empowerment, voice and choice; and cultural issues. Leading on personal recovery planning, using their own experience to help the person identify and prioritise goals, develop understanding, control and selfmanagement strategies and to ensure that all of this is communicated to the professional staff team. Within teams, valuing autonomy means that employees/volunteers must have some agency and decision making power over how they fulfill their tasks and duties. Scottish Recovery Network (2011) Experts by Experience: Guidelines to support the development of Peer Worker roles in the mental health sector. We thoughtfully and purposefully move in the direction of flourishing, rather than only responding to pain and oppression. History of Peer Support 4 Topics | 4 Quizzes 1600's & 1700's. . Peer workers help those they serve identify and build on strengths and empower them to choose for themselves, recognizing that there are multiple pathways to recovery. PDF Peer Support for Children and Young People's Mental Health and What will you do to ensure transparency with people on your team, while still having boundaries, and respecting confidentiality? In peer support, boundaries are set in order to keep both parties safe and comfortable. It may be for particular groups of people (with a specific health condition or from a certain ethnic group, for instance). . They typically have a personal experience with the condition they work with and can provide an empathetic ear and advice, encouragement, and guidance. You should try this because it worked for me. 8. A strength-based approach like AI simply reframes the question to focus on what we can do rather than on what we cant do. David Cooperrider developed Appreciative Inquiry in the 1980s. The core values have application within your peer support leadership and facilitation work, and you will also be able to take many of these concepts and apply them to future experiences. When have you felt the most motivated in a job or at school? Engage people in shared decision-making conversations about accessing evidence-based treatment for their condition. Intentional Peer Support is a valuable tool in your mental health toolbox. Did it make you feel connected to the team, or disconnected? This could be at school, perhaps working on a group project, within your family of origin, or even when you have worked in a part-time job? Psychiatric Services, 59, 1198- 1202. Appreciative Inquiry (AI) is a systems change management tool. As leaders, the invitation and challenge of self-determination is to respect and trust the people we work with, believing that there is a natural desire within everyone that wants to be motivated and engaged. Prior to 2010, it would have been difficult to find a single peer support worker employed in mental health services in England, but in 2013 Nottinghamshire Healthcare NHS Trust employs 25 peer support workers, Cambridgeshire and Peterborough NHS Foundation Trust employs 32; Central and North West London NHS Foundation Trust employs 12. In your words, why do you think mutuality is such an important aspect of peer support? Five principles referred in detail to: relationships based on shared lived experience; reciprocity and mutuality; validating experiential knowledge; leadership, choice and control; discovering strengths and making connections. The research base is also growing and confirming that peers, appropriately recruited, trained and supported can have multiple benefits, for those providing the service, for those receiving it and for the organisations themselves. Peer support | Mental Health Foundation Set healthy boundaries while maintaining . Trauma-informed 5. What we can do, however, is create conditions for people to become intrinsically motivated. (Cherry, 2022) motivation is defined this way. The draft core competencies were posted online for public comment. Rockville, MD: Center for Mental Health Services, Substance Abuse and Mental Health Services Administration. We are using cookies to give you the best experience on our website. They always take the time to talk, whereas other staff members may get called away. This is another reason for an organization/community to build a strong connection to a set of core values. The MHCC sought input from more than 600 I will limit my video game time to 2 hours maximum a day. Peer support workers acknowledge that deep worth by: practicing cultural humility and sensitivity. The peer support worker and the peer equally co-create the relationship, and both participate in boundary creation. Because of their claims to special knowledge, mental health professionals often prescribe the best course of action for those whom they serve. In the article, How to apply Self-determination theory to boost workplace motivation (Wedgwood, 2020) the author shares what his organization does to encourage motivation in their organization: To boost staff competence, we encourage peer-to-peer mentoring to ensure people of varying levels of seniority can coach each other. Shepherd, G., Boardman, J. Understanding the Religious and Spiritual Lives of Young People in America, Navigating Loss, Grief, and Pastoral Care during the Pandemic, Resources for Asian-American Congregations. A good leader is able to recognize when they are wrong, and knows how important it is to seek out different opinions and perspectives. Please identify what else could be done to ensure your programme achieves its aims: And hopefully changing their lives for the better. serving with a trauma-informed approach. The peers are working in partnership with the trained nurses on the recovery needs of prolific offenders with mental health problems. Hope-Based Conversations are created by seeking out different ways of talking about experiences. Finally, we demonstrate autonomy by letting our people work remotely and benefit from flexible working schedules. They had all previously spent time in inpatient settings. Bracke, P., Christiaens, W. & Verhaeghe, M. (2008) Self-Esteem, Self-Efficacy, and the Balance of Peer Support Among Persons With Chronic Mental Health Problems. 2.1. Available from: www.pillarsofpeersupport.org. Perkins, R., Rinaldi, M. & Hardisty, J. They require constant updates and discourage independent thinking.). Now, what does all of this have to do with leadership and being strength-based? Principles of peer support . As leaders, we set the tone for our teams. They recognise the value of community based peer support services, user-led self-help groups, mentoring and befriending, and time-banking schemes, which enable service users to be both providers and recipients of support (DH, 2011, p.32) and recommend peer support as one of the roles of mental health organisations in implementing the mental health strategy (DH, 2012, p.51). All human beings have intrinsic value. We support the facilitation and creation of an ecology where people can feel free to tap into their inner motivation. A number of other organisational challenges have been identified which can potentially get in the way of peer support workers being able to make their maximum contribution. The ImROC briefing papers draw upon this work. As leaders, what we choose to focus on shapes the culture of the group or organization. Matt has a background in classroom, digital and experiential education. Another way to educate others about peer support is to explain the core values that guide it. Peer workers can also use their personal experience to influence organisational policies, procedures and behaviours. Mead, S., Hilton, D. & Curtis, L. (2001) Peer support: A theoretical perspective. A person's recovery is built on his or her strengths, talents, coping abilities, resources, and inherent values. When we create conditions that allow for a measure of autonomy, we encourage intrinsic motivation. Many other trusts employ peers as trainers, in volunteer, bank and mentoring posts. Stopping gives you the chance of knowing less, of halting the perception-narrowing force of the cognitive biases that we are always trying to confirm, of taking the jerk out of knee-jerk and sitting with the meaninglessness of the stimuli, even if it doesnt feel meaningless. The issue is that people arent attending a certain workshop that is being offered under the peer program. When were used to a top-down approach, it can feel a lot easier and much more comfortable for us to micromanage and try to control other people; it feels like there is less risk that things wont get done that way, but it leads to loss of connection, trust and true motivation for your team. We actively work towards deconstructing those social blockades that prevent inclusion and acceptance. This is the overarching value of peer support. Copyright Implementing Recovery through Organisational Change (ImROC) 2022. When people are employed in large, bureaucratic organisations, there are perhaps even greater dangers of the role being blurred and people being exploited as cheap labour. They know Im not the expert, they know were just us, both trying to beat the same demons, and were trying to work things through together. As a leader, motivation is a tricky thing. This is clearly a danger. In order to make navigating these situations a little easier, we have put together some principles for peer support in this part of the online course. You get to bring your full self to the work. 3 minutes. As this team leader said: Peer workers have significantly changed the recovery focus of our team, they challenge the way we talk about people from a problem and diagnosis focus to one of strengths and possibilities (Politt et al., 2012). There are many different ways in which peer workers can be employed within mental health services. ensuring that all staff have access to the same support for their personal wellbeing as peers do. Otherwise people will struggle with incentive, commitment, and follow-through. Cultural competence nestled within cultural humility serves as a lens to explore self-awareness and engage in critical self-reflection. In Recovery Innovations in the U.S. over half the mental health workers employed by the service are trained peers (See META Services Arizona in Shepherd, Boardman & Slade, 2008); and in Nottinghamshire the aim is for at least two peer workers in every team (see Nottinghamshire Healthcare Trust Recovery Strategy 2009-12, 2013-16). (Vinney, 2019). Just as peer workers provide hope and inspiration for others experiencing mental health problems, they challenge negative attitudes of staff and provide an inspiration for all members of the team. In the Very Well Mind article What Is Motivation? This is well articulated by peer support workers from Nottingham. For details see www.recoveryinnovations.org). Thus, it is particularly important to evaluate the effects of adding peer support workers to acute inpatient teams. For more information on the current work of ImROC, please visit imroc.org. Receiving support from the . I wanted to be able to show people that however low you go down, there is a way up, and there is a way out The thing I try to install is, no matter where you are, if you want to get somewhere else you can, theres always a route to get to where you want to be.. 7. When we are rigid and singularly focused, we steamroll people and breakdown trust and connection. The Revolution.). Peer support is offering and receiving help, based on shared understanding, respect and mutual empowerment between people in similar situations. This paper is accompanied by a second publication (Developing peer support workers in your organisation, in preparation) which will cover the practical details of implementation in more depth. 2000's. 2000's . When we are intrinsically motivated we do things willingly. Please enable Strictly Necessary Cookies first so that we can save your preferences! Intrinsic motivation is motivation born out of purpose, meaning, and/or pure enjoyment. You meet someone to talk about how you're feeling or to set goals, for example. PDF 5. Peer Work Values and Principles - Mental Health Commission of New The NAADAC/NCC AP National Certified Peer Recovery Support Specialist (NCPRSS) Code of Ethics outlines basic values and principles of peer recovery support practice. Training, mentoring, and supervision can help people develop core competencies. Peer support encompasses a personal understanding of the frustrations experienced with the mental health system and serves to reframe recovery as making sense of what has happened and moving on, rather than identifying and eradicating symptoms and dysfunction (Bradstreet, 2006; Adams & Leitner, 2008). They can be used to inform peer training programs, help develop certification standards, and inform job descriptions. We join in a journey of growth and discovery. We actively work towards deconstructing those social blockades that prevent inclusion and acceptance. You do not have to pretend you are something you are not. online forums. Caring for Relationship. Vicarious Trauma, Secondary Traumatic Stress, and Retraumatization, The Importance of Safety, Predictability and Choice in Our Peer Support Interactions, Compassionate Curiosity - Asking Good Questions, Section 1: Mental Health Including Supporting Someone who is Experiencing an Acute Psychiatric Crisis, When Someone You Are Supporting is Experiencing an Acute Psychiatric Crisis, When Someone you Support is in an Acute Psychiatric Crisis, The Power of a Hopeful Response to Suicidal Ideation, Section 2: Mental Health Supporting Someone who is Grieving, Unpacking Old Paradigms of Cycles of Grief, We Cant Fix it: Supporting Someone Who is Grieving, Section 3: Harm Reduction and Supporting Someone Who Uses Substances, A Peer Support Approach to Supporting Students Who Use Substances, Overview of all 12 Social Determinants of Health (SDOH), Three Types of Stigma: Public, Internalized, and Stigma-by-Association, Social Justice, Advocacy & Moving Forward with Hope, Exercises in Developing Your Leadership Skills, Facilitation Skills for Delivering Workshops and Leading Events. If thats the case then vulnerable leaders are by far the most courageous. Peer workers are emerging as important members of treatment teams. Department of Health (2011) No Health without Mental Health: A cross-government mental health outcomes strategy for people of all ages. The ImROC programme has specifically recommended the development of peer worker posts as a driver of recovery-focused organisational change (see Challenge 8 in Shepherd et al. Rather they are intended to guide the development of initial and ongoing training that supports peer workers entry into this important work and continued skill development. What are some ways you can become more comfortable with conflict? This section builds upon that knowledge; we will be taking the concepts covered there and you will apply them to the development of your leadership, and facilitation skills. Patrick has worked in peer support for over 25 years and believes that it should be a primary service offered to all people living with mental health issues. When we think of mutuality in peer support, its helpful to go back to why this is a core value, and from there we can figure out how to apply it in a leadership setting. This is facilitated by clear guidelines on how to discuss difficult . Peer support has been described as "a system of giving and receiving help" based on key principles that include "shared responsibility, and mutual agreement of what is helpful."1Peer support workers engage in a wide range of activities, including advocacy, linkage to resources, sharing of experience, community and relationship building, group fa. In order to foster an environment that is equitable and inclusive, and one that invites full, safe participation by all members, we must do a few things: We must practice and model cultural humility and cultural competence, which includes maintaining a posture of humility and curiosity when we get it wrong. Lessons from Peer Support Among Individuals with Mental Health The shared experiences of peers in mental health settings are most commonly their mutual experiences of distress and surviving trauma. The employment of peer workers in itself therefore drives change towards more recovery-focused organisations. Advances in recovery-focused practice arise from collaborative partnerships between individuals and organisations. Perhaps its fair to say that courage, vulnerability and leadership all go hand in hand in hand. How do you want to approach this in your work? PDF IC&RC Domains of Peer Recovery Advocacy - ICAADA Introduction The Perinatal Peer Support Principles were co-designed by people with lived experience, maternal mental health and maternity professionals, organisations facilitating peer support, Mind and the McPin Foundation. Peer providers can play many roles in support for people living with psychiatric disorders and in That is one of Brens points, vulnerability and leadership go hand in hand. The words we choose are forming the reality in which we live. AI involves the art and practice of asking unconditionally positive questions that strengthen a systems capacity to apprehend, anticipate, and heighten potential. Creating the conditions of self-determination means that we must lead with intention to create opportunities for growth, skill-building, autonomy, community-building, and connection. Peer support is a way for people from diverse backgrounds who share experiences in common to come together to build relationships in which they share their strengths and support each other's healing and growth. What is the goal you identified for your campus or peer program? Being a peer is not just about having experienced mental health challenges, it is also about understanding the meaning of such experiences within the communities of which the person is a part. Principles of peer support 1.1. SAMHSA's Definition of Recovery . Often, we make negative assumptions about people or situations. If you disable this cookie, we will not be able to save your preferences. It is very easy to get caught up in a power over mindset when we are only focused on a narrow idea of success as accomplishing goals. This briefing paper has been produced for the Implementing Recovery through Organisational Change programme, a joint initiative from the Centre for Mental Health and the NHS Confederations Mental Health Network. The introduction of peer workers is a powerful way of driving forward a recovery-focused approach within a team. For example, if an organisation is to employ peer workers, then human resources departments will need to reconsider general recruitment and selection policies and the use of Criminal Records Bureau (CRB) checks. What are some simple practices you can do with your team to build a positive culture? We support the facilitation and creation of an environment where people can feel free to tap into their inner motivation. How can some of the practical difficulties of establishing peer support workers be addressed? ~Simon Sinek, Start with Why: How Great Leaders Inspire Everyone to Take Action. London: Together/University of Nottingham/NSUN. As people with lived experiences, the peer supporters and the people they support may . Conflict is something that will always come up when human beings gather. Thus, processes for supporting staff and improving wellbeing may be improved not just for peers, but for the whole workforce (Perkins, Rinaldi & Hardisty, 2010). Definition from the Core Values: We are always intentional about how curiosity and inquiry support connection, growth, learning and engagement. All human beings have intrinsic value. We are always intentional about how curiosity and inquiry support connection, growth, learning and engagement. Supporting the diversity of lived experience that people bring to peer support applied across principles. Social Constructionism is a term used in sociology. Christchurch, New Zealand: University of Canterbury. The key to integrity remains the commitment to our core principles: mutuality, reciprocity, non-directive, recovery-focused, person-centred, strengths-based, community-facing and safe. 1900's. 1900's . We need belonging. ~ Beau Lotto. Repper, J. The difference is that peer support workers are specifically employed to use their personal experience to support others. He decided to change the questions that were being asked. Ideally, peer support programs are developed and implemented under the organizational structure of the parent agency. Addressing weak spots is important for us as individuals and for organizations. Words create worlds. Non-directive. The reality is that while we can incentivize behaviour, we cant actually motivate others. police) in relation to mental health issues. But it is also about seeing within that distress the seeds of possibility and creating a fertile ground for those seeds to grow. Shepherd, G., Boardman, J. It is what causes you to act, whether it is getting a glass of water to reduce thirst or reading a book to gain knowledge.

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