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Peer Support Workers. Linda Reid Joyce Mouriki. Delivering for Mental Health Commitment. Commitment 2 – We will have in place a training programme for Peer Support workers by 2008 with peer support workers being employed in 3 Board areas later that year. What is peer support.
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Peer Support Workers Linda Reid Joyce Mouriki
Delivering for Mental Health Commitment • Commitment 2 – We will have in place a training programme for Peer Support workers by 2008 with peer support workers being employed in 3 Board areas later that year.
What is peer support Using personal knowledge and experience of a particular issue to help and support others who are experiencing that same issue.
Peer support and recovery? • Modelling recovery • Importance of support from peers regularly cited • Long standing demands for greater user involvement in services • Employs people with experience of mental health problems • Gives an opportunity to contribute and ‘give back’ • Powerful empathetic relationship • Can promote better engagement and outcomes • Impact on wider culture in service
Role and function • Partly defined by setting (options) • ‘Model’ recovery and describe recovery process • Use own recovery story in work • Opportunity for service users to direct own care and recovery processes • Social and emotional support • Based on developing knowledge of elements of recovery • Ensure a forward looking wellness focus using recovery tools and techniques (WRAP?) • Advanced statements • Particular role in transitions?
Edinburgh PSW To assist service users to establish and maintain a meaningful and fulfilling life in the community, by being a role model/ facilitator using own ‘lived experience’ of recovery.
(EPSW) Responsibilities (extract) • To establish a supportive relationship with each service user, enabling them to maximise their own resources in order to improve their quality of life. • To deliver support as part of a support and recovery plan agreed with the service user, the referring agency, and Penumbra. • To share/teach coping and self management techniques.
(EPSW)Requirements Experience • Personal experience of recovery from mental health problems • Experience of being in a supportive and enabling role Skills Ability to share personal story of recovery in a professional manner Personal Qualities • Non Judgmental • respectful Values and attitudes • Belief that people can and do recover form mental health problems
(EPSW) Personal Attributes • Positive attitude towards mental health professionals • Like working with a variety of people, and have an appreciation of individuals’ unique values • Good interpersonal skills, particularly the ability to be warm and empathetic • Respectful of another person’s right to refuse help or change • Ability to learn and work in a team setting Source: Surrey Community Services 2005
The added value to peer recipients • Empathy “Been through the same as you” • Mentoring “Can guide you according to their experience” • Trust Shared language and culture • Equality of relationship • Instil hope and self belief • Doing something for themselves, not having some-thing done to them
The added value to peer provider • Increase in self esteem • Empowerment • Opportunity to develop skills and use experience • Helper principle • Employment • Mutual relationship with peers
The added value to organisation • Promoting Change • Learning • Change mindset. Change values • “Putting money where mouth is” – with regard to involvement • Expand the range of services
The impact Studies suggest • Larger social support networks • Gains in quality of life and well being • Enhanced self esteem and social functioning • As effective, or more effective, than non-peer provided services • Reduced hospitalisation
Concerns • Role conflict, professionals’ anxieties • Dual roles, especially as worker and service user • Boundaries • Confidentiality • Shift of the locus of control • Ensuring user leadership • Stressful nature of the role
Challenge • You have a peer support worker joining your team, ward or service next month. • How would you ensure they were supported/ enabled to make the most impact? • How might you address current staff concerns?
Overcoming concerns • Planning in partnership • Clarity of role (negotiated job descriptions) • Agreed procedures and policies • Training for peers • Support and supervision • Supportive organisation and team • Open dialogue, training for team, organisational development interventions
SE to use Meta accredited courses Content • 16 Modules • 3 Sections: - Knowing Yourself recovery, self esteem and self talk, meaning and purpose - Preparing Yourself for Work telling your story,employment as a path to recovery - Skills Development communication skills,conflict resolution, listening skills, challenging situations
Making it work • “Services must be aligned with consumer/service user objectives” • “Administrators and clinicians must “buy-in” to the recovery philosophy. Typical efforts to elicit this buy-in include exhortation, training, and organisational development interventions”. Sabin and Daniels, 2003. • Services must commit resources for the long term