A systematic review of influences on implementation of peer support work for adults with mental health problems.
Soc Psychiatry Psychiatr Epidemiol
; 55(3): 285-293, 2020 Mar.
Article
em En
| MEDLINE
| ID: mdl-31177310
ABSTRACT
PURPOSE:
The evidence base for peer support work in mental health is established, yet implementation remains a challenge. The aim of this systematic review was to identify influences which facilitate or are barriers to implementation of mental health peer support work.METHODS:
Data sources comprised online databases (n = 11), journal table of contents (n = 2), conference proceedings (n = 18), peer support websites (n = 2), expert consultation (n = 38) and forward and backward citation tracking. Publications were included if they reported on implementation facilitators or barriers for formal face-to-face peer support work with adults with a mental health problem, and were available in English, French, German, Hebrew, Luganda, Spanish or Swahili. Data were analysed using narrative synthesis. A six-site international survey [Germany (2 sites), India, Israel, Tanzania, Uganda] using a measure based on the strongest influences was conducted. The review protocol was pre-registered (Prospero CRD42018094838).RESULTS:
The search strategy identified 5813 publications, of which 53 were included. Fourteen implementation influences were identified, notably organisational culture (reported by 53% of papers), training (42%) and role definition (40%). Ratings on a measure using these influences demonstrated preliminary evidence for the convergent and discriminant validity of the identified influences.CONCLUSION:
The identified influences provide a guide to implementation of peer support. For services developing a peer support service, organisational culture including role support (training, role clarity, resourcing and access to a peer network) and staff attitudes need to be considered. The identified influences provide a theory base to prepare research sites for implementing peer support worker interventions.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Grupo Associado
/
Saúde Mental
/
Aconselhamento
Tipo de estudo:
Qualitative_research
/
Systematic_reviews
Limite:
Adult
/
Humans
País como assunto:
Africa
/
Asia
/
Europa
Idioma:
En
Ano de publicação:
2020
Tipo de documento:
Article