Journal of Korean Academy of Nursing (대한간호학회지)

Korean Society of Nursing Science (한국간호과학회)
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Experience of Peer Support Work among People with Mental Illness in the Community: A Grounded Theory Approach

정신장애인의 동료지원가 활동 경험: 근거이론 접근

  • Received : 2021.10.05
  • Accepted : 2022.02.21
  • Published : 2022.04.30
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Abstract

Purpose: This study discovered a substantive theory of the experience and process of peer support work among people with mental illness. Methods: The participants were members of community-based mental health facilities and had been working as peer supporters for more than six months. The data were collected through in-depth interviews with twelve participants and analyzed using Corbin and Strauss's grounded theory approach. Results: The core category was "becoming a healer going with patients in the journey of recovery," and the core phenomenon was "identity confusion as a peer supporter." The causal conditions were "starting peer support work without certainty" and "standing at the boundary between the therapist and patient." The intervening conditions were "willingness to become a successful peer supporter," "feeling a sense of homogeneity with the patient," "accepting the mental illness," and "support from people around." The action and interaction strategies were "letting go of greed," "being open about oneself," "developing professional skills," "maintaining wellness in the body and mind," and "being with the patient." The consequences were "becoming a useful person," "changing attitude toward life," "expansion of the sense of self-existence," "recovering from mental illness," and "discovering a role as peer supporter." Finally, the substantive theory of "becoming a healer going with patients in the journey of recovery" was derived. Conclusion: This study provides a holistic understanding of peer support work and the implications of interventions to help people with mental illness in a person-centered recovery process.

Keywords

Acknowledgement

This study was supported by Ajou University Medical Center (No. M-2019-C0460-00026).

References

  1. Corrigan PW, Larson JE, Smelson D, Andra M. Recovery, peer support and confrontation in services for people with mental illness and/or substance use disorder. The British Journal of Psychiatry. 2019;214(3):130-132. https://doi.org/10.1192/bjp.2018.242
  2. Mahlke CI, Priebe S, Heumann K, Daubmann A, Wegscheider K, Bock T. Effectiveness of one-to-one peer support for patients with severe mental illness - a randomised controlled trial. European Psychiatry. 2017;42:103-110. https://doi.org/10.1016/j.eurpsy.2016.12.007
  3. Goldstrom ID, Campbell J, Rogers JA, Lambert DB, Black-low B, Henderson MJ, et al. National estimates for mental health mutual support groups, self-help organizations, and consumer-operated services. Administration and Policy in Mental Health. 2006;33(1):92-103. https://doi.org/10.1007/s10488-005-0019-x
  4. Moran GS, Kalha J, Mueller-Stierlin AS, Kilian R, Krumm S, Slade M, et al. Peer support for people with severe mental illness versus usual care in high-, middle- and low-income countries: Study protocol for a pragmatic, multicentre, randomised controlled trial (UPSIDES-RCT). Trials. 2020; 21(1):371. https://doi.org/10.1186/s13063-020-4177-7
  5. Puschner B, Repper J, Mahlke C, Nixdorf R, Basangwa D, Nakku J, et al. Using peer support in developing empowering mental health services (UPSIDES): Background, rationale and methodology. Annals of Global Health. 2019;85(1):53. https://doi.org/10.5334/aogh.2435
  6. Shalaby RAH, Agyapong VIO. Peer support in mental health: Literature review. JMIR Mental Health. 2020;7(6):e15572. https://doi.org/10.2196/15572
  7. Ha KH. Qualitative case study on the peer support services for people with psychiatric disabilities in the community. korean journal of qualitative research in social welfare. 2020;14(1):5-37. https://doi.org/10.22867/kaqsw.2020.14.1.5
  8. Fan Y, Ma N, Ma L, Xu W, Steven Lamberti J, Caine ED. A community-based peer support service for persons with severe mental illness in China. BMC Psychiatry. 2018;18(1):170. https://doi.org/10.1186/s12888-018-1763-2
  9. Lloyd-Evans B, Mayo-Wilson E, Harrison B, Istead H, Brown E, Pilling S, et al. A systematic review and meta-analysis of randomised controlled trials of peer support for people with severe mental illness. BMC Psychiatry. 2014;14:39. https://doi.org/10.1186/1471-244X-14-39
  10. Pitt V, Lowe D, Hill S, Prictor M, Hetrick SE, Ryan R, et al. Consumer-providers of care for adult clients of statutory mental health services. Cochrane Database of Systematic Reviews. 2013;(3):CD004807. https://doi.org/10.1002/14651858.CD004807.pub2
  11. Scanlan JN, Hancock N, Honey A. Evaluation of a peer-delivered, transitional and post-discharge support program following psychiatric hospitalisation. BMC Psychiatry. 2017; 17(1):307. https://doi.org/10.1186/s12888-017-1469-x
  12. Austin E, Ramakrishnan A, Hopper K. Embodying recovery: A qualitative study of peer work in a consumer-run service setting. Community Mental Health Journal. 2014;50(8):879-885. https://doi.org/10.1007/s10597-014-9693-z
  13. Fan Y, Ma N, Ma L, Zhang W, Xu W, Shi R, et al. Feasibility of peer support services among people with severe mental illness in China. BMC Psychiatry. 2019;19(1):360. https://doi.org/10.1186/s12888-019-2334-x
  14. Yuen WW, Tse S, Murray G, Davidson L. 'From my point of view, my wife has recovered': A qualitative investigation of caregivers' perceptions of recovery and peer support services for people with bipolar disorder in a Chinese community. International Journal of Social Psychiatry. 2019;65(4):305-312. https://doi.org/10.1177/0020764019842287
  15. Stubbs B, Williams J, Shannon J, Gaughran F, Craig T. Peer support interventions seeking to improve physical health and lifestyle behaviours among people with serious mental illness: A systematic review. International Journal of Mental Health Nursing. 2016;25(6):484-495. https://doi.org/10.1111/inm.12256
  16. Gagne CA, Finch WL, Myrick KJ, Davis LM. Peer workers in the behavioral and integrated health workforce: Opportunities and future directions. American Journal of Preventive Medicine. 2018;54(6 Suppl 3):S258-S266. https://doi.org/10.1016/j.amepre.2018.03.010
  17. Simpson A, Oster C, Muir-Cochrane E. Liminality in the occupational identity of mental health peer support workers: A qualitative study. International Journal of Mental Health Nursing. 2018;27(2):662-671. https://doi.org/10.1111/inm.12351
  18. Walker G, Bryant W. Peer support in adult mental health services: A metasynthesis of qualitative findings. Psychiatric Rehabilitation Journal. 2013;36(1):28-34. https://doi.org/10.1037/h0094744
  19. Vandewalle J, Debyser B, Beeckman D, Vandecasteele T, Deproost E, Van Hecke A, et al. Constructing a positive identity: A qualitative study of the driving forces of peer workers in mental health-care systems. International Journal of Mental Health Nursing. 2018;27(1):378-389. https://doi.org/10.1111/inm.12332
  20. Corbin J, Strauss A. Basics of qualitative research: Techniques and procedures for developing grounded theory. 4th ed. Thousand Oaks (CA): SAGE Publication, Inc.; 2015. p. 1-310.
  21. Ha KH. A study on the peer support experience of people with psychiatric disabilities. Mental Health & Social Work. 2012;40(3):175-201.
  22. Lincoln YS, Guba EG. Naturalistic inquiry. Newbury Park (CA): SAGE Publication, Inc.; 1985. p. 289-331.
  23. Rebeiro Gruhl KL, LaCarte S, Calixte S. Authentic peer support work: Challenges and opportunities for an evolving occupation. Journal of Mental Health. 2016;25(1):78-86. https://doi.org/10.3109/09638237.2015.1057322
  24. Wall A, Lovheden T, Landgren K, Stjernsward S. Experiences and challenges in the role as peer support workers in a Swedish mental health context - an interview study. Issues in Mental Health Nursing. 2021;43(4):344-355. https://doi.org/10.1080/01612840.2021.1978596
  25. Forchuk C, Martin ML, Sherman D, Corring D, Srivastava R, O'Regan T, et al. An ethnographic study of the implementation of a transitional discharge model: Peer supporters' perspectives. International Journal of Mental Health Systems. 2020;14:18. https://doi.org/10.1186/s13033-020-00353-y
  26. Hurley J, Cashin A, Mills J, Hutchinson M, Graham I. A critical discussion of Peer Workers: Implications for the mental health nursing workforce. Journal of Psychiatric and Mental Health Nursing. 2016;23(2):129-135. https://doi.org/10.1111/jpm.12286
  27. Davis JK. Predictors of job satisfaction among peer providers on professional treatment teams in community-based agencies. Psychiatric Services. 2013;64(2):181-184. https://doi.org/10.1176/appi.ps.001452012
  28. Shin S, Choi H. A systematic review on peer support services related to the mental health services utilization for people with severe mental illness. Journal of Korean Academy of Psychiatric and Mental Health Nursing. 2020;29(1):51-63. https://doi.org/10.12934/jkpmhn.2020.29.1.51
  29. Kaufman L, Kuhn W, Stevens Manser S. Peer specialist training and certification programs: A national overview. Austin (TX): University of Texas at Austin; 2016. p. 129-134.
  30. Chang SS. The influence of an elder's role of counselor on counseling result -reporting style based on 'story making methods'-. Korean Journal of Psychological and Social Issues. 2010;16(3):311-329.
  31. Asad S, Chreim S. Peer support providers' role experiences on interprofessional mental health care teams: A qualitative study. Community Mental Health Journal. 2016;52(7):767-774. https://doi.org/10.1007/s10597-015-9970-5
  32. Davidson L, Bellamy C, Guy K, Miller R. Peer support among persons with severe mental illnesses: A review of evidence and experience. World Psychiatry. 2012;11(2):123-128. https://doi.org/10.1016/j.wpsyc.2012.05.009
  33. De Braine R, Roodt G. The Job Demands-Resources model as predictor of work identity and work engagement: A comparative analysis. SA Journal of Industrial Psychology. 2011;37(2):52-62. https://doi.org/10.4102/sajip.v37i2.889
  34. Moran GS, Russinova Z, Gidugu V, Yim JY, Sprague C. Benefits and mechanisms of recovery among peer providers with psychiatric illnesses. Qualitative Health Research. 2012;22(3):304-319. https://doi.org/10.1177/1049732311420578
  35. Ha KH. The peer support program effect on recovery of peer provider. Journal of Rehabilitation Research. 2014;18(1):31-52. https://doi.org:10.1080/01612840.2021.1978596