Faculty of Health Sciences, Curtin School of Allied Health, Curtin University, GPO Box U1987, Perth, WA, 6845, Australia.
Adm Policy Ment Health. 2021 Nov;48(6):1034-1045. doi: 10.1007/s10488-021-01118-6. Epub 2021 Mar 2.
The employment of peer providers (people who draw on their lived experience of mental health challenges) has grown in conjunction with the increased acceptance of recovery as a key principle in mental health policy and practice. Barriers to the integration of peer providers in mental health services have been well documented. This review addresses an under-explored area by consolidating strategies undertaken by mental health organizations for the successful implementation of peer provision. A scoping review was chosen to facilitate the rapid summary and dissemination of research findings that are relevant to policymakers and practitioners. Peer-reviewed articles and grey literature were sourced from three databases, key peer support websites and a hand search of the included studies. Following screening, data were extracted from 28 studies: 25 qualitative and three mixed methods studies. The data were analyzed using thematic analysis and organized into themes. Four themes emerged from the data. Championing of peer provision initiatives by organizational leadership is central to the success and sustainability of peer provision. Leadership undergirds three strategies that were discussed: organizational preparation, recruitment, training and induction, and support and development. When peer provision is championed by organizational leadership, measures can be undertaken to prepare the organization for peer provision; recruit, train and induce peer providers successfully into the organization; and support peer providers on the job.
同伴提供者（即利用自身心理健康挑战方面的生活经验的人员）的就业机会随着将康复作为心理健康政策和实践的关键原则的日益接受而增加。同伴提供者融入精神卫生服务方面的障碍已经得到充分记录。本综述通过整合精神卫生组织为成功实施同伴服务而采取的策略，解决了一个研究不足的领域。为了促进对决策者和从业者具有相关性的研究结果的快速总结和传播，选择了范围综述方法。同行评议的文章和灰色文献来自三个数据库、主要的同伴支持网站和对纳入研究的手工搜索。经过筛选，从 28 项研究中提取数据：25 项定性研究和 3 项混合方法研究。使用主题分析对数据进行分析，并将其组织成主题。数据中出现了四个主题。组织领导层对同伴服务计划的支持是同伴服务的成功和可持续性的核心。领导力支撑着讨论的三个策略：组织准备、招聘、培训和入职，以及支持和发展。当组织领导层支持同伴服务时，可以采取措施为组织提供同伴服务做准备；成功地招募、培训和引导同伴提供者进入组织；并在工作中为同伴提供者提供支持。
