University of Otago, Christchurch, New Zealand.
J Psychiatr Ment Health Nurs. 2022 Jun;29(3):390-394. doi: 10.1111/jpm.12807. Epub 2021 Dec 3.
WHAT IS KNOWN ON THE SUBJECT?: Traditional mental health services are not meeting the needs of service users. Peer support is an alternative approach of providing support founded on relationship where there is respect and shared responsibility. Peer support relationships are mutual and reciprocal. WHAT THE PAPER ADDS TO EXISTING KNOWLEDGE?: The experience of peer-led care can be transformative. A key aspect is the validation and valuing of lived experience and being seen as a person not as an illness. The nature and quality of relationships is paramount and needs to be based on equity. WHAT ARE THE IMPLICATIONS FOR MENTAL HEALTH NURSING?: Nurses have a key role to advocate and promote peer support services. Relationships need to be based on respect and "being alongside" service users in their recovery journey rather than trying to "fix the problem." ABSTRACT: Introduction Peer-led services provide an approach to support based on mutuality, respect and shared experience. Aim To provide an understanding of my experiences of receiving help from a peer-led service. Method Journaling experiences captured in detail the reality of my experiences at the time and were used to inform this paper. Results The Narrative describes entering a Peer-Led Acute Alternative Service when I was amid a mental health crisis and feeling broken. Here, relationships were based on connecting with others who have experienced similar struggles, being seen as an individual rather than a patient, treated with dignity and respect, being heard, having my feelings acknowledged rather than medicated and feeling understood. This created a shift in me to a place of healing and finding meaning in my experiences of mental distress which led to me training in peer support. Discussion Peer-led services can be a transformative experience which redefines the relationship and shifts the person from being a passive recipient of help to an active participant in their recovery. Choice and increased options for peer services as an integral aspect of services available for individuals on their mental health journey is critical.
传统的心理健康服务无法满足服务使用者的需求。朋辈支持是一种提供支持的替代方法,它建立在相互尊重和共同承担责任的关系基础上。朋辈支持关系是相互的。
朋辈主导的护理体验可以具有变革性。一个关键方面是对生活经验的验证和重视,以及将自己视为一个人而不是一种疾病。关系的性质和质量至关重要,需要基于公平。
护士在倡导和推广朋辈支持服务方面发挥着关键作用。关系需要建立在尊重的基础上,“陪伴”服务使用者走过康复之旅,而不是试图“解决问题”。
介绍 朋辈主导的服务提供了一种基于互惠、尊重和共同经验的支持方法。
目的 了解我从朋辈主导的服务中获得帮助的经历。
方法 详细记录在日记中,记录了我当时的真实经历,并以此为基础撰写了本文。
结果 叙述描述了我在心理健康危机期间进入朋辈主导的急性替代服务的经历,我感到自己支离破碎。在这里,关系是基于与经历过类似挣扎的人建立联系,被视为一个个体而不是一个病人,受到尊重和尊严的对待,被倾听,我的感受得到认可而不是被药物治疗,并且被理解。这让我从一个疗伤和在精神困扰中找到意义的地方转变,这导致我接受了朋辈支持的培训。
讨论 朋辈主导的服务可以是一种变革性的体验,它重新定义了关系,将人从被动接受帮助转变为积极参与康复的参与者。将朋辈服务作为个人心理健康之旅中可用服务的一个组成部分,选择和增加朋辈服务的选择是至关重要的。