Introducing New Peer Worker Roles into Mental Health Services in England: Comparative Case Study Research Across a Range of Organisational Contexts
A wide variety of peer worker roles is being introduced into mental health services internationally. Empirical insight into whether conditions supporting role introduction are common across organisational contexts is lacking. A qualitative, comparative case study compared the introduction of peer workers employed in the statutory sector, voluntary sector and in organisational partnerships. We found good practice across contexts in structural issues including recruitment and training, but differences in expectations of the peer worker role in different organisational cultures. Issues of professionalism and practice boundaries were important everywhere but could be understood very differently, sometimes eroding the distinctiveness of the role.
KeywordsPeer support Organisational culture Qualitative research Comparative case study Mental health workforce
- Centre of Excellence in Peer Support. (2011). The Charter of Peer Support. Hawthorn, Victoria: Centre of Excellence in Peer Support.Google Scholar
- CMS. (2007). Letter to state Medicaid directors. Retrieved March 25, 2014 from http://www.cms.hhs.gov/SMDL/downloads/SMD081507A.pdf.
- Creswell, J. W. (2013). Qualitative inquiry and research design: Choosing among five approaches. Thousand Oaks: Sage.Google Scholar
- Department of Health. (2012). No health without mental health: implementation framework. London: HMSO.Google Scholar
- DH. (2007). Best practice guidance to support the implementation of new ways of working (NWW) and new roles. London: Mental Health: New ways of working for everyone: CSIP/NIMHE.Google Scholar
- Faulkner, A. (2013). Mental health peer support in England: Piecing together the jigsaw. London: Mind.Google Scholar
- Ferlie, E. (2005). Enacting Evidence Informed Health Care: Some Policy and Practice Implications. In S. Dopson & L. FitzGerald (Eds.), Knowledge to action? Evidence-based health care in context. Oxford: OUP.Google Scholar
- Gillard, S., Borschmann, R., Turner, K., Goodrich-Purnell, N., Lovell, K., & Chambers, M. (2012). Producing different analytical narratives, coproducing integrated analytical narrative: a qualitative study of UK detained mental health patient experience involving service user researchers. International Journal of Social Research Methodology, 15(3), 239–254.CrossRefGoogle Scholar
- Gillard, S. G., Gibson, S. L., Holley, J., & Lucock, M. (2014). Developing a change model for peer worker interventions in mental health services: A qualitative research study. Epidemiology and Psychiatric Sciences. Advance online publication. doi: 10.1017/S2045796014000407.
- ISC. (2013). CHC42912 Certificate IV in Mental Health Peer Work. Australia: Community Services and Health Industry Skills Council: Commonwealth of Australia.Google Scholar
- Kaufman, L., Brooks, W., Steinley-Bumgarner, M., & Stevens-Manser, S. (2012). Peer specialist training and certification programs: A national overview. Texas: University of Texas at Austin Centre for Social Work Research.Google Scholar
- Mental Health Commission of Canada. (2012). Changing directions, changing lives: The mental health strategy for Canada. Calgary: Calgary.Google Scholar
- MHC. (2012). Blueprint II: Improving mental health and wellbeing for all New Zealanders— making change happen. New Zealand: Mental Health Commission.Google Scholar
- NAPS. (2012). National Ethical Guidelines and Practical Standards: National Practice Guidelines for Peer Support Workers. Retrieved octobet 2, 2014 from http://na4ps.files.wordpress.com/2012/09/nationalguidelines1.pdf.
- Patton, M. (1990). Qualitative evaluation and research methods. London: Sage.Google Scholar
- Pitt, V., Lowe, D., Hill, S., Prictor, M., Hetrick, S. E., Ryan, R., et al. (2013). Consumer-providers of care for adult clients of statutory mental health services. Cochrane Database Systematic Reviews, 3, 1–104.Google Scholar
- Repper, J., Aldridge, B., Gilfoyle, S., Gillard, S., Perkins, R., & Rennison, J. (2013). Peer Support Workers: Theory and Practice. London: IMROC.Google Scholar
- Trachtenberg, M., Parsonage, M., & Shepherd, G. (2013). Peer support in mental health care: is it good value for money? London: Centre for mental health and mental health network: NHS confederation.Google Scholar
- Yin, R. K. (2004). Case study research: Design and methods. Thousand Oaks: Sage.Google Scholar