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Peer Models in Mental Health for Caregivers and Families

Abstract

Peer-delivered mental health models may hold important benefits for family members, yet their prevalence, components, and outcomes are unknown. We conducted a review of peer-delivered services for families of children and adults with mental health problems. Randomized studies of interventions published between 1990 and 2014 were included if the intervention contained a component for family members and examined familial outcomes. Of 77 studies that were assessed for their eligibility, six met criteria. Familial components included coping and parenting skills, knowledge about mental health, and emotional support. Outcomes were uneven, although significant improvements in family functioning, knowledge about mental illness, parental concerns about their child, and parenting skills were associated with the intervention. Peer-delivered services for family members may have important benefits to family members and individuals with mental health problems; however, the research base remains thin. A research agenda to develop and examine these models is discussed.

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References

  1. Acri, M., Frank, S., Olin, S. S., Burton, G., Ball, J. L., Weaver, J., … Hoagwood, K. E. (2013a). Examining the feasibility and acceptability of a screening and outreach model developed for a peer workforce. Journal of Child and Family Studies, 24, 341–350.

    Article  PubMed Central  Google Scholar 

  2. Acri, M., & Hoagwood, K. (2015). Addressing parental mental health within interventions for children: A review. Research on Social Work Practice, 25(5), 578–586.

    Article  PubMed  Google Scholar 

  3. Acri, M., Olin, S. S., Burton, G., Herman, R. J., & Hoagwood, K. E. (2013b). Innovations in the identification and referral of mothers at risk for depression: Development of a peer-to-peer model. Journal of Child and Family Studies, 23(5), 837–843.

    Article  PubMed Central  Google Scholar 

  4. Addington, J., McCleery, A., & Addington, D. (2005). Three-year outcome of family work in an early psychosis program. Schizophrenia Research, 79(1), 107–116. doi:10.1016/j.schres.2005.03.019.

    Article  PubMed  Google Scholar 

  5. Angold, A., Messer, S. C., Stangl, D., Farmer, E. M. Z., Costello, E. J., & Burns, B. J. (1998). Perceived parental burden and service use for child and adolescent psychiatric disorders. American Journal of Public Health, 88, 75–80.

    CAS  Article  PubMed  PubMed Central  Google Scholar 

  6. Bademli, K., & Duman, L. (2014). Effects of a family-to-family support program on the mental health and coping strategies of caregivers of adults with mental illness: A randomized controlled study. Archives of Psychiatric Nursing, 28, 392–398.

    Article  PubMed  Google Scholar 

  7. Brister, T., Cavaleri, M. A., Olin, S. S., Shen, S., Burns, B. J., & Hoagwood, K. E. (2012). An evaluation of the NAMI basics program. Journal of Child and Family Studies, 21, 439–442.

    Article  Google Scholar 

  8. Chatterjee, S., Leese, M., Koschorke, M., McCrone, P., Naik, S., John, S., Thornicroft, G., et al. (2011). Collaborative community based care for people and their families living with schizophrenia in India: Protocol for a randomized controlled trial. Trials, 12, 1–14.

    Article  Google Scholar 

  9. Chatterjee, S., Naik, S., John, S., Dabholkar, H., Balaji, M., Koschorke, M., Thornicroft, G., et al. (2014). Effectiveness of a community-based intervention for people with schizophrenia and their caregivers in India (COPSI): A randomized controlled trial. The Lancelet, 383, 1385–1394.

    Article  Google Scholar 

  10. Chien, W. T. (2008). Effectiveness of psychoeducation and mutual support group program for family caregivers of Chinese people with schizophrenia. Open Nursing Journal, 2, 28–39. doi:10.2174/1874434600802010028.

    Article  PubMed  PubMed Central  Google Scholar 

  11. Chien, W. T., & Chan, S. W. C. (2004). One-year follow-up of a multiple family group intervention for families of patients with schizophrenia. Psychiatric Services, 55, 1276–1284.

    Article  PubMed  Google Scholar 

  12. Chien, W. T., & Thompson, D. R. (2013). An RCT with three-year follow-up of peer support groups with Chinese families of persons with schizophrenia. Psychiatric Services, 64(10), 997–1005.

    Article  PubMed  Google Scholar 

  13. Davidson, L., Bellamy, C., Guy, K., & Miller, R. (2012). Peer support among persons with severe mental illnesses: A review of evidence and experience. World Psychiatry, 11(2), 123–128.

    Article  PubMed  PubMed Central  Google Scholar 

  14. Davidson, L., Chinman, M., Sells, D., & Rowe, M. (2006). Peer support among adults with serious mental illness: A report from the field. Schizophrenia Bulletin, 32(3), 443–450.

    Article  PubMed  PubMed Central  Google Scholar 

  15. Day, C., Michelson, D., Thomson, S., Penney, C., & Draper, L. (2012). Evaluation of a peer led parenting intervention for disruptive behaviour problems in children: community based randomised controlled trial. British Medical Journal, 344, 605–608.

    Google Scholar 

  16. Dixon, L., McFarlane, W. R., Lefley, H., Lucksted, A., Cohen, M., Falloon, I., Sondheimer, D., et al. (2001). Evidence-based practices for services to families of people with psychiatric disabilities. Psychiatric Services, 52, 903–910.

    CAS  Article  PubMed  Google Scholar 

  17. Dixon, L. B., Lucksted, A., Medoff, D. R., Burland, J., Stewart, B., Lehman, A. F., Murray-Swank, A., et al. (2011). Outcomes of a randomized study of a peer-taught family-to-family education program for mental illness. Psychiatric Services, 62(6), 591–597.

    Article  PubMed  PubMed Central  Google Scholar 

  18. Eisen, S. V., Schultz, M. R., Mueller, L. N., Degenhart, C., Clark, J. A., Resnick, S. G., Sadow, D., et al. (2012). Outcome of a randomized study of a mental health peer education and support group in the VA. Psychiatric Services, 63(12), 1243–1246.

    Article  PubMed  Google Scholar 

  19. Hoagwood, K., Cavaleri, M. A., Olin, S., Burns, B., Slaton, E., Gruttadaro, D., Hughes, R., et al. (2010). Family support in children’s mental health: A review and synthesis. Clinical Child and Family Psychology Review, 13, 1–45.

    Article  PubMed  Google Scholar 

  20. Hoagwood, K. E., Jensen, P., Acri, M., Olin, S. S., Lewandowski, E., & Herman, R. (2012). Outcome domains in child mental health research since 1996: Have they changed and why does it matter? Journal of the American Academy of Child and Adolescent Psychiatry, 51(12), 1241–1260.

    Article  PubMed  PubMed Central  Google Scholar 

  21. Kutash, K., Acri, M., Pollock, M., Armusewicz, K., Olin, S. S., & Hoagwood, K. E. (2014). Quality indicators for multidisciplinary team functioning in community based children’s mental health services. Administration and Policy in Mental Health and Mental Health Services Research, 41, 55–68.

    Article  PubMed  PubMed Central  Google Scholar 

  22. Oh, H., & Solomon, P. (2014). Role-playing as a tool for hiring, training, and supervising peer providers. Journal of Behavioral Health Services and Research, 41(2), 216–229.

    Article  PubMed  Google Scholar 

  23. Perlick, D. A., Nelson, A. H., Mattias, K., Selzer, J., Kalvin, C., & Wilber, C. H. (2011). In our own voice-family companion: Reducing self-stigma of family members of person with serious mental illness. Psychiatric Services, 62(12), 1456–1462.

    Article  PubMed  Google Scholar 

  24. Repper, J., & Carter, T. (2011). A review of the literature on peer support in mental health services. Journal of Mental Health, 20(4), 392–411.

    Article  PubMed  Google Scholar 

  25. Wu, P., Hoven, C. W., Bird, H. R., Moore, R. E., Cohen, P., Alegria, M., Roper, M. T., et al. (1999). Depressive and disruptive disorders and mental health service utilization in children and adolescents. Journal of the American Academy of Child and Adolescent Psychiatry, 38(9), 1081–1090.

    CAS  Article  PubMed  Google Scholar 

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Correspondence to Mary Acri.

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Acri, M., Hooley, C.D., Richardson, N. et al. Peer Models in Mental Health for Caregivers and Families. Community Ment Health J 53, 241–249 (2017). https://doi.org/10.1007/s10597-016-0040-4

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Keywords

  • Peer family support
  • Family-based services
  • Children’s mental health
  • Adult mental health