The effectiveness of one-to-one peer support in mental health services: a systematic review and meta-analysis.
Sarah White,Rhiannon Foster,Jacqueline Marks,Rosaleen Morshead,Lucy Goldsmith,Sally Barlow,Jacqueline Sin,Steve Gillard +7 more
TLDR
One-to-one peer support in mental health services might impact positively on psychosocial outcomes, but is unlikely to improve clinical outcomes.Abstract:
Peer support is being introduced into mental health services internationally, often in response to workforce policy. Earlier systematic reviews incorporate different modalities of peer support (i.e. group and one-to-one), offer inconsistent evidence of effectiveness, and also indicate substantial heterogeneity and issues of quality in the evidence base at that time. An updated review, focussed on one-to-one peer support, is timely given current policy interest. This study aims to systematically review evidence for the effectiveness of one-to-one peer support interventions for adults using mental health services, and to explore heterogeneity in peer support interventions. We searched MEDLINE, PsycINFO, Embase, CINAHL and Cochrane databases from inception until 13 June 2019. Included studies were assessed for risk of bias, and meta-analyses conducted where multiple trials provided usable data. Twenty-three studies reporting nineteen trials were eligible, providing data from 3329 participants. While seven trials were of low to moderate risk of bias, incomplete reporting of data in many studies suggested bias in the evidence base. Peer support interventions included peer workers in paraclinical roles (e.g. case manager), providing structured behavioural interventions, or more flexible support for recovery. Meta-analyses were conducted for eleven outcomes, with evidence that one-to-one peer support may have a modest positive impact on self-reported recovery and empowerment. There was no impact on clinical symptoms or service use. Analyses of heterogeneity suggest that peer support might improve social network support. One-to-one peer support in mental health services might impact positively on psychosocial outcomes, but is unlikely to improve clinical outcomes. In order to better inform the introduction of peer support into mental health services, improvement of the evidence base requires complete reporting of outcome data, selection of outcomes that relate to intervention mechanisms, exploration of heterogeneity in the implementation of peer support and focused reviews of specific types of one-to-one peer support. Prospero identifier:
CRD42015025621
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A systematic review and meta-analysis of group peer support interventions for people experiencing mental health conditions.
TL;DR: This paper conducted a systematic review and meta-analysis to determine the effectiveness of peer support for improving outcomes for people with lived experience of mental health conditions, when delivered as group interventions and found evidence that group peer support may make small improvements to overall recovery but not hope or empowerment individually, or to clinical symptoms.
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Post Intensive Care Syndrome (PICS): an overview of the definition, etiology, risk factors, and possible counseling and treatment strategies.
Dharmanand Ramnarain,Emily Aupers,Brenda L. Den Oudsten,Annemarie W. Oldenbeuving,Jolanda De Vries,Sjaak Pouwels +5 more
TL;DR: In this paper, the authors discuss the current SARS-Cov-2 pandemic and the increased risk of post-intensive care syndrome (PICS) in these post-ICU patients and their families.
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An Update of Peer Support/Peer Provided Services Underlying Processes, Benefits, and Critical Ingredients
TL;DR: In this paper , the authors delineate the current state-of-the-knowledge of peer support following the framework employed in the 2004 article (Solomon, Psychiatr Rehabil J. 2004;27(4):392-401 1).
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The role of mentoring, supervision, coaching, teaching and instruction on professional identity formation: a systematic scoping review
Rachelle Qi En Toh,Kai Kee Koh,Jun Kiat Lua,R. Wong,Elaine Li Ying Quah,Aiswarya Anuradha Panda,Chong Yao Ho,Nicole-Ann Lim,Yun Ting Ong,Keith Zi Yuan Chua,Victoria Wei. Ng,Sabine Lauren Chyi Hui Wong,Luke Yu Xuan Yeo,Sin Yee See,Jolene Jing Yin Teo,Yaazhini Renganathan,Annelissa Mien Chew Chin,Lalit Kumar Radha Krishna +17 more
TL;DR: A systematic evidence-based approach guided systematic scoping review seeks to map current understanding of the mentoring umbrella and its effects on PIF on medical students and physicians in training as discussed by the authors .
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