title: Individual peer support: a qualitative study of mechanisms of its effectiveness.
abstract: Peer-delivered services for individuals with psychiatric conditions have proliferated over the past three decades. The values and principles underlying peer support have been explored, but we lack an understanding of its mechanisms of action. To shed light on the processes of peer support, we conducted a study with individuals who had received substantial individual peer support. We completed individual interviews, audiotaped, transcribed, and examined them using a thematic analysis approach. Our analyses suggest that individual peer support provided various practical, emotional, and social supports which were perceived as beneficial. Participants valued having someone to rely on, a friend, and someone to socialize with. We, however, found that individuals' expectations of peer support did not always comport with available services. Participants viewed peer support as especially valuable because of the opportunity for a non-treatment based, normalizing relationship. We conclude that peer support complements rather than supplants needed traditional mental health services.
authors.affiliation: Center for Psychiatric Rehabilitation, Boston University, 940 Commonwealth Ave West, Boston, MA, 02215, USA, Vasudha@bu.edu.
authors.forename: Vasudha
authors.initials: V
authors.lastname: Gidugu
authors.forename: E Sally
authors.initials: ES
authors.lastname: Rogers
authors.forename: Steven
authors.initials: S
authors.lastname: Harrington
authors.forename: Mihoko
authors.initials: M
authors.lastname: Maru
authors.forename: Gene
authors.initials: G
authors.lastname: Johnson
authors.forename: Julie
authors.initials: J
authors.lastname: Cohee
authors.forename: Jennifer
authors.initials: J
authors.lastname: Hinkel
mesh_terms: D000328:Adult; D000368:Aged; D003156:Community Mental Health Services / Q000379:methods* / Q000458:organization & administration; D005260:Female; D006801:Humans; D007398:Interpersonal Relations; D007407:Interviews as Topic; D008297:Male; D001523:Mental Disorders / Q000523:psychology / Q000534:rehabilitation*; D008875:Middle Aged; D017060:Patient Satisfaction; D010379:Peer Group; D024382:Professional Role; D036301:Qualitative Research; D012944:Social Support