title: Occupational therapy influence on a carer peer support model in a clinical mental health service.
abstract: OBJECTIVE
  Current policy frameworks call for the participation of consumers and carers in all levels of mental health service delivery in Australia. Such inclusion leads to better outcomes for all, however, it is recognised that carers have needs and occupations beyond their carer role. The aim of this article is to describe an innovative carer peer support program developed by a group of occupational therapists. The article describes the rationale, phases of development and the role that occupational therapists played in developing and sustaining the model. This is followed by an exploration of the occupational therapy attitudes, knowledge and skills that contributed to the conceptualisation and implementation of the model.
  
  
  METHODS
  Five occupational therapists engaged in a review process involving documentation, literature review, evaluation, reflection and discussion. Four of the occupational therapists had either coordinated or managed the service described. The fifth author facilitated the process.
  
  
  RESULTS
  Review of the model indicates it equips carers to perform their caring occupation and helps carers recognise the need for occupations beyond caring, for their health and wellbeing. Employing carers as paid workers values their 'real life' experience in their caring occupation. Findings also illustrate that the attitudes, knowledge, skills and competency standards of occupational therapists are well suited in enabling this emerging area of service delivery.
  
  
  CONCLUSIONS
  Although this model has been developed in a clinical mental health setting, the key principles could be applied with carers or consumers across a variety of settings in which occupational therapists are employed.
authors.affiliation: Eastern Health Mental Health Program, Box Hill, Victoria, Australia.
authors.forename: Cate
authors.initials: C
authors.lastname: Bourke
authors.affiliation: Eastern Health FaPMI, East Ringwood, Victoria, Australia.
authors.forename: Bronwyn
authors.initials: B
authors.lastname: Sanders
authors.affiliation: Eastern Health FaPMI, East Ringwood, Victoria, Australia.
authors.forename: Becca
authors.initials: B
authors.lastname: Allchin
authors.affiliation: Department of Occupational Therapy, Faculty of Medicine, Nursing and Health Sciences, Monash University, Frankston, Victoria, Australia.
authors.forename: Primrose
authors.initials: P
authors.lastname: Lentin
authors.affiliation: Eastern Health Mental Health Program, Box Hill, Victoria, Australia.
authors.forename: Shannon
authors.initials: S
authors.lastname: Lang
mesh_terms: D001291:Attitude of Health Personnel; D001315:Australia; D017028:Caregivers / Q000523:psychology*; D002983:Clinical Competence; D004651:Employment / Q000523:psychology; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008605:Mental Health Services / Q000458:organization & administration*; D008969:Molecular Sequence Data; D009788:Occupational Therapy / Q000458:organization & administration*; D010379:Peer Group
keywords: carer; family; mental health; occupational therapy; occupations; peer support