title: Peer Support in Full-Service Partnerships: A Multiple Case Study Analysis.
abstract: Peer providers are integral to Full Service Partnerships (FSPs), which are team-based mental health service models. Peer providers use principles of recovery to engage clients, but FSPs can vary in their recovery orientation. Whether and how peer recovery orientation reflects the organizational environments of FSPs is unclear. This qualitative study explored peer provider attitudes towards recovery within the organizational contexts of FSPs where they are employed. Case study analysis was conducted on eight purposively sampled FSPs using qualitative interviews with peer providers and program directors. In two cases, peer recovery attitudes diverged from those of their organizational context. In these cases, peer providers were champions for recovery, and used practice-based strategies to promote client autonomy despite working in settings with lower recovery orientation. Peer providers could be uniquely positioned to promote client autonomy in settings where organizational factors limit consumer choice.
authors.affiliation: Department of Family and Preventive Medicine, University of California, San Diego, 9500 Gilman Drive, La Jolla, CA, 92093-0622, USA. esiantz@ucsd.edu.
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Siantz
authors.affiliation: School of Social Work, University of Southern California, 1150 S. Olive Street, Los Angeles, CA, 90015, USA.
authors.forename: Benjamin
authors.initials: B
authors.lastname: Henwood
authors.affiliation: Department of Family and Preventive Medicine, University of California, San Diego, 9500 Gilman Drive, La Jolla, CA, 92093-0622, USA.
authors.forename: Todd
authors.initials: T
authors.lastname: Gilmer
mesh_terms: D006801:Humans; D007407:Interviews as Topic; D001523:Mental Disorders / Q000628:therapy; D008605:Mental Health Services / Q000458:organization & administration; D010358:Patient Participation / Q000379:methods / Q000523:psychology; D010379:Peer Group; D026684:Personal Autonomy; D036301:Qualitative Research; D012074:Remission Induction
keywords: Case Study Analysis; Full-Service Partnership; Peer Support; Recovery