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“Understanding the journey from A to Z”: centering peer support perspectives to unveil the mechanisms and power of peer support

Sandy Rao (Faculty of Social Work, University of Calgary, Calgary, Canada.)
Gina Dimitropoulos (Faculty of Social Work, University of Calgary, Calgary, Canada; Department of Psychiatry, University of Calgary, Calgary, Canada and Mathison Centre for Mental Health Research and Education, University of Calgary, Calgary, Canada)

Mental Health and Social Inclusion

ISSN: 2042-8308

Article publication date: 4 April 2023

Issue publication date: 2 December 2024

69

Abstract

Purpose

This study aims to gain insights from peer support workers (PSWs) on the unseen mechanisms of peer support work that may be applied to implementing a child and youth mental health peer support program in a children’s hospital emergency department (ED).

Design/methodology/approach

This study used a critical realist perspective with a qualitative research design. Eight participants, all PSWs in health, community and social services working with adults, adolescents and children, were recruited from Alberta, Canada. Data were collected through in-person semi-structured interviews and analyzed using Braun and Clarke’s reflexive thematic analysis.

Findings

The results generated interrelated patterns of meaning among PSWs that were grouped into three main themes: inside out and outside in, no one leaves empty-handed and sculpting health system softness.

Research limitations/implications

All participants were trained by the same organization and may have similar understandings and approaches to the peer support role. Participants were predominantly of a similar demographic; thus, participants with minoritized identities may have challenges not represented.

Practical implications

Using nontraditional staffing models in an acute center may facilitate a shift to meet the chronic and complex issues of the 21st century.

Social implications

Youth peer support roles may reduce stigma by challenging stereotypes and myths, reduce social isolation and improve meaning, connection and belonging for individuals with mental illness who are often dislocated and disconnected from society.

Originality/value

This study exemplified the positive impacts peer support could make by improving child, youth and family experiences; reducing stigma; providing hope and help; and embedding the recovery model directly into the ED.

Keywords

Acknowledgements

This research was made possible by the funding provided by the Canadian Mental Health Association – Calgary Branch and the Addiction and Mental Health Strategic Clinical Networks. The authors extend our deepest appreciation to both organizations for their generous support, which enabled us to carry out this study and contribute to the advancement of mental health research.

Citation

Rao, S. and Dimitropoulos, G. (2024), "“Understanding the journey from A to Z”: centering peer support perspectives to unveil the mechanisms and power of peer support", Mental Health and Social Inclusion, Vol. 28 No. 5, pp. 538-548. https://doi.org/10.1108/MHSI-02-2023-0016

Publisher

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Emerald Publishing Limited

Copyright © 2023, Emerald Publishing Limited

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