Actionable Items to Address Challenges Incorporating Peer Support Specialists Within an Integrated Mental Health and Substance Use Disorder System: Co-Designed Qualitative Study.

Margaret Almeida,Karen Fortuna,Bret Smith,Annie Day,Cynthia Bianco

doi:10.2196/17053

Abstract

BackgroundPeer support specialists offering mental health and substance use support services have been shown to reduce stigma, hospitalizations, and health care costs. However, as peer support specialists are part of a fast-growing mental health and substance use workforce in innovative integrated care settings, they encounter various challenges in their new roles and tasks.ObjectiveThe purpose of this study was to explore peer support specialists’ experiences regarding employment challenges in integrated mental health and substance use workplace settings in New Hampshire, USA.MethodsUsing experience-based co-design, nonpeer academic researchers co-designed this study with peer support specialists. We conducted a series of focus groups with peer support specialists (N=15) from 3 different integrated mental health and substance use agencies. Audio recordings were transcribed. Data analysis included content analysis and thematic analysis.ResultsWe identified 90 final codes relating to 6 themes: (1) work role and boundaries, (2) hiring, (3) work-life balance, (4) work support, (5) challenges, and (6) identified training needs.ConclusionsThe shared values of experience-based co-design and peer support specialists eased facilitation between peer support specialists and nonpeer academic researchers, and indicated that this methodology is feasible for nonpeer academic researchers and peer support specialists alike. Participants expressed challenges with agency restrictions, achieving work-life balance, stigma, and low compensation. We present actionable items to address these challenges in integrated mental health and substance use systems to potentially offset workforce dissatisfaction and high turnover rates.

Highlights

Peer support specialists have a vital role in delivering new models of integrated mental health and substance use care
The shared values of experience-based co-design and peer support specialists eased facilitation between peer support specialists and nonpeer academic researchers, and indicated that this methodology is feasible for nonpeer academic researchers and peer support specialists alike
[10] Yet, as peer support specialists are increasingly being incorporated into integrated mental health and substance use systems, it is not known if additional challenges have surfaced

Summary

Introduction

Background Peer support specialists have a vital role in delivering new models of integrated mental health and substance use care. Peer support specialists are individuals with lived experience of a mental health condition or substance use disorder, or both, who are trained to provide support services (or “peer support”) to others with similar challenges [1,2,3]. Peer support specialists offering mental health and substance use support services have been shown to reduce stigma, hospitalizations, and health care costs. As peer support specialists are part of a fast-growing mental health and substance use workforce in innovative integrated care settings, they encounter various challenges in their new roles and tasks

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Results

Discussion

Conclusion