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Peer support. Mike Slade Institute of Psychiatry South London and Maudsley NHS Foundation Trust Email: [email protected] 29 April 2010. What do recovered people identify as important to their recovery?. Hope Identity Meaning Personal responsibility.

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Peer support l.jpg

Peer support

Mike Slade

Institute of Psychiatry

South London and Maudsley NHS Foundation Trust

Email: [email protected]

29 April 2010

What do recovered people identify as important to their recovery l.jpg

What do recovered people identify as important to their recovery?




Personal responsibility

Andresen R et al (2003) The experience of recovery from schizophrenia: towards an

empirically-validated stage model, Australian and New Zealand Journal of Psychiatry, 37, 586-94.

Recovery support tasks l.jpg

1. Fostering relationships recovery?

2. Promoting well-being

3. Offering treatments

4. Improving social inclusion

akaThe job of mental health professionals


Fostering relationships with l.jpg

Fostering relationships with… recovery?


…valued others



…the world

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What is peer support? recovery?

A “credible role model”

Davidson L, Rakfeldt J, Strauss J (2010) The roots of the recovery movement in psychiatry, Chichester: Wiley-Blackwell

Multiple levels

Mutual self-help groups

Peer support workers

Peer-led services

What do mutual self help groups do l.jpg

What do mutual self-help groups do? recovery?

  • Personal stories and community narratives

  • Role models

  • Opportunity role structures

  • Social support, sense of belonging, connection

  • Randall KW, Salem DA (2005) Mutual-help groups and recovery: the influence of settings on participants’ experience of recovery. In: Ralph RO, Corrigan PW, eds. “Recovery in Mental Illness: Broadening our Understanding of Wellness”, Washington DC: American Psychological Association, 173–205.

Mutual self help groups l.jpg

  • Hearing Voices Network recovery?(

  • Schizophrenics Anonymous(

  • I surrender. I admit I need help; I can’t do it alone

  • I choose to be well. I take full responsibility for my choices

  • I now come to believe that I have great inner resources and I will try to use these resources to help myself and others

  • I forgive myself for all the mistakes I have made. I also forgive everyone who has injured or harmed me

  • I make a decision to turn my life over to the care of God, as I understand Him…I ask to be changed in depth

Mutual self-help groups

Personal stories l.jpg

Personal stories recovery?

Stories matter. Many stories matter.

Stories have been used to dispossess and malign, but stories can also be used to empower and to humanise.

Stories can break the dignity of a people, but stories can also repair that broken dignity

Chimanda Adichi

Peer support worker policy l.jpg

All mental health services will be expected to recruit and train service users as part of the workforce

Department of Health (2001) The Journey to Recovery –

The Government’s vision for mental health care, London: Department of Health.

Peer support and natural support networks are seen as important in recovery as well as giving good value for money. …

A common theme is shifting the balance of staffing…from medical to nursing, social care, talking therapy and peer support workers

HM Government (2009) New Horizons, London: Department of Health, pp.16-17.

Peer Support Worker policy

Peer support workers l.jpg

Peer support workers train service users as part of the workforce

I have often noticed that when I employed a madman who had just recovered his senses either to sweep or to assist a servant, and then to become himself a servant…that his state improved every month, and that somewhat later he was totally cured.

Jean-Baptiste Pussin, Governor of the Asylym at Bicêtre, 1793

Benefits l.jpg

1. For the Peer Support Worker train service users as part of the workforce

2. For other staff

3. For other service users

4. For the system

Scottish Government (2009) Evaluation of the Delivering for Mental Health Peer Support Worker Pilot Scheme, Scottish Government Social Research.


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Key We Way train service users as part of the workforce

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RCT evidence: peer-led services train service users as part of the workforce

In-patient mental health services (n=393)

Consumer-operated unlocked service vs. locked inpatient unit

Improvements in symptoms and great improvement in satisfaction

Greenfield TK et al (2008) A Randomized Trial of a Mental Health Consumer-Managed

Alternative to Civil Commitment for Acute Psychiatric Crisis,

American Journal of Community Psychology, 42, 135-144.

Consumer-operated mental health services (n=1,827)

Drop-in / peer support / education & advocacy vs TAU

Improvements in empowerment, dose-effect

Rogers ES et al (2007) Effects of participation in consumer-operated service programs on both

personal and organizationally mediated empowerment: Results of multisite study,

Journal of Rehabilitation Research & Development, 44, 785-800.

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100 Ways to support recovery train service users as part of the workforce

Free to download from:

Practice guide

Personal Recovery and Mental Illness

Cambridge University Press


20-22 Sep 2010, London

Further information at: