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Diversity in Programmatic Features, Peer Support Strategies, Potential Mechanisms, and Outcomes

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Peer Support Services Reaching People with Schizophrenia

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Abstract

This chapter presents results of a realist review of the literature regarding peer support that reaches people with schizophrenia. The review included 355 published and grey literature sources in which 150 unique peer support programs were described. Contextual and programmatic features, peer support strategies utilized, potential mechanisms suggested, and hypothesized or measured outcomes were documented for each intervention. Interventions were classified based on their primary focus—physical or mental health. The most common peer support strategy utilized in physical health interventions was assistance in self-management. Mental health-focused interventions were further classified into subcategories: standalone peer support services, peer support services provided in conjunction with clinical services, and paraclinical services provided by peers. The most represented peer support strategy among standalone peer services was “being there,” or implicit support. Most peer support strategies were well represented among peer services provided in conjunction with clinical care, with assistance in mental health self-management as the most common. Finally, the most represented peer support strategies in paraclinical services provided by peers were strategies explicitly utilizing shared lived experience or peer support values, followed by linkage to clinical care or community resources. Significant findings among each intervention type are highlighted.

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Evans, M. (2023). Diversity in Programmatic Features, Peer Support Strategies, Potential Mechanisms, and Outcomes. In: Peer Support Services Reaching People with Schizophrenia. Springer, Cham. https://doi.org/10.1007/978-3-031-29042-8_7

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