Pathways to Recovery (PTR): Impact of Peer-Led Group Participation on Mental Health Recovery Outcomes

University of Kansas-Social Welfare, Lawrence, KS 66045, USA.
Psychiatric Rehabilitation Journal (Impact Factor: 1.16). 06/2010; 34(1):42-8. DOI: 10.2975/34.1.2010.42.48
Source: PubMed


This study examined the positive effects on recovery outcomes for people with severe and persistent mental illness using peer-led groups based on Pathways to Recovery: A Strengths Recovery Self-Help Workbook (PTR). PTR translates the evidence-supported practice of the Strengths Model into a self-help approach, allowing users to identify and pursue life goals based on personal and environmental strengths.
A single-group pretest-posttest research design was applied. Forty-seven members in 6 consumer-run organizations in one Midwestern state participated in a PTR peer-led group, completing a baseline survey before the group and again at the completion of the 12-week sessions. The Rosenberg Self-Esteem Scale, the General Self-Efficacy Scale, Multidimensional Scale of Perceived Social Support, the Spirituality Index of Well-Being, and the Modified Colorado Symptom Index were employed as recovery outcomes. Paired Hotelling's T-square test was conducted to examine the mean differences of recovery outcomes between the baseline and the completion of the group.
Findings revealed statistically significant improvements for PTR participants in self-esteem, self-efficacy, social support, spiritual well-being, and psychiatric symptoms.
This initial research is promising for establishing PTR as an important tool for facilitating recovery using a peer-led group format. The provision of peer-led service has been emphasized as critical to integrating consumers' perspectives in recovery-based mental health services. Given the current federal funding stream for peer services, continued research into PTR and other peer-led services becomes more important.

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    • "Recovery groups providing peer support are operative in these organizations, which might take place in an online environment or in conventional face-to-face group meetings (Binford Hopf et al. 2013). It is well known that peer support or recovery groups have therapeutic value (Fukui et al. 2010; Yalom 1995), not least because the power differential between members is less marked than between a health expert and client, and because people are drawing on their lived and practical experiences, not just theoretical principles. The identified therapeutic factors of groups is outlined in Table 1. "
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    ABSTRACT: This paper explores the potential benefits that books, and specifically memoirs, might offer mental health students, positing that first-person testimonials might make the complex experiences of a mental health challenge, in this case, eating disorders, accessible to learners. The paper presents a pedagogical approach, based on transformative learning, to assist in encouraging the development of a recovery approach in students. Transformative learning is a pedagogy that is interested in problematic practices that keep afflicting an area, such as the imbalanced focus on learning illness, rather than well-being, and in pondering and revising the educational solutions. The paper proposes that forward movement in this area will be based on considering and developing such innovative curricula, and researching its impact. By virtue of their accessibility, memoirs could offer to a large audience the benefits of universality, empathy, hope, and guidance. Teachers and learners could be making use of these books in face-to-face or online activities. This paper explores the groundwork that is needed before eating disorder memoirs can be confidently recommended as a therapeutic tool.
    International journal of mental health nursing 07/2014; 23(6). DOI:10.1111/inm.12084 · 1.95 Impact Factor
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    • "Repper and Watson 21 (2012) Solomon 22 (2004) Swarbrick 23 (2013) Stastney 24 (2012) Scott and Doughty 25 (2012) Weingarten 26 (2012) Types In literature there are different types of peer support: – mutual help group – on-line and phone support groups – peer-provided services – operationalization of peer-provided services/programmes – peer partnerships – employability of peer supporters in health services Davidson et al. 2 (2006) Moran et al. 18 (2013) Moran et al. 19 (2012) Solomon 22 (2004) Scott and Doughy 25 (2012) Coniglio et al. 27 (2012) DeAndrea and Anthony 28 (2013) Mancini et al. 29 (2013) Rabenschlag et al. 30 (2012) Walker and Bryant 31 (2013) Objetives The objectives are mainly centred around the concepts of personal recovery, empowerment and advocacy, seeking to improve social functioning in daily life activities, self-esteem and self-efficacy Brown et al. 32 (2008) Chinman et al. 33 (2006) Corrigan et al. 34 (2013) Fukui et al. 35 (2010) Henderson and Kemp 36 (2013) Hodges and Segal 37 (2002) Ostrow and Adams 38 (2012) Target group The studies analyse the severity, stage and type of mental illness to which peer support is most suited: – it is used in people with serious mental illness – it is used in first-episode psychosis, acute crisis or chronic and persistent psychosis – people with mood disorders, psychotic disorders (schizophrenia) and anxiety disorders Corrigan et al. 34 (2013) Burns-Lynch and Salzer 39 (2001) Chinman et al. 40 (2002) Chinman et al. 41 (2001) Finn et al. 42 (2009) Lucock et al. 43 (2007) Pistrang et al. 44 (2008) Shahar et al. 45 (2006) Yip et al. 46 (2004) As to the practices, the theory behind them is the area most explored in literature, and there is some consensus, in particular, as regards their definition and types. However, the models upon which this practice is based are mentioned only in a minority of those same studies 22,32,42,43,54 . "
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    ABSTRACT: Background: Peer support is a mutual aid system based on the belief that someone who faced/overcome adversity can provide support, encouragement and guidance to those who experience similar situations. Objective: To conduct a systematic review that describes this concept and characterizes peer supporters, its practice and efficacy. Method: Research on ISI Web of Science, EBSCO Psychology and Behavioral Sciences Collection and Medline databases (from 2001 to December 2013) was conducted using as keywords "mental illness", "mental health", "psychiatric disability", "mental health services", combined with "peer support", "mutual support", "self-help groups", "consumers as providers", "peer-run services", "peer-run programs" and "social support". Results: We found 1,566 articles and the application of both the exclusion (studies with children, teenagers and elderly people; disease in comorbidity; peer support associated to physical illnesses or family members/caregivers) and the inclusion criteria (full text scientific papers, peer support or similar groups directed for schizophrenia, depression, bipolar or psychotic disorders) lead to 165 documents, where 22 were excluded due to repetition and 31 to incomplete text. We analyzed 112 documents, identifying as main peer support categories: characterization, peer supporter, practices and efficacy. Discussion: Despite an increasing interest about this topic, there is no consensus, suggesting realizing more studies.
    Revista de Psiquiatria Clínica 03/2014; 41(2):49-55. DOI:10.1590/0101-60830000000009 · 0.52 Impact Factor
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    • "However many self-help or self-management interventions are professionally developed resources, which may focus on education and personal responsibility but have the potential to be promote adherence with professional-led views on mental health, rather than encouraging patient-led perspectives. Some approaches, such as the recovery workbook approaches [19] [20] [21], draw on partnerships between lay people and professionals to offer selfmanagement strategies. Self-management approaches that have been developed by nonprofessionals, or people with lived experience, also exist, such as peer support [5]. "
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    ABSTRACT: The main aim of this research was to assess the relevance and impact of wellness recovery action planning (WRAP) as a tool for self-management and wellness planning by individuals with mental health problems from pre-existing and newly formed groups, where the possibilities for continued mutual support in the development of WRAPs could be explored. Interviews and focus groups were conducted and pre-post recovery outcome measures completed (Recovery Assessment Scale and Warwick Edinburgh Mental Well Being Scale). 21 WRAP group participants took part in the research. The WRAP approach, used in groups and delivered by trained facilitators who could also share their lived experience, was very relevant and appeared to have a positive impact on many of the participants. The impact on participants varied from learning more about recovery and developing improved self-awareness to integrating a WRAP approach into daily life. The apparent positive impact of WRAP delivered in the context of mutual support groups indicates that it should be given serious consideration as a unique and worthwhile option for improving mental health. WRAP groups could make a significant contribution to the range of self-management options that are available for improving mental health and well-being.
    The Scientific World Journal 01/2013; 2013:180587. DOI:10.1155/2013/180587 · 1.73 Impact Factor
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