Article

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

ABSTRACT

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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    • "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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