Early Outcomes and Lessons Learned from a Study of the Building Recovery of Individual Dreams and Goals through Education and Support (BRIDGES) Program in Tennessee
Peer-led education interventions have the potential to provide mental health consumers with the knowledge, skills and support they need to live successful and rewarding self-determined lives. However, few studies have explored whether and how these interventions enhance recovery. This study addresses this knowledge gap by examining changes among 160 participants in the Building Recovery of Individual Dreams and Goals (BRIDGES) education program. BRIDGES is a peer-led 8-week course taught by trained instructors who publicly disclose the fact that they are in recovery from mental illness.
Structured interviews assessing recovery outcomes were conducted with participants in the month prior to their receipt of BRIDGES, and immediately after receipt of the intervention. Paired t-tests were conducted to examine changes in psychiatric symptoms, hopefulness, social support, self-advocacy, empowerment, adaptive coping, and recovery pre-receipt and post-receipt of BRIDGES.
Post-receipt of BRIDGES, participants reported significantly fewer psychiatric symptoms, decreased use of maladaptive coping behaviors, and increased feelings of hopefulness, self-advocacy, empowerment, and recovery.
These promising early results from our ongoing study of BRIDGES suggest that peer-led education interventions are a valuable resource. Additional research is needed to better understand the effectiveness of these interventions, including potential long-term post-program participation benefits.
Available from: Matthew S Stanford
- "Several examples of widely implemented peerled programs have been documented. Building Recovery of Individual Dreams and Goals (BRIDGES; Pickett et al., 2010) " is an 8-week peer-led course designed to empower adults with psychiatric disabilities by providing them with basic education about the etiology and treatment of mental illness, self-help skills, and recovery principles " (p. 97). "
[Show abstract] [Hide abstract]
ABSTRACT: After 42 years under the brutal rule of Colonel Muammar al-Gaddafi, the people of Libya rose
up on 17 February 2011 and demanded change. The 9-month civil war that followed resulted in
the deaths of approximately 15,000 Libyans. This study reports on the feasibility and efficacy of
a 10-week peer-led group-based recovery intervention for war-related trauma implemented at
the Garyounis internally displaced person camp outside of the city of Benghazi. The results of
this preliminary assessment show that the use of peers to lead recovery groups for war-related
trauma is not only feasible but also appears to be highly efficacious in reducing posttraumatic
stress disorder symptoms in civilians. The reported subjective experiences of those involved in
facilitating the groups suggest that the use of peers, rather than mental health professionals, is a
realistic option to minimize the long-term effects of war-related trauma.
Available from: Sally Wai-Chi Chan
- "These empowering processes, in turn, enhance hope, self-esteem and self-confidence (Segal & Silverman 2002). Peer-led intervention provides a social learning environment for peers to learn practical skills for coping with, and managing, their condition (Pickett et al. 2010). The sharing of successful accounts enhances the peers' hope and belief in their own recovery and enables them to learn from each other's real-life application of coping and learnt skills. "
[Show abstract] [Hide abstract]
ABSTRACT: To determine the effectiveness of a peer-led self-management programme for people with schizophrenia in reducing psychotic symptom severity, hospital readmission and psychiatric consultation and in enhancing cognition, empowerment, functioning level, medication adherence, perceived recovery, quality of life and social support.
Several self-management programmes have been developed to empower patients with severe mental illness in achieving recovery. Research suggests that peer-led self-management programmes have positive effects on patient recovery. However, the existing evidence is inconclusive, due to a lack of credible evidence and long-term follow-up evaluations.
A stratified randomized controlled trial will be conducted at six community mental health rehabilitation centres METHODS: A sample of 242 adults with schizophrenia will be recruited. A peer-led self-management programme, comprising six 2-hour sessions, will be implemented in the intervention group and a standard rehabilitation programme in the control group. Outcomes will be measured at baseline, postintervention and at the 6- and 12-month follow-ups. The measures will include cognition, empowerment, functioning level, medication adherence, perceived recovery, quality of life, social support, symptom severity, hospital readmission and psychiatric consultation. A mixed effects model will be used to analyse the results. Semi-structured interviews will be conducted to explore the peer-trainers' and participants' perspectives on the programme. Research Ethics Committee approval was obtained in December 2011 and funding was obtained in January 2012.
This study will provide evidence on the effectiveness of a peer-led self-management programme for patient recovery. It will identify a clinically useful and potentially effective intervention that incorporates empowerment concept.
Available from: Judith A. Cook
- "As described in detail elsewhere (Pickett et al. 2010), BRIDGES is an 8-week, manualized peer-led education course designed to empower adults with psychiatric disabilities and enhance their recovery. The curriculum was created by TMHCA and NAMI-Tennessee staff and volunteers , and is routinely reviewed by experts to ensure that current, accurate information is delivered. "
[Show abstract] [Hide abstract]
ABSTRACT: This study examined the effectiveness of the Building Recovery of Individual Dreams and Goals (BRIDGES) peer-led education intervention in empowering mental health consumers to become better advocates for their own care. A total of 428 adults with mental illness were randomly assigned to BRIDGES (intervention condition) or a services as usual wait list (control condition). Interviews were conducted at enrollment, at the end of the intervention, and 6-months post-intervention. Random regression results indicate that, compared to controls, BRIDGES participants experienced significant increases in overall empowerment, empowerment-self-esteem, and self-advocacy-assertiveness, and maintained these improved outcomes over time. Peer-led education interventions may provide participants with the information, skills and support they need to become more actively involved in the treatment decision-making process.
Data provided are for informational purposes only. Although carefully collected, accuracy cannot be guaranteed. The impact factor represents a rough estimation of the journal's impact factor and does not reflect the actual current impact factor. Publisher conditions are provided by RoMEO. Differing provisions from the publisher's actual policy or licence agreement may be applicable.