This brief report describes data from the Peer Respite Essential Features survey, conducted biannually from 2014 to 2020, which explores the peer respite model and program challenges. Peer respites nationwide were invited to participate if they met specific guidelines, resulting in 32 programs across 14 states in 2020. Characteristics including funding, guest accommodations and policies, and how the programs were impacted by the COVID-19 pandemic are discussed.
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This Open Forum describes the National Survey of Peer-Run Organizations, which was conducted in 2012 to gather information about peer-run organizations and programs, organizational operations, policy perspectives, and service systems. A total of 895 entities were identified and contacted as potential peer-run organizations. Information was obtained for 715 (80%) entities, and 380 of the 715 responding entities met the criteria for a peer-run organization.
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The paper describes how peer interviewers were recruited, hired, trained, and supervised. The authors discuss some benefits and challenges associated with the approach. Peer interviewer benefits and challenges: the shared lived experience between the peer interviewers and study participants contributed to increased comfort and a high response rate overall. The study opened up professional opportunities for peers, but inconsistent work hours were a challenge and resulted in turnover and difficulty filling vacant positions. The lead evaluator and supervisors worked closely with peer interviewers to ensure conflict of interest was mitigated to reduce bias.
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This paper describes data collection methods and demonstrates how participatory strategies to involve people with psychiatric histories intersected with Internet research to achieve study aims. People with psychiatric histories were involved in designing and implementing a web-based survey to collect data on peer-run organizations' operations and views on national policy. Participatory approaches were used throughout design, data collection analysis, and dissemination. The extensive involvement of people with psychiatric histories in project design and implementation were important strategies that contributed to this study's success.
Read MoreTwo research companies, Live & Learn Inc. and Human Services Research Institute, worked with HOPE (Helping Our Peers Emerge) staff to conduct an evaluation to understand and report the impact of the HOPE program on participants, in addition to Whole Person Pilot-required data. HOPE is a peer-run program in San Mateo, California. HOPE supports Peer Participants in transition from psychiatric hospitalization to community integration through Peer Mentoring, Family Partnership, and Supportive Employment Coordination. It was created as a Whole Person Pilot program under California's Medicaid Section 1115 waiver.
Read MoreThe Guidebook for Peer Support Program Self-Evaluation: Practical Steps and Tools can be used to document program operations and outcomes, and to build evidence for the efficacy of peer support programs. In a world of limited resources, conducting evaluations can be a challenge. We created this guidebook in response to frequent requests from peer-run organizations for practical, low-cost, or no-cost tools they could use to evaluate their programs. We have included recommendations on best practices in self-evaluation and data monitoring based on techniques used by other peer support organizations and in the world of program evaluation. It provides basic, practical guidance on developing a logic model, identifying outcomes, selecting measures/ indicators, collecting and analyzing data, and reporting findings.
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Peer-run organizations provided a range of supports and educational and advocacy activities and varied in their capacity and resources. Some variation was explained by the degree of consumer control. These organizations seemed to be operating consistently with evidence on peer-run models. The reach of peer-run organizations, and the need for in-depth research, continues to grow.
Read MoreThis study sought to understand whether knowledge of the Affordable Care Act (ACA) was associated with willingness of mental health peer-run organizations to become Medicaid providers. Through the 2012 National Survey of Peer-Run Organizations, organizational directors reported their organization's willingness to accept Medicaid reimbursement and knowledge about the ACA. Organizations had both ideological and practical concerns about Medicaid reimbursement. Concerns about Medicaid reimbursement can potentially be addressed through alternative financing mechanisms that should be able to meet the needs of peer-run organizations.
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This study examined peer-run organizations’ attitudes towards collaborating in health homes. Data were drawn from the 2012 National Survey of Peer-Run Organizations. Multinomial logistic regression modeled the association between organizational willingness to participate in a health home and salient factors. Current efforts, planned efforts to encourage physical healthcare, and staff size were associated with willingness to collaborate in health homes. Some organizations were concerned about power dynamics with potential medical collaborators. Relationships with medical providers, staffing capacity, and concerns about coercion should be considered when integrating peer-run organizations and health homes.
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