Evidence map›Paper›PMID 32884819›Full record

ArticleBorderline personality disorder and emotion dysregulation2020

Using peer workers with lived experience to support the treatment of borderline personality disorder: a qualitative study of consumer, carer and clinician perspectives.

Karlen R Barr, Michelle L Townsend, Brin F S Grenyer

Open access · goldAbstract read
In one paragraph

Article in Borderline personality disorder and emotion dysregulation, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 3 pooled it
9.7field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 3 syntheses or guidelines pooled it, 59 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Operationalizing the Consolidated Framework for Implementation Research to build and support the lived experience workforce in direct health service provision.Health expectations : an international journal of public participation in health care and health policy · 2024
    Pooled it
  4. Article
  5. Review
  6. Article
  7. Navigating parenthood in people living with borderline personality disorder: a meta-ethnography.Borderline personality disorder and emotion dysregulation · 2025
    Article
  8. Article
  9. Article
  10. Article
  11. 'ALL ABOUT MY IDEAL MENTAL HEALTH SERVICE': Users, family members and experts by experience discussing a co-designed service.Health expectations : an international journal of public participation in health care and health policy · 2024
    Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. The impact of peer support work on the mental health of peer support specialists.International journal of mental health systems · 2022
    Article
  17. Article
  18. Article
  19. Article
  20. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 1 institution in 1 country.

Karlen R BarrSchool of Psychology and Illawarra Health and Medical Research Institute, University of Wollongong, Wollongong, NSW Australia.
Michelle L TownsendSchool of Psychology and Illawarra Health and Medical Research Institute, University of Wollongong, Wollongong, NSW Australia.
Brin F S GrenyerSchool of Psychology and Illawarra Health and Medical Research Institute, University of Wollongong, Wollongong, NSW Australia.
Illawarra Health and Medical Research Institute · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPeer support is a recovery oriented approach where consumers and carers are introduced to people with lived experience of the disorder who have recovered. Paid roles within health services for such consumer peer workers and carer peer workers (or 'specialists') are increasingly common. To date specific studies on such peer support for consumers with borderline personality disorder (BPD) and their carers has not been conducted.

methodsThis qualitative study used interviews to explore perceptions and models of peer support for BPD from the perspectives of 12 consumers, 12 carers, and 12 mental health professionals. Participant responses were analyzed using reflexive thematic analysis within a phenomenological methodology.

resultsAll groups described how consumer peer workers may provide hope, connection, and validation to a consumer's lived experience. Offering both traditional mental health treatment plus peer support, and giving consumers choice regarding a consumer peer worker was welcomed. Differences in opinion were found regarding the consumer peer worker's role in relation to the mental health team, including whether consumer peer workers should access medical records. Perspectives differed regarding the consumer peer worker and carer peer worker positions, highlighting potential role confusion. Carers discussed the value of receiving support from carer peer workers and consumer peer workers. Mental health professionals described how consumer peer workers can experience workplace stigma and problems with boundary setting, and acknowledged a need for peer workers to be valued by having a duty of care and confidentiality code to follow and be offered supervision.

conclusionsTwo models of peer support for BPD emerged: an integrated model where consumer peer workers work within the mental health team, and a complementary model where consumer peer workers are separate from the mental health team. Based on these findings we provide recommendations for services to help support such peer work for consumers with BPD and their carers.

Indexed as

Borderline personality disorderCarer peer workerConsumer peer workerLived experiencePeer supportQualitativeRecovery

Identifiers

PMID32884819
PMCPMC7465429
OpenAlexW3082062819

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.