Evidence map›Paper›PMID 42108942›Full record

SynthesisHarvard review of psychiatry

The Competencies and Implementation of Peer Support Interventions for People with Serious Mental Health Challenges: A Systematic Review.

Ernesto Isaac Lara, Laura Bond, Adarsh Ratnakaran, Muxi Zheng, Emily Song, Kacey Fang, Priyanka Suneja, Saniya Ballikar, Malvina Carmel Mendes, Kathryn O'Neill and 3 more

Abstract readSystematic Review
In one paragraph

Synthesis in Harvard review of psychiatry. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Article
  2. Article
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

13 authors.

Ernesto Isaac LaraFrom Mental Health for All Lab, Department of Global Health & Social Medicine, Harvard Medical School (Mr. Lara and Drs. Bond, Carmio, and Patel, and Mss. Zheng, Song, Fang, and O'Neill); Department of Global Health and Population, Harvard T.H. Chan School of Public Health (Ms. Zheng); Sangath (Mr. Ratnakaran and Mss. Suneja, Ballikar, and Mendes, and Dr. Agrawal); Margaret Bosco Bal Sadan-Child Care Institute (Ms. Mendes); EMPOWER at Scale (Dr. Carmio); Antarman Centre (Dr. Agrawal); Manipal Hospital (Dr. Agrawal), Goa, India.
Laura Bond
Adarsh Ratnakaran
Muxi Zheng
Emily Song
Kacey Fang
Priyanka Suneja
Saniya Ballikar
Malvina Carmel Mendes
Kathryn O'Neill
Natali Carmio
Ravindra Narayan Agrawal
Vikram Patel

Funding

Indira Foundation
6 · The paper itself

Abstract

Peer support has proven effective in improving clinical, psychosocial, and recovery-oriented outcomes for persons with serious mental health challenges. This review builds on this evidence with the goal of identifying the competencies and implementation features of peer support interventions. We identified 41 articles for inclusion. Eligible studies consisted of randomized controlled trials that tested the effectiveness of peer support services for adults living with serious mental health challenges. We extracted and synthesized data on the competencies peer supporters demonstrated and implementation elements, including recruitment, training, supervision, and quality monitoring. Most studies were from high-income country settings, with the majority from the United States (75.6%). A competency taxonomy was developed based on the Substance Abuse and Mental Health Services Administration's peer support core competencies guidelines, and through additional thematic content analysis. Out of the 16 peer support and clinical competencies identified, the most frequently deployed peer support competencies were collaboration and care (90%), providing support (83%), and communication (73%); the most frequently deployed clinical competency was mental health diagnosis and psychoeducation (51%). Peers were primarily recruited from community organizations. Although reports on training length and format were inconsistent, trainings were most often reported as in person and ranged from a few hours to 192 hours. Supervisors of peer supporters included more experienced peer supporters, clinicians, or other staff, and supervision consisted of reviewing quality ratings and providing feedback on specific cases. Our findings confirm the salience of a relatively small set of competencies across peer support interventions which could be considered universal for standardization and scaling up, as well as best practices for training and supervision. Future research should aim to identify additional competencies that are contextually sensitive or address the needs of vulnerable groups.

Indexed as

Clinical CompetenceMental DisordersMental Health ServicesPeer GroupSocial SupportHumansintervention studiesmental disordersmental health servicespeer support

Identifiers

PMID42108942
PMCPMC13152074

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.