Providing mental health peer support 1: A Delphi study to develop consensus on the essential components,costs,benefits,barriers and facilitators

Abstract

Background:

While formalised mental health peer support is on the increase, there continues to be a lack of consensus regarding the peer supporter role.

Aim:

The aim was to develop consensus on the essential components, personal costs, personal benefits, barriers and facilitators involved in providing mental health peer support.

Methods:

The Delphi method was used. In the first round, an exhaustive list of statements pertaining to peer support was generated from literature review and consultation with experienced peer supporters. In the second round, 147 UK peer supporters rated statements online or via post, and completed a questionnaire about experiences of providing peer support. Criteria for consensus were applied. Where there was uncertainty, statements were re-rated. Descriptive statistics and group comparisons were calculated. The final statements were grouped thematically.

Results:

Consensus was reached on statements pertaining to essential components (n = 67), personal benefits (n = 21), barriers (n = 1) and facilitators (n = 35). Formal peer support involves many skills and competencies. Most participants agreed that a wide range of personal benefits come with the role. Organisations may facilitate peer support through their values, actions and oversight. Approximately half of the sample worked in public services and were more likely to have concerns regarding pay and career progression.

Conclusion and Implications for Practice:

Results define the peer supporter role and add to the knowledge base about optimal conditions for it to thrive. Recommendations are made regarding role development and career progression, and future research to better understand personal costs and benefits.