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Development of a peer support intervention to improve the experience and outcomes of discharge from inpatient mental health care: the role of experiential knowledge in a coproduced approach

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Jacqueline Marks, Rhiannon Foster, Sarah Louise Gibson, Alan Simpson, Miles Rinaldi, Julie Repper, Jessica Worner, Shalini Patel, Mike Lucock, Michael Ussher, Sarah White, Lucy Goldsmith, Sally Barlow, Steve Gillard

Original languageEnglish
Article number320
JournalBMC Research Notes
Issue number1
PublishedDec 2021

Bibliographical note

Funding Information: This study was funded by the UK National Institute for Health Research (NIHR), Programme Grants for Applied Research funding programme (Grant Number RP-PG-1212-20019). This paper presents independent research funded by NIHR. The views expressed are those of the authors and not necessarily those of the UK National Health Service (NHS), the NIHR or the Department of Health and Social Care. The funder had no role in the design of the study and collection, analysis, and interpretation of data and in writing the manuscript. Funding Information: We would like to acknowledge the invaluable role played by our Lived Experience Advisory Panel in developing ENRICH peer support, including Anjie Chhapia, Tina Coldham, Alison Faulkner, Sue Forber, Jo Josh, Clare Ockwell and Mat Rawsthorne, as well as the important contributions made by our Local Advisory Group members, and the peer workers and peer worker coordinators in our pilot trial. We owe a great debt of gratitude to the late Ruth Chandler who was an inspiration and guiding light in much of the work to develop ENRICH peer support. Publisher Copyright: © 2021, The Author(s). Copyright: Copyright 2021 Elsevier B.V., All rights reserved.

King's Authors


Objectives: Peer support is rapidly being introduced into mental health services internationally, yet peer support interventions are often poorly described, limiting the usefulness of research in informing policy and practice. This paper reports the development of a peer support intervention that aims to improve outcomes of discharge from inpatient to community mental health care. People with experiential knowledge of using mental health services—peer workers and service user researchers—were involved in all stages of developing the intervention: generating intervention components; producing the intervention handbook; piloting the intervention. Results: Systematic review and expert panels, including our Lived Experience Advisory Panel, identified 66 candidate intervention components in five domains: Recruitment and Role Description of Peer Workers; Training for Peer Workers; Delivery of Peer Support; Supervision and Support for Peer Workers; Organisation and Team. A series of Local Advisory Groups were used to prioritise components and explore implementation issues using consensus methods, refining an intervention blueprint. A peer support handbook and peer worker training programme were produced by the study team and piloted in two study sites. Feedback workshops were held with peer workers and their supervisors to produce a final handbook and training programme. The ENRICH trial is registered with the ISRCTN clinical trial register, number ISRCTN 10043328, and was overseen by an independent steering committee and a data monitoring committee.

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