Development of the UPSIDES global mental health training programme for peer support workers: Perspectives from stakeholders in low, middle and high-income countries.

Publisher: Public Library of Science Country of Publication: United States NLM ID: 101285081 Publication Model: eCollection Cited Medium: Internet ISSN: 1932-6203 (Electronic) Linking ISSN: 19326203 NLM ISO Abbreviation: PLoS One Subsets: MEDLINE

Original Publication: San Francisco, CA : Public Library of Science

Mental Health* ; Mental Disorders*/therapy ; Mental Disorders*/psychology; Humans ; Developed Countries ; Counseling ; Uganda

Background: Peer support in mental health is a low-threshold intervention with increasing evidence for enhancing personal recovery and empowerment of persons living with severe mental health conditions. As peer support spreads globally, there is a growing need for peer support training programmes that work well in different contexts and cultures. This study evaluates the applicability and transferability of implementing a manualised multi-national training programme for mental health peer support workers called UPSIDES from the perspective of different local stakeholders in high-, middle-, and low-income countries.
Method: Data from seven focus groups across six study sites in Africa (Tanzania, Uganda), Asia (India, Israel), and Europe (Germany 2 sites) with 44 participants (3 service users, 7 peer support workers, 25 mental health staff members, 6 clinical directors and 3 local community stakeholders) were thematically analysed.
Results: 397 codes were identified, which were thematically analysed. Five implementation enablers were identified: (i) Enhancing applicability through better guidance and clarity of training programme management, (ii) provision of sufficient time for training, (iii) addressing negative attitudes towards peer support workers by additional training of organisations and staff, (iv) inclusion of core components in the training manual such as communication skills, and (v) addressing cultural differences of society, mental health services and discrimination of mental health conditions.
Discussion: Participants in all focus groups discussed the implementation of the training and peer support intervention to a greater extent than the content of the training. This is in line with growing literature of difficulties in the implementation of peer support including difficulties in hiring peer support workers, lack of funding, and lack of role clarity. The results of this qualitative study with stakeholders from different mental health settings worldwide emphasises the need to further investigate the successful implementation of peer support training. All results have been incorporated into the manualisation of the UPSIDES peer support training.
Competing Interests: The authors have declared that no competing interests exist.
(Copyright: © 2024 Nixdorf et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.)

BMC Psychiatry. 2020 Nov 11;20(1):534. (PMID: 33176729)
PLoS One. 2020 May 5;15(5):e0232076. (PMID: 32369511)
Psychol Serv. 2022 May;19(2):360-374. (PMID: 33793284)
PLoS One. 2015 Oct 30;10(10):e0141122. (PMID: 26516780)
J Psychiatr Ment Health Nurs. 2022 Feb;29(1):14-24. (PMID: 33067830)
Ann Glob Health. 2019 Apr 05;85(1):. (PMID: 30951270)
J Ment Health. 2011 Aug;20(4):392-411. (PMID: 21770786)
Epidemiol Psychiatr Sci. 2018 Oct;27(5):463-467. (PMID: 29521609)
Psychiatr Serv. 2018 Sep 1;69(9):961-977. (PMID: 29962310)
PLoS One. 2014 May 29;9(5):e97091. (PMID: 24875748)
Epidemiol Psychiatr Sci. 2018 Oct;27(5):420-426. (PMID: 29656726)
Psychiatr Serv. 2012 Dec;63(12):1186-94. (PMID: 22983658)
Epidemiol Psychiatr Sci. 2019 Nov 19;29:e76. (PMID: 31739821)
Br J Psychiatry. 2020 Jun;216(6):301-307. (PMID: 31992375)
Psychiatr Rehabil J. 2016 Sep;39(3):211-21. (PMID: 27618458)
Schizophr Bull. 2006 Jul;32(3):443-50. (PMID: 16461576)
Prev Sci. 2023 Mar 22;:. (PMID: 36947309)
Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2019 Feb;62(2):214-221. (PMID: 30671605)
Int J Nurs Stud. 2016 Aug;60:234-50. (PMID: 27297384)
World Psychiatry. 2018 Jun;17(2):222-224. (PMID: 29856537)
JMIR Ment Health. 2021 May 27;8(5):e25528. (PMID: 34042603)
BMC Public Health. 2020 Jan 20;20(1):80. (PMID: 31959151)
BMC Health Serv Res. 2016 Mar 01;16:79. (PMID: 26931580)
Int J Soc Psychiatry. 2020 May;66(3):263-269. (PMID: 32046565)
Transcult Psychiatry. 2020 Feb;57(1):3-18. (PMID: 32106797)
Eur Psychiatry. 2017 May;42:103-110. (PMID: 28364685)
Psychiatr Rehabil J. 2012 Dec;35(6):470-3. (PMID: 23276242)
Adm Policy Ment Health. 2022 Jul;49(4):596-612. (PMID: 35018509)
Int J Qual Health Care. 2007 Dec;19(6):349-57. (PMID: 17872937)
Soc Psychiatry Psychiatr Epidemiol. 2020 Mar;55(3):285-293. (PMID: 31177310)
BMJ Open. 2023 Aug 23;13(8):e058724. (PMID: 37612104)
J Hum Lact. 2019 May;35(2):220-222. (PMID: 30849272)
Epidemiol Psychiatr Sci. 2015 Oct;24(5):435-45. (PMID: 24992284)
Health Promot Int. 2013 Sep;28(3):418-30. (PMID: 22752106)
Health Promot Int. 2006 Mar;21(1):76-83. (PMID: 16249192)
Int J Educ Technol High Educ. 2021;18(1):64. (PMID: 34909461)
Epidemiol Psychiatr Sci. 2018 Oct;27(5):415-419. (PMID: 29618392)
J Ment Health. 2016;25(1):78-86. (PMID: 26397981)
BMJ Open. 2022 Jan 20;12(1):e058083. (PMID: 35058270)
Int J Environ Res Public Health. 2022 Jan 05;19(1):. (PMID: 35010828)
J Ment Health. 2019 Dec;28(6):627-632. (PMID: 28682640)
Trials. 2020 May 1;21(1):371. (PMID: 32357903)

Date Created: 20240226 Date Completed: 20240228 Latest Revision: 20240229

20240229

PMC10896522

10.1371/journal.pone.0298315

38408108