Implementing the figure of peer support workers in mental health: an international perspective from the context of its implementation in Catalonia

Francisco José Eiroa-Orosa PhD in Clinical Pyschology and Psychiatry. Ramón y Cajal Researcher, Personality, Evaluation and Psychological Treatment Section, Department of Clinical Psychology and Psychobiology, Universidad de Barcelona. Member, Research Group Salud Mental en Primera Persona, Federación Veus, Barcelona, Spain. image/svg+xml , Cecilia Sánchez-Moscona Master’s Degree in General Health Psychology. Personality, Evaluation and Psychological Treatment Section, Department of Clinical Psychology and Psychobiology, Universidad de Barcelona. Member, Research Group Salud Mental en Primera Persona, Federación Veus, Barcelona, Spain. image/svg+xml
Received: 13 September 2022, Accepted: 29 November 2022, Published: 23 January 2023 Open Access
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Abstract


In the context of debates surrounding the training of mental health peer support workers and their incorporation into the Catalan Health System, this article presents a literature review complemented by interviews carried out between 2020 and 2021 with both international and Spanish experts. Based on the information obtained, content analysis of elements of their training and integration within the health system was performed. German-speaking countries offer the most homogeneous training and recruitment programs. In the case of English- and French-speaking countries, non-profit or third sector organizations are usually in charge of training programs and recruitment. Various experiences with training programs exist in the Ibero-American world, although they are not recognized as professional qualifications. Recommendations are offered for the development of this figure in Catalonia, which include advancing towards professional training with recognition as health care providers, as well as contracting options from both socio-health or health care providers or from third sector entities.


References


1. Anthony WA. Recovery from mental illness: The guiding vision of the mental health service system in the 1990s. Psychosocial Rehabilitation Journal. 1993;16(4):11-23.
Crossref

2. Davidson L, Rakfeldt J, Strauss J. The roots of the recovery movement in psychiatry. Chichester: John Wiley & Sons; 2010.
Crossref

3. Harding CM, Brooks GW, Ashikaga T, Strauss JS, Breier A. The Vermont longitudinal study of persons with severe mental illness, I: Methodology, study sample, and overall status 32 years later. American Journal of Psychiatry. 1987;144(6):718-726.
Crossref

4. Harding CM, Brooks GW, Ashikaga T, Strauss JS, Breier A. The Vermont longitudinal study of persons with severe mental illness, II: Long-term outcome of subjects who retrospectively met DSM-III criteria for schizophrenia. American Journal of Psychiatry. 1987;144(6):727-735.
Crossref

5. Davidson L. The recovery movement: Implications for mental health care and enabling people to participate fully in life. Health Affairs. 2016;35(6):1091-1097.
Crossref

6. Satcher D. Executive summary: A report of the Surgeon General on Mental health. Public Health Reports. 2000;115:89-101.
Crossref

7. United States Department of Health and Human Services. Mental Health: A Report of the Surgeon General. Rockville: United States Department of Health and Human Services, Substance Abuse and Mental Health Services Administration, Center for Mental Health Services, National Institutes of Health, National Institute of Mental Health; 1999.

8. Chamberlin J. On our own: Patient controlled alternatives to the mental health system. Philadelphia: Hawthorn Books; 1978.

9. Vázquez-Barquero JL, García J. Deinstitutionalization and psychiatric reform in Spain. European Archives of Psychiatry and Clinical Neuroscience. 1999;249(3):128-135.
Crossref

10. Gili M, Roca M, Basu S, McKee M, Stuckler D. The mental health risks of economic crisis in Spain: evidence from primary care centres, 2006 and 2010. European Journal of Public Health. 2013;23(1):103-108.
Crossref

11. Oliveira WF, Renato Pinto AP, Cidade A, Bessa SL, Bess E. Recovery e saúde mental: uma revisão da literatura latinoamericana. Revista Iberoamericana de Psicología. 2021;14(2):69-81.
Crossref

12. Costa MN. Recovery como estratégia para avançar a Reforma Psiquiátrica no Brasil. Cadernos Brasileiros de Saúde Mental. 2017;9(21):1-16.

13. Brandão ADL, Figueiredo AP, Delgado PGG. Incorporações e usos do conceito de recovery no contexto da Reforma Psiquiátrica Brasileira: uma revisão da literatura. Trabalho Educação e Saúde. 2022;20:1-21.
Crossref

14. Agrest M, Garber Epstein P, Geffner N. Recuperación, un concepto de frontera (Parte II) Perspectivas latinoamericanas. Vertex. 2017;XXVIII(136):430-433.

15. Freire P. La educación como práctica de la libertad. México DF: Siglo XXI Editores; 1965.

16. Pichon-Rivière E. El proceso grupal: Del psicoanálisis a la psicología social. Buenos Aires: Ediciones Nueva Visión; 1971.

17. Carpintero E, Vainer A. Las huellas de la memoria: 1957-1969. Buenos Aires: Topía; 2004.

18. Recovery in the Bin. RITB – Key Principles [Internet]. 2016 [citado 10 oct 2022]. Disponible en: https://tinyurl.com/4ujmzf9r.

19. Ahmed AO, Doane NJ, Mabe PA, Buckley PF, Birgenheir D, Goodrum NM. Peers and peer-led interventions for people with schizophrenia. Psychiatric Clinics of North America. 2012;35(3):699-715.
Crossref

20. Ryan RM, Deci EL. Self-determination theory and the facilitation of intrinsic motivation, social development, and well-being. American Psychologist. 2000;55(1):68-78.
Crossref

21. Festinger L. A theory of social comparison processes. Human Relations. 1954;7(2):117-140.
Crossref

22. Sanchez-Moscona C, Eiroa-Orosa FJ. Training mental health peer support training facilitators: a qualitative, participatory evaluation. International Journal of Mental Health Nursing. 2021;30(1):261-273.
Crossref

23. Bradstreet S, Pratt R. Developing peer support worker roles: Reflecting on experiences in Scotland. Mental Health and Social Inclusion. 2010;14(3):36-41.
Crossref

24. Davidson L, Chinman M, Kloos B, Weingarten R, Stayner D, Tebes JK. Peer support among individuals with severe mental illness: A review of the evidence. Clinical Psychology: Science and Practice. 1999;6(2):165-187.
Crossref

25. Ballesteros-Urpí A. El suport mutu (peer support) en salut mental i la seva aplicabilitat en infants i adolescents. Educació Social. 2020;(75):47-63.

26. Charles A, Nixdorf R, Ibrahim N, Meir LG, Mpango RS, Ngakongwa F, et al. Initial training for mental health peer support workers: Systematized review and international delphi consultation. JMIR Mental Health. 2021;8(5):e25528.
Crossref

27. Jacobson N, Trojanowski L, Dewa CS. What do peer support workers do? A job description. BMC Health Services Research. 2012;12:205.
Crossref

28. Gagne CA, Finch WL, Myrick KJ, Davis LM. Peer workers in the behavioral and integrated health workforce: Opportunities and future directions. American Journal of Preventive Medicine. 2018;54(6):S258-S266.
Crossref

29. Gates LB, Akabas SH. Developing strategies to integrate peer providers into the staff of mental health agencies. Administration and Policy in Mental Health. 2007;34(3):293-306.
Crossref

30. Kilpatrick E, Keeney S, McCauley CO. Tokenistic or genuinely effective? Exploring the views of voluntary sector staff regarding the emerging peer support worker role in mental health. Journal of Psychiatric and Mental Health Nursing. 2017;24(7):503-512.
Crossref

31. Ibrahim N, Thompson D, Nixdorf R, Kalha J, Mpango R, Moran G, et al. A systematic review of influences on implementation of peer support work for adults with mental health problems. Social Psychiatry and Psychiatric Epidemiology. 2020;55(3):285-293.
Crossref

32. Sticher L, Bonsack C. Les pairs praticiens en santé mentale: une nouvelle profession en psychiatrie. Revue Médicale Suisse. 2017;13(575):1614-1616.
Crossref

33. Agrest M, Geffner N, Neistadt A, Iconicoff A, Pérez F, Minvielle M, et al. La incorporación de pares en los equipos de salud mental. En: Investigaciones y Experiencias en Salud Mental y Adicciones en Argentina. Ciudad Autónoma de Buenos Aires: Ministerio de Salud y Desarrollo Social de la Nación; 2019. p. 177-182.

34. Burke EM, Pyle M, Machin K, Morrison AP. Providing mental health peer support 1: A Delphi study to develop consensus on the essential components, costs, benefits, barriers and facilitators. International Journal of Social Psychiatry. 2018;64(8):799-812.
Crossref

35. Correa-Urquiza M. La condición del diálogo: Saberes profanos y nuevos contextos del decir. Revista de la Asociación Española de Neuropsiquiatría. 2018;38(134):567-585.

36. Jones N, Niu G, Thomas M, Riano NS, Hinshaw SP, Mangurian C. Peer specialists in community mental health: Ongoing challenges of inclusion. Psychiatric Services. 2019;70(12):1172-1175.
Crossref

37. Ardila Gómez SE, Agrest M, Abadi D, Cáceres C. El aporte de los pares al trabajo en salud mental: consideraciones acerca de las relaciones entre los sistemas formales e informales de ayuda: Relato de una experiencia. Vertex. 2013;XXIV:465-471.

38. Pitt V, Lowe D, Hill S, Prictor M, Hetrick SE, Ryan R, et al. Consumer-providers of care for adult clients of statutory mental health services. Cochrane Database of Systematic Reviews. 2013;28(3):CD004807.
Crossref

39. Fuhr DC, Salisbury TT, De Silva MJ, Atif N, van Ginneken N, Rahman A, et al. Effectiveness of peer-delivered interventions for severe mental illness and depression on clinical and psychosocial outcomes: a systematic review and meta-analysis. Social Psychiatry and Psychiatric Epidemiology. 2014;49(11):1691-1702.
Crossref

40. Lloyd-Evans B, Mayo-Wilson E, Harrison B, Istead H, Brown E, Pilling S, et al. A systematic review and meta-analysis of randomised controlled trials of peer support for people with severe mental illness. BMC Psychiatry. 2014;14:39.
Crossref

41. Burke EM, Pyle M, Machin K, Varese F, Morrison AP. The effects of peer support on empowerment, self-efficacy, and internalized stigma: A narrative synthesis and meta-analysis. Stigma Heal. 2019;4(3):337-356.
Crossref

42. Chien WT, Clifton AV, Zhao S, Lui S. Peer support for people with schizophrenia or other serious mental illness. Cochrane Database of Systematic Reviews. 2019;4(4):CD010880.
Crossref

43. Huang R, Yan C, Tian Y, Lei B, Yang D, Liu D, et al. Effectiveness of peer support intervention on perinatal depression: A systematic review and meta-analysis. Journal of Affective Disorders. 2020;276(6):788-796.
Crossref

44. White S, Foster R, Marks J, Morshead R, Goldsmith L, Barlow S, et al. The effectiveness of one-to-one peer support in mental health services: a systematic review and meta-analysis. BMC Psychiatry. 2020;20(1):1-20.
Crossref

45. Lyons N, Cooper C, Lloyd Evans B. A systematic review of the effectiveness of group peer support interventions for mental health conditions. BMC Psychiatry. 2021;21(315):1-17.
Crossref

46. Smit D, Miguel C, Vrijsen JN, Groeneweg B, Spijker J, Cuijpers P. The effectiveness of peer support for individuals with mental illness: systematic review and meta-analysis. Psychological Medicine. 2022;1-10.
Crossref

47. Jaffe DJ. Jury is out on paid peer support for people with mental illness. Psychiatric Times [Internet]. 2018 [citado 10 oct 2022]. Disponible en: https://tinyurl.com/45j3tbe5.

48. Davidson L, Bellamy C, Chinman M, Farkas M, Ostrow L, Cook JA, et al. Revisiting the rationale and evidence for peer support. Psychiatric Times. 2018;35(6):11-12.

49. Landers G, Zhou M. The impact of Medicaid peer support utilization on cost. Medicare & Medicaid Research Review. 2014;4(1).
Crossref

50. CORDIS. Empowerment of Mental Illness Service Users: Lifelong Learning, Integration and Action [Internet]. 2022 [citado 10 oct 2022]. Disponible en: https://tinyurl.com/yar8fbz4.

51. Palomer E, Izquierdo R, Leahy E, Masferrer C, Flores P. El usuario como experto: concepto, modalidades y experiencia desde el Proyecto Emilia. Revista de la Asociación Española de Neuropsiquiatría. 2010;30(105):109-123.
Crossref

52. Nieminen I, Ramon S, Dawson I, Flores P, Leahy E, Pedersen M, et al. Experiences of social inclusion and employment of mental health service users in a european union project. International Journal of Mental Health. 2012;41(4):3-23.
Crossref

53. Experten durch Erfahrung in der Psychiatrie. (EX)perienced (IN)volvement [Internet]. 2005 [citado 10 oct 2022]. Disponible en: https://ex-in.info/#idee.

54. peer2peer [Internet]. 2013 [citado 10 oct 2022]. Disponible en: http://p2p.intras.es.

55. Christie L, Smith L, Bradstreet S, Orihuela T, Conde H, Marcos S, et al. Peer2peer. Curso de formación profesional. Edimburgo: SRN, Fundación INTRAS, EASP, En Primera Persona, Pro mente Oberösterreich, LRPSM; 2015.

56. Puschner B, Repper J, Mahlke C, Nixdorf R, Basangwa D, Nakku J, et al. Using Peer Support in Developing Empowering Mental Health Services (UPSIDES): Background, Rationale and Methodology. Annals of Global Health. 2019;85(1):1-10.
Crossref

57. Peer Support Canada. Peer Support Certification [Internet]. 2021 [citado 10 oct 2022]. Disponible en: https://peersupportcanada.ca.

58. Mental Health Commission of Canada [Internet]. 2021 [citado 10 oct 2022]. Disponible en: https://www.mentalhealthcommission.ca.

59. Sunderland K, Mishkin W. Guidelines for the Practice and Training of Peer Support [Internet]. 2013 [citado 10 oct 2022]. Disponible en: https://tinyurl.com/3u95nkej.

60. Cyr C, Mckee H, O’Hagan M, Priest R. Making the case for peer support: Report to the Peer Support Project Committee of the Mental Health Commission of Canada [Internet]. 2016 [citado 10 oct 2022]. Disponible en: https://tinyurl.com/2p84xvsw.

61. Ontario Peer Development Initiative. Ontario Peer Development Initiative [Internet]. 2021 [citado 10 oct 2022]. Disponible en: https://www.opdi.org/.

62. Rebeiro Gruhl KL, LaCarte S, Calixte S. Authentic peer support work: challenges and opportunities for an evolving occupation. Journal of Mental Health. 2016;25(1):78-86.
Crossref

63. Kaufman L, Brooks W, Steinley Bymgarner M, Stevens Manser S. Peer Specialist Training and Certification Programs: A National Overview. Austin: The Center for Social Work Research, University of Texas at Austin; 2012.

64. Kaufman L, Kuhn WB, Manser SS. Peer specialist training & certification programs: National Overview 2016. Austin: The Center for Social Work Research, University of Texas at Austin; 2016.

65. Campbell J, Gallagher R. A literature review and documentary analysis on recovery training in mental health practice [Internet]. 2007 [citado 10 oct 2022]. Disponible en: https://tinyurl.com/4w9b8drj.

66. Scottish Qualifications Authority. Mental Health Peer Support: Developing Practice [Internet]. 2012 [citado 10 oct 2022]. Disponible en: https://tinyurl.com/bdhex4yt.

67. Health Service Executive. Peer Support Work [Internet]. 2022 [citado 10 oct 2022]. Disponible en: https://tinyurl.com/5c68e8uk.

68. Hunt E, Byrne M. Peer support in mental health services: A Report on the Impact of Peer Support Workers in Mental Health Services [Internet]. 2019 [citado 10 oct 2022]. Disponible en: https://tinyurl.com/5fp3wntc.

69. Te Pou. Consumer, peer support and lived experience July 2020 Mental health and addiction workforce development strategy: 2020–2025 [Internet]. 2020 [citado 10 oct 2022]. Disponible en: https://tinyurl.com/3hm5nf9b.

70. de Wet A, Sunkel C, Pretorius C. Opportunities and challenges: a case for formal peer support work in mental health in a South African context. Advances in Mental Health. 2022;20(1):15-25.
Crossref

71. Moran GS. The mental health consumer movement and peer providers in Israel. Epidemiology and Psychiatric Sciences. 2018;27(5):420-426.
Crossref

72. Airoldi M, Canzian V, Goglio M, Kauffmann O, Lucchi F, Mastroeni A, et al. Esperto in supporto tra pari per la salute mentale. 2014.

73. Gli esperti supporto tra pari: dall’esperienza personale ad una futura professione. [Internet]. 2015 [citado 10 oct 2022]. Disponible en: https://tinyurl.com/mpvrszm5.

74. Mezzina R. Community mental health care in trieste and beyond: An “open door-no restraint” system of care for recovery and citizenship. The Journal of Nervous and Mental Disease. 2014;202(6):440-5.
Crossref

75. 1a Conferenza Nazionale degli Utenti e Familiari Esperti nel supporto tra Pari. 1a Carta Nazionale. Esperti in supporto tra pari in Salute Mentale [Internet]. 2021 [citado 10 oct 2022]. Disponible en: https://tinyurl.com/2yy6yu6e.

76. Hegedüs A, Burr C, Pfluger V, Sieg D, Nienaber A, Schulz M. Peer support worker training: Results of the evaluation of the Experienced Involvement training programme in Switzerland and Germany. International Journal of Mental Health Nursing. 2021;30(2):451-460.
Crossref

77. Hegedüs A, Seidel E, Steinauer R. Participants’ employment status and experiences in the year after the Experienced Involvement training. The International Journal of Social Psychiatry. 2016;62(3):214-220.
Crossref

78. Daszkowski J. EX-IN-Ausbildungen: Experienced Involvement - Pro & Kontra. Psychiatrische Praxis. 2012;39(5):202.
Crossref

79. Haun M, Bilmayer S, Heuer I, Mahlke C, Puschner B, Wagner M, et al. Erfahrungen in Deutschland aus der Sicht von Peer Begleiter*innen und Trainer*innen. Sozialpsychiatrische Informationen. 2021;51(3):15-18.
Crossref

80. Korsbek L. How to Recover? Recovery in Denmark: A Work in Progress. Journal of Recovery Mental Health. 2017;1(1):25-33.

81. Socialstyrelsen. Peer-støtte i Danmark – et foreløbigt overblik [Internet]. 2014 [citado 10 oct 2022]. Disponible en: https://tinyurl.com/2s9puw56.

82. Peer-partnerskaberne i Region Midtjylland, Region Hovedstaden RS, Peer-Netværket Danmark. Oplæg til fælles ramme for peeruddannelser i Danmark [Internet]. 2018 [citado 10 oct 2022]. Disponible en: https://tinyurl.com/mpjvp8ye.

83. Lauridsen S, Nielsen MBD, Kusier AO, Cloos CØ, Jensen MP, Andersen S, et al. Implementing a peer-to-peer, self-management intervention for young people with depression and anxiety in Denmark. BMC Psychology. 2022;10(1):1-13.
Crossref

84. Jones M, Pietilä I. “The citizen is stepping into a new role”—Policy interpretations of patient and public involvement in Finland. Health & Social Care in the Community. 2018;26(2):e304-e311.
Crossref

85. Kemp H, Bellingham B, Gill K, McCloughen A, Roper C, Buus N, et al. Peer support and open dialogue: Possibilities for transformation and resistance in mental health services. En: Beyond the psychology industry. Cham: Springer International Publishing; 2020. p. 49-67.
Crossref

86. Hugarafl. A mental health peer support training course [Internet]. 2021 [citado 10 oct 2022]. Disponible en: https://tinyurl.com/ymh5krsb.

87. Odden S, Kogstad R, Brodahl M, Landheim A. Opplærings- og veiledningsbehov hos erfaringskonsulenter. [Internet]. 2015 [citado 10 oct 2022]. Disponible en: https://tinyurl.com/a7dhu4au.

88. Weber AK, Frahm Jensen MJ. Brukeransettelser. Håndbok for virksomheter som ønsker å ansette personer med egenerfaring innen psykisk helse- og rusfeltet. [Internet]. 2016 [citado 10 oct 2022]. Disponible en: https://tinyurl.com/4b5rv52u.

89. Erfaringsentrum. Nettsiden for erfaringskonsulenter - Erfaringssentrum [Internet]. 2021 [citado 10 oct 2022]. Disponible en: https://erfaringssentrum.no.

90. Mulvale G, Wilson F, Jones S, Green J, Johansen KJ, Arnold I, et al. Integrating mental health peer support in clinical settings: Lessons from Canada and Norway. Healthcare Management Forum. 2019;32(2):68-72.
Crossref

91. Nationell Samverkan för Psykisk Hälsa introducerar peer support i Sverige. Metod Handbok: Riktlinjer för utbildning, implementering och anställning inom peer support [Internet]. 2018 [citado 10 oct 2022]. Disponible en: https://tinyurl.com/muxtaj6x.

92. Grim K, Bergmark M, Argentzell E, Rosenberg D. Managing peer support workers in Swedish mental health services—A leadership perspective on implementation and sustainability. Journal of Psychosocial Rehabilitation and Mental Health. 2022;1-25.
Crossref

93. Gardien E, Héas S, Laval C. L’accompagnement par les pairs: Une approche transversale aux champs de la santé, de la santé mentale et du handicap: Actes de la journée d’étude EXPAIRs 2018. Actes la journée d’étude EXPAIRs [Internet]. 2019 [citado 10 oct 2022]. Disponible en: https://tinyurl.com/2s47rb3e.

94. Demailly L. Les pratiques des médiateurs de santé-pairs en santé mentale. Rhizome. 2020;75-76(1):37-46.
Crossref

95. Demailly L, Bélart C, Déchamp LeRoux C, Dembinski O, Farnarier C, Garnoussi N, et al. Le dispositif des médiateurs de santé pairs en santé mentale: une innovation controversée [Internet]. 2014 [citado 10 oct 2022]. Disponible en: https://tinyurl.com/3t4mdta6.

96. Maugiron P. Les différentes modalités qui déterminent l’accompagnement par les pairs. Pratiques en Santé Mentale. 2020;66(3):20.
Crossref

97. Re-pairs. Formation [Internet]. 2022 [citado 10 oct 2022]. Disponible en: https://www.re-pairs.ch/formation.

98. Allart M, Lo Sardo S. La pair-aidance en Fédération WaLLonie-BruxeLLes: Etat des lieux, Guide méthodologique [Internet]. 2020 [citado 10 oct 2022]. Disponible en: https://tinyurl.com/33faytmv.

99. En Route, SMES. Cartographie de la pair-aidance en Belgique francophone [Internet]. [citado 10 oct 2022]. Disponible en: https://cartographie-pair-aidance.be.

100. van Erp N, Boertien D, van Rooijen S, van Bakel M, Smulders R. Basiscurriculum Ervaringsdeskundigheid. Bouwstenen voor onderwijs en opleidingen voor ervaringsdeskundigen. Utrecht: Trimbos-instituut, Kenniscentrum Phrenos; 2015.

101. PowerUs. The Netherlands [Internet]. [citado 10 oct 2022]. Disponible en: https://tinyurl.com/bdhksvrr.

102. peer2peer. Mutual Support in Romania [Internet]. 2015 [citado 10 oct 2022]. Disponible en: https://tinyurl.com/yvnphtp6.

103. Christie L, Smith L, Bradstreet S, Orihuela T, Conde H, Marcos S, et al. De la Egal la Egal: Curs de instruire vocațională. Edimburgo, Escocia: SRN, Fundación INTRAS, EASP, En Primera Persona, Pro mente Oberösterreich, LRPSM; 2015.

104. Vinacour CA, Lago V. Programa agente de apoyo mutuo AAM de FUBIPA [Internet]. 2021 [citado 10 oct 2022]. Disponible en: https://tinyurl.com/yc2ubenk.

105. Magalhães Dahl C, de Araújo Carvalho MC, Moscoso Teixeira de Mendonça J, Mitkiewicz de Souza F, Wainstok Estivil Bustos M, Fernandes de Cintra Santos J, et al. “Soy loco, pero estoy en red”: el proceso de capacitación con usuarios de servicios de Salud Mental para el trabajo de ayuda entre pares en la red de atención psicosocial de Río de Janeiro. Vertex Revista Argentina de Psiquiatría. 2013;24(112):445-454.

106. Cea Madrid JC. “Locos por nuestros derechos”: Comunidad, salud mental y ciudadanía en el Chile contemporáneo. Quaderns de Psicologia. 2019;21(2):1502.
Crossref

107. Círculo Polar. Apoyo de Pares [Internet]. [citado 10 oct 2022]. Disponible en: https://tinyurl.com/bdyxm85t.

108. Sociedad Chilena de Trastornos Bipolares. ¿Qué es un especialista en apoyo a pares? [Internet]. 2017 [citado 10 oct 2022]. Disponible en: https://tinyurl.com/4s9823fa.

109. Zabaleta González R, Lezcano Barbero F, Perea Bartolomé MV. Programas de formación para el apoyo entre iguales en salud mental en España. Interdisciplinaria Revista de Psicología y Ciencias Afines. 2021;38(2):183-198.
Crossref

110. Mejías Martín Y, Ali Delgado A, Fernández Pérez E, Ruiz Rodríguez, Silvia Ramírez Esteban M. Opinión de los profesionales sobre un programa de apoyo mutuo. En: Afianzando los cuidados enfermeros en Salud Mental. Asociación Española de Enfermería de Salud Mental; 2019. p. 1235-1246.

111. Casas Toral LA, López Antón L, Carrasco Ramírez O, Nieto-Moreno M, García-Heras S. Profesional experto por experiencia en salud mental. En: XXVII Jornadas Estatales Salud Mental AEN. Madrid: Asociación Española de Neuropsiquiatría; 2017.

112. Fundación INTRAS. ARTMO BENE [Internet]. 2018 [citado 10 oct 2022]. Disponible en: https://tinyurl.com/55474uyc.

113. Consell Assessor en Salut Mental i Addiccions. Programa suport entre iguals a Catalunya [Internet]. Barcelona: Generalitat de Catalunya, Departament de Salut; 2018 [citado 10 oct 2022]. Disponible en:https://tinyurl.com/y2hc79p4.

114. Educadors socials de centres penitenciaris. Programa Compartim de gestió del coneixement del Departament de Justícia: Agents de salut a l’àmbit penitenciari [Internet]. 2011 [citado 10 oct 2022]. Disponible en: https://tinyurl.com/3vjujtf8.

115. Bardají-Mauri Á, Casacuberta-Martí S, Eiroa-Orosa FJ. La figura del técnico de apoyo entre iguales en Cataluña: de la experiencia a la esperanza. En: Avances en Psicología Clínica. Granada: Asociación Española de Psicología Conductual; 2017. p. 1034–1045.

116. Prat Vigué G, Cano Prieto I, del Río Sáez R, Vilanova Masana R, Simó Algado S. Training Peer Support Workers in Mental Health Care: A Mixed Methods Study in Central Catalonia. Frontiers in Psychiatry. 2022;13:1-14.
Crossref

117. Tisdale C, Snowdon N, Allan J, Hides L, Williams P, de Andrade D. Youth Mental Health Peer Support Work: A Qualitative Study Exploring the Impacts and Challenges of Operating in a Peer Support Role. Adolescents. 2021;1(4):400-411.
Crossref

118. East-Richard C, Cellard C. Pair-aidance à l’adolescence. En: Franck N, Cellard C, (eds). Pair-aidance en santé mentale: Une entraide professionnalisée. Elsevier Masson; 2020. p. 163-172.

119. Seikkula J, Alakare B, Aaltonen J. Open dialogue in psychosis I: an introduction and case illustration. Journal of Constructivist Psychology. 2001;14(4):247-265.
Crossref

120. La Porvenir - Equipo De Trabajo [Internet]. 2021 [citado 10 oct 2022]. Disponible en: https://laporvenir.org.

121. Rosillo Herrero M, Alonso Martos V. La experiencia del apoyo mutuo en los Centros de Rehabilitacion Psicosocial (CRPS), el “programa mentor” del servicio. Norte de Salud Mental. 2018;15(59):103-114.

122. Centro de Salud Mental Miraflores. Curso de Formación Agente de Apoyo Mutuo [Internet]. [citado 10 oct 2022]. Disponible en: https://tinyurl.com/4umh3j5b.

123. ASIEM Salud Mental Valencia. Equipo humano [Internet]. [citado 10 oct 2022]. Disponible en: https://asiem.org/equipo-humano.

124. ASIEM Salud Mental Valencia. En primera persona: expertas en salud mental [Internet]. III Premios Buenas Prácticas. 2020 [citado 10 oct 2022]. Disponible en: https://tinyurl.com/5n7wm92r.

125. Campos F, Sousa A, Rodrigues V, Marques A, Queirós C, Dores A. Directrices prácticas para programas de apoyo entre personas con enfermedad mental. Revista de Psiquiatría y Salud Mental. 2016;9(2):97-110.
Crossref

126. Nixdorf R, Nugent L, Aslam R, Barber S, Charles A, Gai Meir L, et al. A multinational peer support intervention: the UPSIDES pilot phase. Advances in Mental Health. 2022;20(1):2-14.
Crossref

127. Pathare S, Kalha J, Krishnamoorthy S. Peer support for mental illness in India: An underutilised resource. Epidemiology and Psychiatric Sciences. 2018;27(5):415-419.
Crossref

128. World Health Organization. Peer support mental health services: promoting person-centred and rights-based approaches (Guidance and technical packages on community mental health services: promoting person-centred and rights-based approaches). Geneva: World Health Organization; 2021.

129. Mcwade B. Recovery-as-Policy as a Form of Neoliberal State Making. Intersectionalities: A Global Journal of Social Work Analysis, Research, Polity, and Practice. 2016;5(3):62-81.

130. Ministerio de Educación y Formación Profesional. Acreditación de Competencias [Internet]. 2021 [citado 10 oct 2022]. Disponible en: https://tinyurl.com/93k3c6ff.