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How can you compare peer-led and professional-led peer support models?

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Peer support is a form of mutual aid that involves people with shared experiences of mental health challenges, recovery, or trauma helping each other. Peer support can be delivered by peers who are trained and supervised by professionals, or by peers who are self-organized and independent of formal services. How can you compare these two models of peer support, and what are their benefits and challenges?

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1 Peer-led peer support

Peer-led peer support is based on the principles of empowerment, autonomy, and self-determination. Peers who lead or facilitate peer support groups, networks, or programs decide on their own goals, methods, and rules, without interference from professionals or authorities. Peer-led peer support can foster a sense of belonging, solidarity, and mutual respect among peers, as well as encourage creativity, innovation, and advocacy. However, peer-led peer support also faces some challenges, such as lack of funding, resources, or recognition, potential conflicts or power dynamics within the peer community, and difficulties in maintaining quality, safety, and accountability.

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Elsa V.

Coordinatrice/médiatrice en santé de parcours complexes (case manager) - IDE
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- Il manque les pratiques orientées rétablissement fondamentales dans l'accompagnement par les pairs et un des piliers c'est l'espoir qu'un pair-aidant va susciter chez le pair-aidé. - J'ai apprécié le fait que ce soit noté qu'il y ait des défis car c'est vrai.

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2 Professional-led peer support

Professional-led peer support is based on the principles of collaboration, integration, and evidence-based practice. Peers who work as peer support workers, specialists, or coaches are trained and supervised by professionals, such as mental health clinicians, social workers, or counselors. Professional-led peer support can provide peers with access to formal services, resources, and referrals, as well as enhance their skills, knowledge, and confidence. However, professional-led peer support also faces some challenges, such as role ambiguity, role conflict, or role strain, potential stigma or discrimination from professionals or peers, and difficulties in balancing recovery-oriented and service-oriented perspectives.

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Elsa V.

Coordinatrice/médiatrice en santé de parcours complexes (case manager) - IDE
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- Au lieu de collaboration, j'utiliserai le terme co-construction car les professionnels dans une optique de réhabilitation psychosociale doivent avoir une posture réciproque de personnes à personne.

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3 Comparing the models

When comparing peer-led and professional-led peer support models, there are several aspects to consider, such as the autonomy and control that peers have over their activities, the involvement and influence of professionals on design, delivery, and evaluation of services and programs, the alignment between peer and professional values, goals, and cultures, the recognition and validation peers receive for their contributions, and the accountability and responsibility of peers and professionals for the quality, safety, and outcomes of peer support. No one model is suitable for all contexts, needs, and preferences.

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Elsa V.

Coordinatrice/médiatrice en santé de parcours complexes (case manager) - IDE
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- Le fait qu'il y ait une supervision d'un professionnel non pair-aidant est la garantue de la sécurité du groupe. - Travailler en pluridisciplinarité permet une richesse également.

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4 Evaluating the models

To evaluate the effectiveness and impact of peer-led and professional-led peer support models, you can use various methods and indicators such as feedback and satisfaction surveys from peers and professionals, qualitative and quantitative data on outcomes and changes, stories and testimonials from peers and professionals, as well as reviews and assessments from external stakeholders or experts. These measures can provide insight into recovery, well-being, empowerment, social inclusion, or service utilization that result from peer support, as well as examine the strengths, weaknesses, opportunities, and threats of peer support.

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5 Improving the models

To improve the quality and sustainability of peer-led and professional-led peer support models, you can take actions such as seeking ongoing learning and development opportunities for peers and professionals, establishing clear standards, guidelines, and policies for practice and ethics, creating supportive relationships and communication channels between peers and professionals, advocating for and securing adequate funding, resources, and recognition for peer support, and celebrating the diversity of the peer support community.

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6 Here’s what else to consider

This is a space to share examples, stories, or insights that don’t fit into any of the previous sections. What else would you like to add?

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How can you compare peer-led and professional-led peer support models?

1

2

3

4

5

6

1 Peer-led peer support

2 Professional-led peer support

3 Comparing the models

4 Evaluating the models

5 Improving the models

6 Here’s what else to consider

Peer Support

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How can you compare peer-led and professional-led peer support models?

1

2

3

4

5

6

1 Peer-led peer support

2 Professional-led peer support

3 Comparing the models

4 Evaluating the models

5 Improving the models

6 Here’s what else to consider

Peer Support

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