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What are the biggest obstacles to implementing peer support programs in healthcare?

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Peer support is a form of mutual aid where people with similar experiences of health challenges or recovery share their knowledge, skills, and emotional support with each other. Peer support programs in healthcare can improve outcomes, reduce stigma, and empower participants. However, there are also significant barriers to implementing and sustaining peer support programs in different settings and contexts. In this article, we will explore some of the biggest obstacles to peer support and how they can be overcome.

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Folake Owodunni

CEO, Emergency Response Africa | Pursuing Purpose and Profit | Faith-Driven Entrepreneur | Tech for Good | Social Impact
Christian BURGI

Directeur D'H?pitaux Publics
Deise Cristina Grazioli

Enfermeiro | Mestre em Enfermagem | Supervisor | Professor | Especialista em Cardiologia | Terapia Intensiva

1 Lack of recognition

One of the main challenges to peer support is the lack of recognition and acceptance from the mainstream healthcare system. Peer support is often seen as an informal, unprofessional, or alternative service that does not fit within the existing standards, policies, and regulations of healthcare delivery. Peer support workers may face discrimination, exclusion, or resistance from other healthcare professionals who do not value or understand their role and contribution. To overcome this barrier, peer support programs need to demonstrate their effectiveness, quality, and accountability through research, evaluation, and accreditation. They also need to advocate for their inclusion and integration in the healthcare system and collaborate with other stakeholders to build trust and mutual respect.

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Christian BURGI

Directeur D'H?pitaux Publics
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En France, appara?t une ambigu?té ; le pair est per?u d’abord comme un bénévole partageant son expertise puis lorsqu’il est salarié, il n’est pas soignant et donc il n’est régi par aucun décret de compétences et a du mal à s’inscrire dans une organisation soignante construites par des règles et des bonnes pratiques.

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Deise Cristina Grazioli

Enfermeiro | Mestre em Enfermagem | Supervisor | Professor | Especialista em Cardiologia | Terapia Intensiva
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Algumas reflex?es sobre esta temática t?o importante para os profissionais, em especial os da área da saúde. Uma das causas, por ser por falta de feedback, recompensas e oportunidades de desenvolvimento.

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Alan Langford
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Mostly that truck blocking the front door. Also this sentence designed for the sole purpose of mentioning peer support, because code.

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Laurence BOURGER

Facilitatrice de clauses sociales d'insertion - Ouverte aux opportunités de collaboration - Insertion - Développement durable - Développement économique - Formation - Innovation
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En mission locale, dont l’activité consiste à accompagner des jeunes de 16 à 25 ans, nous avons pu bénéficier d’un financement de l’ANACT pour accompagner notre démarche de professionnalisation vers une équipe Autonome Responsable et Solidaire. Cette démarche vise, avec les leviers et outils de l’intelligence collective, à partager les visions et pratiques, à co construire des projets et actions en donnant à chaque salarié le pouvoir de s’exprimer et d’interagir avec ses pairs

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2 Lack of resources

Another challenge to peer support is the lack of adequate resources and funding to support its development and sustainability. Peer support programs often operate on a shoestring budget, relying on grants, donations, or volunteers to cover their costs. Peer support workers may receive low or no compensation, inadequate training, or limited supervision and support. This can affect their motivation, retention, and well-being. To overcome this barrier, peer support programs need to diversify their sources of funding and seek long-term contracts or partnerships with public or private agencies that can provide stable and sufficient resources. They also need to invest in their human capital and provide fair and competitive compensation, ongoing training, and professional development opportunities for their peer support workers.

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Christian BURGI

Directeur D'H?pitaux Publics
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L’expertise des pairs est-elle une compétence pouvant donné lieu à qualification et rémunération ? Sa place dans l’organisation des soins est ??en plus??. Les ressources des pairs aidant sont des allocations et non des salaires.

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3 Lack of diversity

A third challenge to peer support is the lack of diversity and representation among peer support workers and participants. Peer support programs may not reflect the cultural, linguistic, or social diversity of the communities they serve, resulting in barriers to access, engagement, and relevance. Peer support workers and participants may face discrimination, stereotyping, or marginalization based on their identity, background, or preferences. To overcome this barrier, peer support programs need to adopt a culturally responsive and inclusive approach that respects and values the diversity of their stakeholders. They also need to recruit, train, and retain peer support workers and participants from diverse groups and ensure that their voices and needs are heard and addressed.

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Paola ?? Mantilla Londoňo

Consultora en Diversidad
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Según mi experiencia y como mujer autista el pertenecer a una comunidad no hegemonica, nos permite promover puntos de vista diversos que cuestionan las relaciones que pueden existir en un territorio, comprendiendo de mejor manera estereotipos, las formas sutiles de discriminación que existentes, promovinedo acciones que garanticen una mejor comprension la realidad de las personas y sus contextos

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4 Lack of evidence

A fourth challenge to peer support is the lack of robust and consistent evidence on its impact and outcomes. Peer support programs may face difficulties in measuring and demonstrating their effectiveness, quality, and value to funders, policymakers, and other healthcare providers. Peer support programs may lack the skills, tools, or resources to conduct rigorous and relevant research and evaluation. They may also face ethical, methodological, or practical challenges in collecting and analyzing data that capture the complex and subjective nature of peer support. To overcome this barrier, peer support programs need to develop and implement a clear and comprehensive framework for research and evaluation that aligns with their goals, objectives, and indicators. They also need to collaborate with researchers, evaluators, and other peer support programs to share their data, findings, and best practices.

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Paola ?? Mantilla Londoňo

Consultora en Diversidad
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-Las tecnicas de gestalt pueden identificar patrones relacionales, pensamientos y comportamientos que bloquean la conciencia presente y lleva a situaciones que generan barreras en las personas. El trabajo entra pares permite un trabajo de doble visión a las problematicas, promoviendo consensos, pero también poniendo sezgos no identificados en la intervención individual que podrian haber sido evitados.

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5 Lack of coordination

A fifth challenge to peer support is the lack of coordination and communication among peer support programs and other healthcare services. Peer support programs may operate in isolation, duplication, or competition with other programs or providers that offer similar or complementary services. Peer support workers and participants may face confusion, frustration, or gaps in their care and support as they navigate the complex and fragmented healthcare system. To overcome this barrier, peer support programs need to establish and maintain effective and efficient referral and linkage mechanisms that connect their stakeholders with the appropriate and available services. They also need to foster and participate in networks, coalitions, or alliances that promote information exchange, collaboration, and advocacy among peer support programs and other healthcare services.

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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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Folake Owodunni

CEO, Emergency Response Africa | Pursuing Purpose and Profit | Faith-Driven Entrepreneur | Tech for Good | Social Impact
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One of the challenges facing peer support programs is that they are often established outside of existing community structures. This can make them more difficult to sustain without outside resources and isolated from cultural norms, as mentioned in the earlier points. Rigorous evaluation is certainly needed but I hypothesize that peer support programs that are embedded in existing community structures such as interest-based associations and faith-based groups are more sustainable and impactful.

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Malu W. Hamidi (She/Her)

MD, MPH, RO
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One of the biggest challenges is the lack of cultural competence in the healthcare providers. Cultural competency is the ability of providers to work. interact, and engage in a relationship that is meaningful with those of different cultures. If we go back to colonialism and the mistreatment of Indigenous people in Canada by those who were culturally incompetent, had no clue about the history, cultural practices of Indigenous is a good example of that.

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Bernard GILLET

Conseil et formateur près d'Associations et ONG ?uvrant à l'international, Afrique principalement.
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Quand toutes les communications seront traduites en fran?ais, je pourrai m'exprimer. Mon anglais est trop rudimentaire pour comprendre tout.

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What are the biggest obstacles to implementing peer support programs in healthcare?

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3

4

5

6

1 Lack of recognition

2 Lack of resources

3 Lack of diversity

4 Lack of evidence

5 Lack of coordination

6 Here’s what else to consider

Peer Support

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What are the biggest obstacles to implementing peer support programs in healthcare?

1

2

3

4

5

6

1 Lack of recognition

2 Lack of resources

3 Lack of diversity

4 Lack of evidence

5 Lack of coordination

6 Here’s what else to consider

Peer Support

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