Peer Worker Perspectives on Barriers and Facilitators: Implementation of Recovery-Oriented Practice in a Public Mental Health Service

Purpose: The use of recovery-oriented practice (ROP) in mental health is increasing globally. This study explored attitudes of peer workers about ROP's implementation. Method: A narrative approach embracing the principles of coproduction and using semi-structured questions in a focus group setting was used. Data were analyzed for themes and content from eight participants. Results: Themes indicated structural and individual barriers and facilitators. Power imbalances, organizational structure, stigma and inequity prevented the ease of implementation. On an individual level, there was a need for active listening, positive regard, and recognition of uniqueness in peer workers, recognizing them as experts in their own lives. Some of the supportive values that were identified were hope, inclusive practice, and collaboration. Discussion: In terms of implementing ROP, organizations, and clinicians need to embrace a holistic approach, practice inclusiveness, and recognize the uniqueness of lived experienced employees. Organizations need to address culture, stigma, wage disparity, role definition, and the biomedical framework that seems to pervade public mental health. These ideas are reflected in the literature. Conclusions: The lived experience of peer workers contribute to a service's implementation, and clinician uptake, of ROP. The study contributes to increasing evidence that encourages the adoption of peer workers in mental health services.