Peer support as a catalyst for recovery: A mixed-methods study

Background. Peer support involves people in recovery from mental illness supporting their peers. Purpose. This mixed-methods pilot randomized control trial with qualitative interviews aimed to (a) compare peer support worker (PSW) and mental health worker (MHW) client outcomes and (b) provide estimates to inform the design of a larger study. Method. Fifteen adults living with a mental illness and receiving services at a community health team were randomly assigned to a PSW or a MHW group. The Quality of Life Interview Brief Version was administered at baseline and after 6 months of intervention. Participants completed a semi-structured exit interview. Findings. While both groups improved from baseline to 6 months, the PSW group did not improve more than the MHW group. Interviews highlighted therapeutic alliance and boundaries. Implications. This research adds to existing literature that PSWs produce outcomes similar to nonpeer staff and struggle with boundaries related to their unique role.