How to support peer support: evaluating the first steps in a healthcare community

Although limited, there is emerging evidence of the value of peer support for people with mental health issues. We report an evaluation of a training experience introducing intentional peer support (IPS) to people who use mental health services. IPS is a well developed, specific approach in which the central concept of mutuality redefines help as a co-learning and growing process. This paper aims to explore par ticipants' initial understandings of peer support, assess the impact of the course in terms of subsequent peer support activities and gather reflections from participants concerning what helped and hindered putting IPS into practice. Thirty people attending a five-day residential course run by the originator of IPS, Shery Mead, were invited to take part in two refresher/follow-up workshops. An independent evaluator (first author) collected data at the start and end of the residential phase, at two months and at five months. Findings are based on 26 people who provided data on at least two occasions. The course was enthusiastically received and successfully conveyed the fundamentals of IPS. Proportions of people involved in general peer support at the start and end of the evaluation remained similar. At five months, 15 people reported involvement in IPS and one person had set up an IPS group. Being connected to an existing group or network, including maintaining connection with course participants was the most helpful feature in putting IPS into practice. Hindrances included isolation and lack of opportunity. The paper concludes that ongoing support is essential to encourage the post-course development and practice of IPS.