S063: Peer Work & Shared Decsionmaking
Tracks
Track 4
| Thursday, August 27, 2015 |
| 3:30 PM - 5:00 PM |
| Nicholls Theatrette |
Speaker
Samantha Batchelor
Promotion, Prevention And Early Intervention Projects Manager
Children And Young People’s Mental Health
CHOICE
Abstract
Symposia plan
The symposia will present an innovative peer work and shared decision service model, the CHOICE project. This project was developed, implemented and evaluated at headspace Gosford in collaboration with Orygen the National Centre of Excellence in Youth Mental Health and funded by headspace National Service Innovation Project funding from the Department of Health and Ageing.
The symposia will contain the following presentations:
Presentation 1: The CHOICE Project: An Overview
This presentation will set the scene for the audience regarding shared decision making and peer work in a youth mental health setting and how these were implemented.
Presentation 2: Establishing and maintaining a Peer Workforce
This presentation will provide a framework for the development of a peer workforce from recruitment to training, roles and responsibilities, mentoring and support and ensuring a sustainable Peer Workforce. A Peer Worker will also provide an overview of the peer work role and the benefits of becoming a Peer Worker.
Presentation 3: The CHOICE Project: Can peer workers support young consumers to engage in shared decision making?
This presentation will focus on components of the project evaluation, in particular the benefits of peer work and shared decision making in making young people feel more involved and satisfied, and in reducing how conflicted they feel about healthcare decisions.
The abstracts for these proposed presentations are presented below.
Abstract 1: The CHOICE Project: An overview
Deb Howe3, Samantha Bachelor3, Tara Dimolpoulos-Bick3, Magenta B Simmons1,2
1 Orygen the National Centre of Excellence in Youth Mental Health
2 headspace Centre of Excellence in Youth Mental Health
3 headspace Gosford
Aim
This session will outline the development, implementation and evaluation of the CHOICE (Choices about Healthcare Options Informed by Client Experiences & Expectations) project.
Background
CHOICE is an innovative shared decision making (SDM) and peer work (PW) model, designed to empower young people to make informed and preference based decisions about their own care.
SDM is one of the most popular approaches to involving consumers at an individual level about their own care and as a way of enhancing patient engagement and activation1. Decision aids are online tools that facilitate SDM, present evidence and empower consumers to explore their values and preferences when making decisions about their own care.
Peer workers are people with an experience as/or with a consumer of mental health services. Peer support is offering and receiving help, based on shared understanding, respect and mutual empowerment between people in similar situations2.
This innovative project combines these components utilising them within a youth mental health setting.
Outcomes
Through the project we:
• established sustainable peer workforce model;
• developed an interactive web-based decision tool;
• developed a framework to support these in a clinical context; and
• facilitated positive outcomes for young people who reported they felt more involved and had less decisional conflict.
Learning objectives
Learning objective 1: Attendees will gain an understanding of peer work and shared decision making and how to implement these within a clinical setting.
Learning objective 2: This topic is relevant for services wanting to empower and engage with their clients from a client centred and informed paradigm.
References
1. Hoffmann,T.C., Légaré, F, Simmons M. B., McNamara, K., McCaffery, K., Trevena,L.J., Hudson, B., Glasziou, P.P., and Del Mar, C.B. (2014). Shared decision making: what do clinicians need to know and why should they bother? Med J Aust 2014; 201 (1): 35-39.
2. Repper,J (2013). Peer Support Workers: a practical guide to implementation; IMROC Implementing Recovery through Organisational Change.
Abstract 2: Establishing and Maintaining a Peer Workforce
Deb Howe3, Samantha Bachelor3, Joel Makings (peer worker)3, Tara Dimolpoulos-Bick3, Magenta B Simmons1,2
1 Orygen the National Centre of Excellence in Youth Mental Health
2 headspace Centre of Excellence in Youth Mental Health
3 headspace Gosford
Aim
This session will outline a Peer workforce framework that highlights how to recruit, train, mentor and support peer workers within a youth mental health setting. An opportunity for the audience to hear the experiences of peer workers who worked on the CHOICE project will also be provided.
Background
Peer work is gaining increasing attention both in the academic field and health organisations. In a recent report tabled by the Mental Health Commission it was stated that “Peer workers offer hope and understanding as well as knowledge and support to people who experience mental illness, and research shows they can be highly effective in supporting people’s recovery”1. Moreover, peer work is unique in the mental health setting in that it does not assume a medical model and is the only mental health role that is grounded intrinsically in recovery2.
The CHOICE project utilised Peer Workers to work with young people who accessed headspace Gosford in the use of the Shared decision making tool.
Outcomes
• We developed a transferrable framework to establish a Peer workforce including recruitment, training, mentoring and support.
• We established a sustainable peer workforce within headspace Gosford.
• We impacted positively on the recovery journey of the peer workers.
References
1. NSW Mental Health Commission (2014). Living Well: Putting people at the centre of mental health reform in NSW. Sydney, NSW Mental Health Commission. Downloaded from http://nswmentalhealthcommission.com.au/node/1586 © 2014 State of New South Wales
2. Proudfoot JG, Jayawant A, Whitton AE, Parker G, Manicavasagar V, et al. (2012). Mechanisms underpinning effective peer support: a qualitative analysis of interactions between expert peers and patients newly-diagnosed with bipolar disorder. BMC psychiatry 12:196.
Abstract 3: The CHOICE Project: Can peer workers support young consumers to engage in shared decision making?
Magenta B Simmons1,2, Samantha Bachelor3, Tara Dimolpoulos-Bick3, Deb Howe3
1 Orygen the National Centre of Excellence in Youth Mental Health
2 headspace Centre of Excellence in Youth Mental Health
3 headspace Gosford
Background
Consumer participation in youth mental health services is essential, yet few strategies exist to guide successful implementation1. We employed eight peer workers to promote shared decision making2 (SDM) using an online decision support tool at an enhanced primary care service and evaluated this innovative dual-level consumer participation strategy.
Methods
Clients were invited to engage with a peer worker and use a decision support tool before and during their initial intake assessment. A comprehensive evaluation of the program was undertaken using quantitative (pre- and post- data with a historical comparison group) and qualitative methods. Measures included decisional conflict, perceived SDM, and satisfaction.
Results
For perceived SDM with intake workers there was a statistically significant difference between the baseline and intervention groups (F(1,137) = 6.124, p = 0.015). There was also a significant difference for pre- and post- assessment decisional conflict scores (t(144)=13.73, p=0.000). Perceived level of SDM and post-decision aid decisional conflict predicted satisfaction, F(2,71) = 14.21, p < .015, R2 = .286.
Conclusions
We successfully implemented a peer workforce that promoted consumer involvement. Our findings have implications for service delivery and demonstrate the importance of both peer work and SDM for promoting optimal outcomes in youth mental health.
[1] James AM. Principles of youth participation in mental health services. MJA. 2007;187(7 Suppl):S57-60.
[2] Hoffmann TC, Legare F, Simmons MB, McNamara K, McCaffery K, Trevena LJ, et al. Shared decision making: what do clinicians need to know and why should they bother? MJA. 2014;201(1):35-9.
Learning objectives
Learning objective 1: Attendees will learn about a novel strategy for involving consumers in their own mental health care and understand the effectiveness of the program in terms of client satisfaction and perceived shared decision making.
Learning objective 2: This topic is relevant to all services wanting to involve consumers in their own care (shared decision making) and the care of other consumers (peer workforce).
The symposia will present an innovative peer work and shared decision service model, the CHOICE project. This project was developed, implemented and evaluated at headspace Gosford in collaboration with Orygen the National Centre of Excellence in Youth Mental Health and funded by headspace National Service Innovation Project funding from the Department of Health and Ageing.
The symposia will contain the following presentations:
Presentation 1: The CHOICE Project: An Overview
This presentation will set the scene for the audience regarding shared decision making and peer work in a youth mental health setting and how these were implemented.
Presentation 2: Establishing and maintaining a Peer Workforce
This presentation will provide a framework for the development of a peer workforce from recruitment to training, roles and responsibilities, mentoring and support and ensuring a sustainable Peer Workforce. A Peer Worker will also provide an overview of the peer work role and the benefits of becoming a Peer Worker.
Presentation 3: The CHOICE Project: Can peer workers support young consumers to engage in shared decision making?
This presentation will focus on components of the project evaluation, in particular the benefits of peer work and shared decision making in making young people feel more involved and satisfied, and in reducing how conflicted they feel about healthcare decisions.
The abstracts for these proposed presentations are presented below.
Abstract 1: The CHOICE Project: An overview
Deb Howe3, Samantha Bachelor3, Tara Dimolpoulos-Bick3, Magenta B Simmons1,2
1 Orygen the National Centre of Excellence in Youth Mental Health
2 headspace Centre of Excellence in Youth Mental Health
3 headspace Gosford
Aim
This session will outline the development, implementation and evaluation of the CHOICE (Choices about Healthcare Options Informed by Client Experiences & Expectations) project.
Background
CHOICE is an innovative shared decision making (SDM) and peer work (PW) model, designed to empower young people to make informed and preference based decisions about their own care.
SDM is one of the most popular approaches to involving consumers at an individual level about their own care and as a way of enhancing patient engagement and activation1. Decision aids are online tools that facilitate SDM, present evidence and empower consumers to explore their values and preferences when making decisions about their own care.
Peer workers are people with an experience as/or with a consumer of mental health services. Peer support is offering and receiving help, based on shared understanding, respect and mutual empowerment between people in similar situations2.
This innovative project combines these components utilising them within a youth mental health setting.
Outcomes
Through the project we:
• established sustainable peer workforce model;
• developed an interactive web-based decision tool;
• developed a framework to support these in a clinical context; and
• facilitated positive outcomes for young people who reported they felt more involved and had less decisional conflict.
Learning objectives
Learning objective 1: Attendees will gain an understanding of peer work and shared decision making and how to implement these within a clinical setting.
Learning objective 2: This topic is relevant for services wanting to empower and engage with their clients from a client centred and informed paradigm.
References
1. Hoffmann,T.C., Légaré, F, Simmons M. B., McNamara, K., McCaffery, K., Trevena,L.J., Hudson, B., Glasziou, P.P., and Del Mar, C.B. (2014). Shared decision making: what do clinicians need to know and why should they bother? Med J Aust 2014; 201 (1): 35-39.
2. Repper,J (2013). Peer Support Workers: a practical guide to implementation; IMROC Implementing Recovery through Organisational Change.
Abstract 2: Establishing and Maintaining a Peer Workforce
Deb Howe3, Samantha Bachelor3, Joel Makings (peer worker)3, Tara Dimolpoulos-Bick3, Magenta B Simmons1,2
1 Orygen the National Centre of Excellence in Youth Mental Health
2 headspace Centre of Excellence in Youth Mental Health
3 headspace Gosford
Aim
This session will outline a Peer workforce framework that highlights how to recruit, train, mentor and support peer workers within a youth mental health setting. An opportunity for the audience to hear the experiences of peer workers who worked on the CHOICE project will also be provided.
Background
Peer work is gaining increasing attention both in the academic field and health organisations. In a recent report tabled by the Mental Health Commission it was stated that “Peer workers offer hope and understanding as well as knowledge and support to people who experience mental illness, and research shows they can be highly effective in supporting people’s recovery”1. Moreover, peer work is unique in the mental health setting in that it does not assume a medical model and is the only mental health role that is grounded intrinsically in recovery2.
The CHOICE project utilised Peer Workers to work with young people who accessed headspace Gosford in the use of the Shared decision making tool.
Outcomes
• We developed a transferrable framework to establish a Peer workforce including recruitment, training, mentoring and support.
• We established a sustainable peer workforce within headspace Gosford.
• We impacted positively on the recovery journey of the peer workers.
References
1. NSW Mental Health Commission (2014). Living Well: Putting people at the centre of mental health reform in NSW. Sydney, NSW Mental Health Commission. Downloaded from http://nswmentalhealthcommission.com.au/node/1586 © 2014 State of New South Wales
2. Proudfoot JG, Jayawant A, Whitton AE, Parker G, Manicavasagar V, et al. (2012). Mechanisms underpinning effective peer support: a qualitative analysis of interactions between expert peers and patients newly-diagnosed with bipolar disorder. BMC psychiatry 12:196.
Abstract 3: The CHOICE Project: Can peer workers support young consumers to engage in shared decision making?
Magenta B Simmons1,2, Samantha Bachelor3, Tara Dimolpoulos-Bick3, Deb Howe3
1 Orygen the National Centre of Excellence in Youth Mental Health
2 headspace Centre of Excellence in Youth Mental Health
3 headspace Gosford
Background
Consumer participation in youth mental health services is essential, yet few strategies exist to guide successful implementation1. We employed eight peer workers to promote shared decision making2 (SDM) using an online decision support tool at an enhanced primary care service and evaluated this innovative dual-level consumer participation strategy.
Methods
Clients were invited to engage with a peer worker and use a decision support tool before and during their initial intake assessment. A comprehensive evaluation of the program was undertaken using quantitative (pre- and post- data with a historical comparison group) and qualitative methods. Measures included decisional conflict, perceived SDM, and satisfaction.
Results
For perceived SDM with intake workers there was a statistically significant difference between the baseline and intervention groups (F(1,137) = 6.124, p = 0.015). There was also a significant difference for pre- and post- assessment decisional conflict scores (t(144)=13.73, p=0.000). Perceived level of SDM and post-decision aid decisional conflict predicted satisfaction, F(2,71) = 14.21, p < .015, R2 = .286.
Conclusions
We successfully implemented a peer workforce that promoted consumer involvement. Our findings have implications for service delivery and demonstrate the importance of both peer work and SDM for promoting optimal outcomes in youth mental health.
[1] James AM. Principles of youth participation in mental health services. MJA. 2007;187(7 Suppl):S57-60.
[2] Hoffmann TC, Legare F, Simmons MB, McNamara K, McCaffery K, Trevena LJ, et al. Shared decision making: what do clinicians need to know and why should they bother? MJA. 2014;201(1):35-9.
Learning objectives
Learning objective 1: Attendees will learn about a novel strategy for involving consumers in their own mental health care and understand the effectiveness of the program in terms of client satisfaction and perceived shared decision making.
Learning objective 2: This topic is relevant to all services wanting to involve consumers in their own care (shared decision making) and the care of other consumers (peer workforce).
Biography
Deb Howe, Service Manager of Children and Young People’s Mental Health (CYPMH), Central Coast Local Health District, has over 30 years’ experience working in mental health in clinical, policy development and management roles. Deb is a pioneer in youth mental health, early psychosis, suicide prevention, and perinatal mental health.
Samantha Batchelor is the Promotion, Prevention and Early Intervention Projects Manager at Children and Young People’s Mental Health. Samantha has over 20 years in the health sector working clinically an Occupational Therapist and subsequently in Project, Research and Management roles.
Magenta is a research fellow at Orygen, the National Centre of Excellence in Youth Mental Health. Her work focuses on how young people can be meaningfully involved as collaborators in research projects, as consumers in clinical decision making about their own care, and as peer workers supporting other consumers.
