impacteutopa-ip, amsterdam conference16.09.2010 on the nature of peer support summary and...
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impact EUTOPA-IP, Amsterdam conference 16.09.2010
On the nature of peer support
Summary and conclusions
EUTOPA-IP, Amsterdam conference
impact EUTOPA-IP, Amsterdam conference 16.09.2010
Main conclusions
• Participants agree on the value of key tasks peer support as described in the Dutch uniformed services guidelines:– supportive context (practical, emphatic, social)– detection potential risks for worker and organisation– monitoring (question: event driven or permanent) – if necessary, advise referral to professional mental health
care providers
• In addition to this model of organised proactive detection, support and referral advise: ‘if the goal is to find access to care providers it is okay (apart from providing a supportive context) if the role of peer supporters ends here’
impact EUTOPA-IP, Amsterdam conference 16.09.2010
Main conclusions
• An unanswered question is how to ensure treatment adherence after referral (i.e. OSISS)
• Broader models exist, covering treatment and/or recovery
• Choice for model and content depends on preferred:– primary starting points: what are the initial peer support
goals/problems (e.g. because we find problems x, we must do something for our veterans)
– conceptual vantage point:» pathogenic and/or salutogenic strategy» theories how individuals are affected and recover from
events/circumstances
impact EUTOPA-IP, Amsterdam conference 16.09.2010
Issues identified
• In relation to competencies:– Question: are non-professional peer supporters capable of
detection and monitoring?– No clinical diagnosis is to be made by peer supporter
• In relation to timing of actions:– Timing depends on peer support goal/task– Event-driven or permanent monitoring (accumulation effects)
e.g. periodic check-up are both important– In Dutch guidelines limited emphasis on accumulation effects
• In relation to management:– Ensure the peer support model will not primarily become a
management instrument instead of a support tool– There must be agreement between management and peer
supporter on referral