Voices from the territory and living care networks
Facilitators and barriers to implementing peer support in community mental health services in Brazil
Datos Bibliográficos
Peer Support has increasingly been recognized as a key component of recovery-oriented mental health care, especially in low- and middle-income countries, where social participation and user-led initiatives contribute to deinstitutionalization and care in freedom. However, the recognition and funding among peers remain limited. Nevertheless, institutional recognition of peer roles and the provision of stipends or remuneration for peer supporters remain. This study aimed to identify barriers and facilitators to the implementation of Peer Support during its pre-implementation phase in community mental health services in Campinas, Brazil, using the Consolidated Framework for Implementation Research. A participatory qualitative design was adopted, combining field notes, meeting minutes, and collective discussions from twelve Research Management Committee meetings involving co-researchers and researchers with lived experience of mental health conditions, clinical mental health practice and research experience. The analysis identified contextual barriers such as over-standardization of care pathways, institutional stigma, and structural inequalities, as well as facilitators including collaborative decision-making, affective bonds, and territorial knowledge. Strategies such as continuous training, institutional partnerships, formal role recognition, and stipends/remuneration for peer supporters are essential for the sustainability of Peer Support in public community mental health services
Community-based participatory research · Mental health · Participatory action research · Peer review · Peer support · Public health · Qualitative research · Social support · Family Caregiving in Mental Illness · Mental Health and Patient Involvement · Mental Health Treatment and Access
The updated Consolidated Framework for Implementation Research based on user feedback
The Lancet Commission on ending stigma and discrimination in mental health
Republished research: Implementation research: what it is and how to do it
Conducting a Qualitative Document Analysis
Peer support among persons with severe mental illnesses
Incorporações e usos do conceito de recovery no contexto da Reforma Psiquiátrica Brasileira
Challenges to peer support in low- and middle-income countries during Covid-19
A reforma psiquiátrica no Brasil
Mental health and lived experience
Avaliação qualitativa de ambiência num Centro de Atenção Psicossocial
Document analysis in health policy research
Comparative Effectiveness of Integrated Peer Support and Clinical Staffing Models for Community-Based Residential Mental Health Rehabilitation
An Exploration of Factors that Effect the Implementation of Peer Support Services in Community Mental Health Settings
Power, Privilege and Knowledge
Comitê Gestor da Pesquisa como dispositivo estratégico para uma pesquisa de implementação em saúde mental
Loucos/as, pacientes, usuários/as, experientes
Articulação da Rede de Atenção Psicossocial e continuidade do cuidado em território
Ações de saúde mental na rede de atenção psicossocial pela perspectiva dos usuários
| Velocidad de citación | historical |
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| Altamente citado | No |