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Doing peer work in mental health services

Unpacking different enactments of lived experiences

Bibliographic Data

ID3612337
AuthorsM L Kessing (0000-0002-0591-8035, University of Copenhagen, corresponding author)
Year2022
Volume31
Issue1
Pages32-46
Publication date2022-01-02
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueHealth Sociology Review (JOURNAL)
Journal identifiersISSN: 1446-1242 • E-ISSN: 1839-3551
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/14461242.2020.1865183
PMID33467991
OpenAlexW3122063505
LanguageEN
Citations received11
References cited25

Mental health services are increasingly employing peer workers (PWs), individuals who have lived experiences with mental health problems, to support patients and be part of mental health care teams. While the employment of PWs continues to increase, little is known about how the function unfolds in practice. This paper explores the broader context in which the PWs navigate and the concrete outcomes and everyday issues that exist at the individual level. Methodologically, the paper draws on 22 interviews with PWs employed in the mental health services in Denmark. Theoretically, it combines Lipsky's (1980) theory on street-level bureaucrats with sociological discussions concerning the lay-expert divide. The analysis shows that PWs experience both role ambiguity and goal uncertainty and that they use substantial discretion in determining the nature, amount and quality of their peer practices. This - combined with the PWs' diverse lived experiences - calls for a heterogeneous understanding of peer work and therefore the analysis presents three categories of peer workers: PWs as (1) a representative of patients' lifeworld, (2) an interdisciplinary professional and (3) an 'expert by experience'. These categories display PWs different enactments of their lived experiences and reveal ambiguities tied to the lay-expert divide

Ambiguity · Discretion · Lifeworld · Lived experience · Mental health · Political science · Psychiatry · Psychotherapist · Public relations · Qualitative research · Social science · Sociology · Homelessness and Social Issues · Mental Health and Patient Involvement · Psychology · Social Work Education and Practice

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    Open Access•M L Kessing, Alan Petersen•Health Sociology Review•2025

  • Institutions and the Person

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  • Benefits and Mechanisms of Recovery Among Peer Providers With Psychiatric Illnesses

    Open Access•Galia S Moran, Zlatka Russinova et al.•Qualitative Health Research•2012

  • Care, empowerment and self-determination in the practice of peer support

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    Hugh Mclaughlin•The British Journal of Social Work•2009

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    Open Access•Vasudha Gidugu, E Sally Rogers et al.•Community Mental Health Journal•2014

  • Knowing Patients

    Open Access•J Pols•Science Technology & Human Values•2014

  • Strategic Storytelling

    Open Access•Michael A Mancini•Qualitative Health Research•2019

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  • Lay epidemiology and the prevention paradox

    Open Access•Charlie Davison, Gregory D Smith et al.•Sociology of Health & Illness•1991

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Unique citing works11
Citations per year3,67
Citation span2023 - 2026 (4)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 11
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