Mental Health Service Users As Peer Providers In Hawai‘i: Understanding Recovery Paths And Perspectives

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2018-05

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The purpose of this study was to examine the lived experiences of Hawaii’s mental health service users in becoming certified peer providers. Qualitative methods were used to understand the perspectives of eight (8) mental health service users trained and credentialed through the Hawaii Certified Peer Specialist (HCPS) program. Data were analyzed at two levels. At the first level, an inductive approach using grounded theory identified four themes across participants: (1) prior to training and certification, the prospect of participation instilled hope of moving forward in their own recovery and helping others with similar lived experiences; (2) subsequent to training and certification, the lack of follow-up support services and few employment opportunities resulted in feelings of frustration and hopelessness; (3) ongoing systemic stigma and discrimination maintain barriers to integration; and (4) completion of the program increased their confidence, decreased their feelings of isolation, increased their empathy towards others with mental illness, and broadened their perspectives and worldviews. At the second level, themes from the first-level analysis were examined through the lens of Critical Disability Theory. Together, the first and second-level analysis provide unique insights into potential motivation factors for Hawaii’s mental health service users applying to the HCPS program. Findings also highlight organizational barriers that hinder the integration of peer providers as employees in traditional mental health service settings. Implications for policy, social work practice, and future research are discussed.

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