{"title":"Attitudes of Peer Support Workers towards the Medical Model: A Qualitative Study from the Viewpoints of Peer Support Workers and Mental Health Staff.","authors":"Guillermo Ruiz-Pérez, Sebastian von Peter","doi":"10.1007/s10597-025-01454-z","DOIUrl":null,"url":null,"abstract":"<p><p>Attitudes of Peer Support Workers are generally expected to be grounded in recovery philosophy. They may encounter resistance from Mental Health Workers, which tend to be more closely aligned with the medical model. We aim to investigate how PSWs relate in clinical contexts to some main aspects of medical model-based attitudes. This research is part of the larger ImpPeer-Psy5 project, involving 57 interviews with PSWs, MHWs, and service users. The findings presented here were derived from a qualitative sub-study with 5 more interviews and one focus group with MHWs. Some PSWs view psychiatric diagnoses as helpful for their own recovery and interactions with clients, while others find them reductive and stigmatizing. Similarly, PSWs hold varying opinions on psychiatric drugs, with some seeing them as beneficial and necessary, while others have critical views. MHWs' expectations on PSWs may not always align with their attitudes.</p>","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":"1138-1147"},"PeriodicalIF":1.7000,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12228647/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Community Mental Health Journal","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s10597-025-01454-z","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/2/13 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"HEALTH POLICY & SERVICES","Score":null,"Total":0}
引用次数: 0
Abstract
Attitudes of Peer Support Workers are generally expected to be grounded in recovery philosophy. They may encounter resistance from Mental Health Workers, which tend to be more closely aligned with the medical model. We aim to investigate how PSWs relate in clinical contexts to some main aspects of medical model-based attitudes. This research is part of the larger ImpPeer-Psy5 project, involving 57 interviews with PSWs, MHWs, and service users. The findings presented here were derived from a qualitative sub-study with 5 more interviews and one focus group with MHWs. Some PSWs view psychiatric diagnoses as helpful for their own recovery and interactions with clients, while others find them reductive and stigmatizing. Similarly, PSWs hold varying opinions on psychiatric drugs, with some seeing them as beneficial and necessary, while others have critical views. MHWs' expectations on PSWs may not always align with their attitudes.
期刊介绍：
Community Mental Health Journal focuses on the needs of people experiencing serious forms of psychological distress, as well as the structures established to address those needs. Areas of particular interest include critical examination of current paradigms of diagnosis and treatment, socio-structural determinants of mental health, social hierarchies within the public mental health systems, and the intersection of public mental health programs and social/racial justice and health equity. While this is the journal of the American Association for Community Psychiatry, we welcome manuscripts reflecting research from a range of disciplines on recovery-oriented services, public health policy, clinical delivery systems, advocacy, and emerging and innovative practices.
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