Beyond demonstrated effectiveness, research needs to identify how peer support can be implemented in real-world settings. Telephone peer support offers one approach to this. The purpose of this study is to evaluate telephone peer support provided by trained peer staff for high-risk groups, implemented according to key tasks or functions of the Reciprocal Peer Support model (RPS) providing both standardization and adaptability. The methods used in the study include the review of contact data for years 2015–2016 from telephone peer support services of Rutgers Health University Behavioral Health Care, serving veterans, police, mothers of children with special needs, and child protection workers; structured interviews with peer supporters and clients; and audit of case notes. Across 2015–2016, peer supporters made 64,786 contacts with a total of 5,616 callers. Adaptability was apparent in 22% of callers’ relationships lasting ≤1 month and 43% ≥1 year, voicemails valued as communicating presence, 92% of callers receiving support with psychosocial issues, 65% with concrete problems, such as medical or other services, 88% receiving social support, and 88% either resolving an issue (e.g., finding employment) or making documented progress (e.g., getting professional treatment, insurance, or children’s services). With the balance of standardization and adaptability provided by the RPS, telephone peer support can address diverse needs and provide diverse contact patterns, assistance, support, and benefits.
Evans, M., Tang, P.Y., Bhushan, N., Fisher, E.B., Dreyer Valovcin, D. and Castellano, C., 2020. Standardization and adaptability for dissemination of telephone peer support for high-risk groups: general evaluation and lessons learned. Translational behavioral medicine, 10(3), pp.506-515.
| Functions | Forms |
| Planning; Process Evaluation; Adaptation | Adaptation |
| The RPS model centers on four key functions or tasks: (a) connection and pure presence, (b) information gathering and risk assessment, (c) case management and goal setting, and (d) resilience, affirmation, praise, and advocacy. | The varied caller needs, patterns of contact, types of support, and types of benefits all point to the adaptability of the four RPS tasks. Connection and pure presence, information gathering and risk assessment, case management and goal setting, and resilience, affirmation, and praise provide a standardized structure from which peer supporters then tailor assistance to individuals. The several patterns of contact, as well as the variety of topics addressed and types of progress documented, reflect the RPS emphasis on individualizing the assistance provided. |