The aim of the EU-funded UPSIDES study is to replicate and scale-up peer support interventions for people with severe mental illness, generating evidence of sustainable best practice in high-, middle- and low-resource settings, through mixed-methods implementation research.
The objectives are:
1. To establish an international community of practice for peer support across high-, middle- and low-resource settings
2. To conduct a situational analysis of existing peer support initiatives in the participating countries
3. To scale up peer support models with a focus on vulnerable populations where pilot initiatives already exist
4. To contextualize and adapt peer support models for those sites where there are no peer support initiatives.
5. To rigorously evaluate inputs, processes and outcomes of implementation, including an as¬sessment of process and contextual factors following a theory of change approach using mixed-methods
6. To distil from case studies evidence of best practice for dissemination to local, national and international stakeholders in order to maximise sustainability and spread
An overview of peer support work in global mental health:
Puschner B (2018) Peer support and global mental health, Epidemiology and Psychiatric Sciences, 27, 413-414.
A protocol for the first phase of the study:
Puschner B, Repper J, Mahlke C, Nixdorf R, Basangwa D, Nakku J, Ryan G, Baillie D, Shambat D, Ramesh M, Moran G, Lachman M, Kalha J, Pathare S, Stierlin A, Slade M, (2019) Using Peer Support in Developing Empowering Mental Health Services (UPSIDES): Background, rationale and methodology, Annals of Global Health, 85, 53, 1-10.
A systematic review of influences on implementation of peer support work:
Ibrahim N, Thompson D, Nixdorf R, Kalha J, Mpango R, Moran G, Mueller-Stierlin A, Ryan G, Mahlke C, Shamba D, Puschner B, Repper J, Slade M (2020) A systematic review of influences on implementation of peer support work for adults with mental health problems, Social Psychiatry and Psychiatric Epidemiology, 55, 285-293.
A systematic review of modifications to peer support work:
Charles A, Thompson D, Nixdorf R, Ryan G, Shamba D, Kalha J, Moran G, Hiltensperger R, Mahlke C, Puschner B, Repper J, Slade M, Mpango R (2020) A typology of modifications to peer support work for adults with mental health problems: systematic review, British Journal of Psychiatry, 216, 301-307.
UPSIDES Peer support worker training manual and workbook:
Mahlke C, Nixdorf R, Repper J, Charles A, Slade M, Ryan G, Hall C, Baillie D, Hiltensperger R, Müller-Stierlin A, Nakku J, Mpango R, Shamba D, Ramesh M, Garber-Epstein P, Moran G S, Kalha J, Korde P, Puschner B, UPSIDES Peer Support Trainers (2020) UPSIDES Peer Support Worker Training Manual and Workbook, UPSIDES Study. Download here.
UPSIDES trial protocol:
Moran G, Kalha J, Mueller-Stierlin A, Kilian R, Krumm S, Slade M, Charles A, Mahlke C, Nixdorf R, Basangwa D, Nakku J, Mpango R, Ryan G, Shamba D, Ramesh M, Ngakongwa F, Grayzman A, Pathare S, Mayer B, Puschner B (2020) Peer support for people with severe mental illness versus usual care: study protocol for a pragmatic multicentre randomised controlled trial (UPSIDES-RCT), Trials, 21, 371.