Evidence map›Paper›PMID 41182500›Full record

ArticleJournal of occupational rehabilitation2026

Multicultural Implementation-Experiences of Peer Support Workers in MH Services: Qualitative Findings of UPSIDES Innovative Intervention-An International Multi-Site Project.

G S Moran, Y Goldfarb, I Adler Ben-Dor, S Hadas-Grundman, J Kalha, D Baillie, E Kwebiiha, C Mahlke, M Ramesh, M Slade and 2 more

Abstract readMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of occupational rehabilitation, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. The Global Challenge of Work Disability Prevention Research.Journal of occupational rehabilitation · 2026
    Article
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

G S MoranDepartment of Social Work, Ben Gurion University of the Negev, Beer Sheva, Israel. galiam@bgu.ac.il.
Y GoldfarbDepartment of Social Work, Ben Gurion University of the Negev, Beer Sheva, Israel.
I Adler Ben-DorDepartment of Social Work, Ben Gurion University of the Negev, Beer Sheva, Israel.
S Hadas-GrundmanSchool East London NHS Foundation Trust, London, UK.
J KalhaCentre for Mental Health Law and Policy, Indian Law Society, Pune, India.
D BaillieEast London NHS Foundation Trust, London, UK.
E KwebiihaButabika National Referral Hospital, Kampala, Uganda.
C MahlkeDepartment of Psychiatry and Psychotherapy, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
M RameshIfakara Health Institute, Dar es Salaam, Tanzania.
M SladeSchool of Health Sciences, Institute of Mental Health, University of Nottingham, Nottingham, UK.
M HaunDepartment of Psychiatry II, Ulm University, Ulm, Germany.
S KrummDepartment of Psychiatry II, Ulm University, Ulm, Germany.

Funding

HORIZON EUROPE European Research Council 779263
6 · The paper itself

Abstract

purposeMental health peer support is growing as an essential recovery-oriented occupation that can help alleviate the burden of mental health (MH) conditions. Despite its international growth, there is lack of cross-cultural knowledge about peer support workers' (PSW) implementation experiences. This study explored PSWs' implementation experiences of Using Peer Support In Developing Empowering Mental Health Services (UPSIDES) innovative intervention-a multi-country project designed to empower and scale-up peer support in low-, middle- and high-income countries (LMIC & HIC).

methodNine focus groups totaling 38 PSWs were conducted at six study sites: Ulm and Hamburg (Germany), Kampala (Uganda), Dar es Salaam (Tanzania), Be'er Sheva (Israel), and Pune (India). Transcripts were analyzed using qualitative analysis and MAXQDA software.

resultsFour domains were identified: (i) PSWs' experiences of recovery; (ii) PSWs' experiences of vocational development; (iii) PSWs' experiences with staff  and work-role in MH systems;and  (iv) PSWs' strive to influence broader circles. In low-and-middle-income countries specifically, PSWs experienced gains for illness management, access to care, employability and financial standing. They also engaged in active interactions with stakeholders in the community (e.g., relatives, police, etc.) promoting social-educative and anti-stigma influences. In high-income countries, experiences related to self-disclosure and peer-vocational development issues. Across sites PSWs' expressed challenges and needs related to lack of role clarity, relations with MH staff and integration into services.

conclusionsThe findings reveal the potential of mental health peer support workers (MH PSWs) to aid in mental health recovery and systemic change. However, implementation experiences vary across cultures, highlighting the need to further develop the PSW role and integrate it into mental health systems across different sites.   Trial Registration: ISRCTN26008944.

Indexed as

Mental DisordersMental Health ServicesPeer GroupSocial SupportDeveloping CountriesFocus GroupsHumansQualitative ResearchKnowledge from experienceMulticultural mental healthOccupational developmentPeer providersSystem integration

Identifiers

PMID41182500
PMCPMC13364822

What Socratic holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.