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Using Behavioral Skills Training to Teach Peer Support Workers to Respond to a Boundary Crossing
Schulz, Jonathan
Schulz, Jonathan
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Abstract
Peer support is an evidence-based model of care for people living with a mental illness and/or substance use disorder. Peers, who are people living with a mental illness and/or substance use disorder, use their lived experience and training to support people in recovery. Training programs teach peers the necessary competencies to successfully complete their jobs, including those skills related to ethics. However, previous peer training programs vary in teaching procedures and evaluation approaches. Moreover, few previous peer training programs require peers to practice workforce skills of interest to a set criterion when learning to be a peer support provider. One important skill peers need to have in their repertoire is boundary setting when presented with an ethical violation. Behavioral skills training (BST), which is an evidence-based training procedure, entails instructions, modeling, role play, and feedback. The current study used a group BST to teach peer support workers to set a boundary by reflecting back the need, stating that they cannot engage in the requested behavior, and redirecting to an appropriate resource or response. A nonconcurrent multiple baseline design across participants was used to examine the effects of group-based BST on boundary setting. Results indicate that four out of five participants met the mastery criterion after additional experimenter feedback. Participants found the training acceptable and noted that role play was the most valuable aspect of the training. This research extends the BST literature to a novel population and skill.
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Date
2021-05-31
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University of Kansas
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Keywords
Behavioral psychology, Public health, behavioral skills training, boundaries, ethics, peer support