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Increasing Social Support for Individuals with Serious Mental Illness: Evaluating the Compeer Model of Intentional Friendship

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Abstract

We conducted a quasi-experimental study of Compeer, which matches community volunteers and people with SMI to increase social support. Seventy-five adults with SMI received community psychiatric treatments-usual (TAU) while 79 adults received Compeer services plus TAU. Compeer clients reported significant improvements in social support and a trend towards improved subjective well-being. After 6 months, social support increased >1 SD for 13%, increasing to 23% at 12 months, supporting qualitative research suggesting the “active ingredient” in intentional friendships often takes more than 1 year to develop. This subgroup of responders showed significant gains in subjective well-being and reductions in psychiatric symptoms.

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References

  • Angell, B. (2003). Contexts of social relationship development among assertive community treatment clients. Mental Health Services Research, 5(1), 13–25.

    Article  PubMed  Google Scholar 

  • Baker, F., Jodrey, D., Intagliata, J., & Straus, H. (1993). Community support services and functioning of the seriously mentally ill. Community Mental Health Journal, 29(4), 321–331.

    Article  PubMed  CAS  Google Scholar 

  • Battista, J., & Almond, R. (1973). The development of meaning in life. Psychiatry. Journal for the Study of Interpersonal Processes, 36(4), 409–427.

    CAS  Google Scholar 

  • Bengtsson-Tops, A., & Hansson, L. (2001). Quantitative and qualitative aspects of the social network in schizophrenic patients living in the community. Relationship to sociodemographic characteristics and clinical factors and subjective quality of life. International Journal of Social Psychiatry, 47(3), 67–77.

    Article  PubMed  CAS  Google Scholar 

  • Borge, L., Martinsen, E. W., Ruud, T., Watne, O., & Friis, S. (1999). Quality of life, loneliness, and social contact among long-term psychiatric patients. Psychiatric Services, 50(1), 81–84.

    PubMed  CAS  Google Scholar 

  • Buchanan, J. (1995). Social support and schizophrenia: A review of the literature. Archives of Psychiatric Nursing, 9(2), 68–76.

    Article  PubMed  CAS  Google Scholar 

  • Campbell, D., & Stanley, J. (1963). Experimental and quasi-experimental designs for research. Chicago: Rand-McNally.

    Google Scholar 

  • Caron, J., Tempier, R., Mercier, C., & Leouffre, P. (1998). Components of social support and quality of life in severely mentally ill, low income individuals and a general population group. Community Mental Health Journal, 34(5), 459–475.

    Article  PubMed  CAS  Google Scholar 

  • Cohen, S., & Hoberman, H. M. (1983). Positive events and social supports as buffers of life change stress. Journal of Applied Social Psychology, 13(2), 99–125.

    Article  Google Scholar 

  • Cohen, S., Mermelstein, R., Kamarck, T. E., & Hoberman, H. (1985). Measuring the functional components of social support. In I. G. Sarason & B. R. Sarason (Eds.), Social support: Theory, research, and applications (pp. 73–94). The Hague, The Netherlands: Martinus Nijhoff.

    Google Scholar 

  • Corrigan, P. W., Calabrese, J. D., Diwan, S. E., Keogh, C. B., Keck, L., & Mussey, C. (2002). Some recovery processes in mutual-help groups for persons with mental illness; I: Qualitative analysis of program materials and testimonies. Community Mental Health Journal, 38, 287–301.

    Article  PubMed  Google Scholar 

  • Corrigan, P. W., Giffort, D., Rashid, F., Leary, M., & Okeke, I. (1999). Recovery as a psychological construct. Community Mental Health Journal, 35(3), 231–239.

    Article  PubMed  CAS  Google Scholar 

  • Corrigan, P. W., & Phelan, S. M. (2004). Social support and recovery in people with serious mental illnesses. Community Mental Health Journal, 40(6), 513–523.

    Article  PubMed  Google Scholar 

  • Crotty, P., & Kulys, R. (1985). Social support networks: The views of schizophrenic clients and their significant others. Social Work, 30(4), 301–309.

    Google Scholar 

  • Dailey, W. F., Chinman, M. J., Davidson, L., Garner, L., Vavrousek-Jakuba, E., Essock, S., et al. (2000). How are we doing? A statewide survey of community adjustment among people with serious mental illness receiving intensive outpatient services. Community Mental Health Journal, 36(4), 363–382.

    Article  PubMed  CAS  Google Scholar 

  • Davidson, L., Chinman, M., Kloos, B., Weingarten, R., Stayner, D., & Tebes, J. K. (1999). Peer support among individuals with severe mental illness: A review of the evidence. Clinical Psychology: Science and Practice, 6(2), 165–187.

    Article  Google Scholar 

  • Davidson, L., Haglund, K. E., Stayner, D. A., Rakfeldt, J., Chinman, M. J., & Kraemer Tebes, J. (2001). ‘It was just realizing...that life isn’t one big horror’: A qualitative study of supported socialization. Psychiatric Rehabilitation Journal, 24(3), 275–292.

    PubMed  CAS  Google Scholar 

  • Davidson, L., Shahar, G., Stayner, D. A., Chinman, M. J., Rakfeldt, J., & Tebes, J. K. (2004). Supported socialization for people with psychiatric disabilities: Lessons from a randomized controlled trial. Journal of Community Psychology, 32(4), 453–477.

    Article  Google Scholar 

  • Davidson, L., & Stayner, D. (1997). Loss, loneliness, and the desire for love: Perspectives on the social lives of people with schizophrenia. Psychiatric Rehabilitation Journal, 20(3), 3–12.

    Google Scholar 

  • Davidson, L., Stayner, D., & Haglund, K. E. (1998). Phenomenological perspectives on the social functioning of people with schizophrenia. . In K. T. Mueser & N. Tarrier (Eds.), Handbook of social functioning in schizophrenia (pp. 97–120). Needham Heights, MA, US: Allyn & Bacon.

    Google Scholar 

  • Deegan, P. (1990). Spirit breaking: When the helping professions hurt. Humanistic Psychologist, 18(3), 301–313.

    Google Scholar 

  • Derogatis, L. R., Lipman, R. S., Rickets, K., Uhlenhuth, E. H., & Covi, L. (1974). The Hopkins symptom checklist (HSCL): A self-report symptom inventory. Behavioral Science, 19, 1–14.

    Article  PubMed  CAS  Google Scholar 

  • DiMatteo, M. R. (2004). Social support and patient adherence to medical treatment: A meta-analysis. Health Psychology, 23(2), 207–218.

    Article  PubMed  Google Scholar 

  • Dunn, E. C., McCorkle, B. H., Wan, Y. M., & Gagne, C. (2006). The making of friendships: Compeers talk about their experiences in the program. In B. W. Skirboll, L. Bennett, & M. Klemens (Eds.), Compeer: Recovery through the healing power of friends (pp. 97–120). Rochester, NY: University of Rochester Press.

    Google Scholar 

  • Furukawa, T. A., Harai, H., Hirai, T., Kitamura, T., & Takahashi, K. (1999). Social support questionnaire among psychiatric patients with various diagnoses and normal controls. Social Psychiatry and Psychiatric Epidemiology, 34(4), 213–222.

    Article  Google Scholar 

  • Goldberg, R. W., Rollins, A. L., & Lehman, A. F. (2003). Social network correlates among people with psychiatric disabilities. Psychiatric Rehabilitation Journal, 26(4), 393–402.

    Google Scholar 

  • Green, G., Hayes, C., Dickinson, D., Whittaker, A., & Gilheany, B. (2002). The role and impact of social relationships upon well-being reported by mental health service users: A qualitative study. Journal of Mental Health (UK), 11(5), 565–579.

    Article  Google Scholar 

  • Harris, M., & Bergman, H. C. (1985). Networking with young adult chronic patients. Psychosocial Rehabilitation Journal, 8(3), 28–35.

    Google Scholar 

  • Harris, T., Brown, G. W., & Robinson, R. (1999). Befriending as an intervention for chronic depression among women in an inner city. I: Randomised controlled trial. British Journal of Psychiatry, 174, 219–224.

    Article  PubMed  CAS  Google Scholar 

  • Heaney, C. A., & Israel, B. A. (1997). Social networks and social support. In K. Glanz, F. M. Lewis, & B. K. Rimer (Eds.), Health behavior and health education. San Francisco, CA: Jossey-Bass Inc.

    Google Scholar 

  • Herth, K. (1991). Development and refinement of an instrument to measure hope. Scholarly Inquiry for Nursing Practice, 5(1), 39–51.

    PubMed  CAS  Google Scholar 

  • Holahan, C. J., Moos, R. H., & Bonin, L. (1997). Social support, coping, and psychological adjustment: A resource model. In G. R. Pierce & B. Lakey (Eds.), Sourcebook of social support and personality. The Plenum series in social/clinical psychology (pp. 169–186). New York, NY, US: Plenum Press.

    Google Scholar 

  • Leavy, R. L. (1983). Social support and psychological disorder: A review. Journal of Community Psychology, 11(1), 3–21.

    Article  PubMed  CAS  Google Scholar 

  • Lehman, A. F. (1988). A quality of life interview for the chronically mentally ill. Evaluation and Program Planning, 11, 51–62.

    Article  Google Scholar 

  • Lieberman, A. A., Gowdy, E. A., & Knutson, L. C. (1991). The mental health outreach project: A case study in self-help. Psychosocial Rehabilitation Journal, 14, 100–104.

    Google Scholar 

  • McCorkle, B. H., Dunn, E. C., Wan, Y. M., & Gagne, C. (under review). Compeer friends: A qualitative study of a volunteer friendship program for people with serious mental illness.

  • McCorkle, B. H., Rogers, E. S., Dunn, E. C., Wan, Y. M., & Lyass, A. (2006). A mixed methods study of the benefits of Compeer services. In B. W. Skirboll, L. Bennett, & M. Klemens (Eds.), Compeer: Recovery through the healing power of friends. Rochester, NY: University of Rochester Press.

    Google Scholar 

  • McGrew, J. H., Bond, G. R., Dietzen, L., McKasson, M., & Miller, L. D. (1995). A multisite study of client outcomes in assertive community treatment. Psychiatric Services, 46(7), 696–701.

    PubMed  CAS  Google Scholar 

  • Meeks, S., & Murrell, S. S. (1994). Social networks of clients with severe mental illness. Schizophrenia Bulletin, 20(2), 399–406.

    PubMed  CAS  Google Scholar 

  • Mowbray, C. T., & Tan, C. (1993). Consumer-operated drop-in centers: Evaluation of operations and impact. Journal of Mental Health Administration, 20(1), 8–19.

    Article  PubMed  CAS  Google Scholar 

  • Mueser, K. T., & Tarrier, N. (1998). Handbook of social functioning in schizophrenia. Needham Heights, MA: Allyn & Bacon.

    Google Scholar 

  • New York State Office of Mental Health. (nd). 2005 patient characteristics survey. From http://www.omh.state.ny.us/omhweb/pcs/survey05/. Retrieved 25 October 2007.

  • New York State Office of Mental Health. (2000). New York State chartbook of mental health information. From http://www.omh.state.ny.us/omhweb/chartbook/PDF_files/Complete.pdf. Retrieved 25 October 2007.

  • Rogers, E. S., Anthony, W., & Lyass, A. (2004). The nature and dimensions of social support among individuals with severe mental illnesses. Community Mental Health Journal, 40(5), 437–450.

    Article  PubMed  Google Scholar 

  • Rogers, E. S., Chamberlin, J., Ellison, M. L., & Crean, T. (1997). A consumer-constructed scale to measure empowerment among users of mental health services. Psychiatric Services, 48(8), 1042–1047.

    PubMed  CAS  Google Scholar 

  • Rosenberg, M. (1965). Society and the adolescent self-image. Princeton, NJ: Princeton University Press.

    Google Scholar 

  • Sarason, B. R., Sarason, I. G., & Gurung, R. A. R. (1997). Close personal relationships and health outcomes: A key to the role of social support. In S. Duck (Ed.), Handbook of personal relationships: Theory, research, and interventions (2nd ed., pp. 547–573). Hoboken, NJ: John Wiley & Sons.

    Google Scholar 

  • Schwarzer, R., & Leppin, A. (1989). Social support and health: A meta-analysis. Psychology and Health, 3, 1–15.

    Article  Google Scholar 

  • Sederer, L. I., & Dickey, B. (1995). Acute and chronic psychiatric care: Establishing boundaries. Psychiatric Quarterly, 66(3), 263–274.

    Article  PubMed  CAS  Google Scholar 

  • Sederer, L. I., & Dickey, B. (Eds.). (1996). Outcomes assessment in clinical practice. Baltimore, MD: Williams & Wilkins.

  • Shern, D. L., Wilson, N. Z., Coen, A. S., Patrick, D. C., et al. (1994). Client outcomes: II. Longitudinal client data from the Colorado treatment outcome study. Milbank Quarterly, 72(1), 123–148.

    Article  PubMed  CAS  Google Scholar 

  • Skirboll, B. (1994). The Compeer model: Client rehabilitation and economic benefits. Psychosocial Rehabilitation Journal, 18(2), 89–94.

    Google Scholar 

  • Skirboll, B. W., Bennett, L., & Klemens, M. (Eds.). (2006). Compeer: Recovery through the healing power of friends. Rochester, NY: University of Rochester Press.

  • Skirboll, B. W., & Pavelsky, P. K. (1984). The Compeer program: Volunteers as friends of the mentally ill. Hospital & Community Psychiatry, 35(9), 939–939.

    Google Scholar 

  • Solomon, P. (2004). Peer support/peer provided services: Underlying processes, benefits, and critical ingredients. Psychiatric Rehabilitation Journal, 27(4), 392–401.

    Article  PubMed  Google Scholar 

  • Sousa, S., & Frizzell, C. (2005). The power of friendship: The Compeer program at the University of Massachusetts Dartmouth. Journal of Psychosocial Nursing and Mental Health Services, 43(12), 18–25.

    Google Scholar 

  • Spaniol, L., Gagne, C., & Koehler, M. (1999). Recovery from serious mental illness: What it is and how to support people in their recovery. In: R. P. Marinelli & A. E. Dell Orto (Eds.), The psychological and social impact of disability (4th ed.). New York: Springer Publishing.

    Google Scholar 

  • Strauss, J. S., & Carpenter, W. T. (1977). Prediction of outcome in schizophrenia III: Five-year outcome and its predictors. Archives of General Psychiatry, 34(2), 159–163.

    PubMed  CAS  Google Scholar 

  • Thornicroft, G., & Breakey, W. R. (1991). The COSTAR programme. 1: Improving social networks of the long-term mentally ill. British Journal of Psychiatry, 159, 245–249.

    Article  PubMed  CAS  Google Scholar 

  • Tolsdorf, C. C. (1976). Social networks, support and coping: An exploratory study. Family Process, 15, 407.

    Article  PubMed  CAS  Google Scholar 

  • US Department of Health, Human Services. (1999). Mental health: A report of the Surgeon General. Rockville, MD: Author; Washington, DC: For sale by the US G.P.O., Supt. of Docs.

  • Walsh, J., & Connelly, P. R. (1996). Supportive behaviors in natural support networks of people with serious mental illness. Health and Social Work, 21(4), 296–303.

    CAS  PubMed  Google Scholar 

  • Wilson, M. E., Flanagan, S., & Rynders, C. (1999). The FRIENDS program: A peer support group model for individuals with a psychiatric disability. Psychiatric Rehabilitation Journal, 22(3), 239–247.

    Google Scholar 

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Correspondence to E. Sally Rogers.

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At the time of data collection Dr. McCorkle, Erin C. Dunn and Dr. Won were at Center for Psychiatric Rehabilitation, Boston University, 940 Commonwealth Avenue, West Boston, MA 02215, USA.

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McCorkle, B.H., Rogers, E.S., Dunn, E.C. et al. Increasing Social Support for Individuals with Serious Mental Illness: Evaluating the Compeer Model of Intentional Friendship. Community Ment Health J 44, 359–366 (2008). https://doi.org/10.1007/s10597-008-9137-8

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