Name of the Procedure:

Self-help/Peer Services, per 15 minutes (H0038)

Summary

Self-help/Peer Services are structured sessions where individuals facing similar mental health or substance use issues come together to support each other. These sessions are facilitated by trained peer counselors who have personal experience with recovery. The service aims to provide emotional support, practical advice, and shared experiences to help individuals cope with their challenges.

Purpose

These services primarily address mental health conditions such as depression, anxiety, and substance use disorders. The goals are to foster a supportive community, promote recovery, reduce feelings of isolation, and empower individuals with strategies and tools to manage their conditions.

Indications

Self-help/Peer Services may be indicated for individuals experiencing:

• Depression
• Anxiety disorders
• Substance use disorders
• Chronic mental health issues Typically, it is appropriate for patients seeking community support and peer guidance as part of their recovery process.

Preparation

Preparation largely involves the patient's willingness to engage and participate. No specific diagnostic tests or assessments are required. Patients should:

• Be open to sharing and listening
• Understand confidentiality guidelines
• Have a commitment to consistent attendance

Procedure Description

1. Introduction: The session usually begins with a brief introduction and setting of ground rules.
2. Sharing Stories: Participants take turns sharing their experiences, challenges, and successes.
3. Discussion: Open discussion moderated by the peer counselor, focusing on mutual support, problem-solving, and encouragement.
4. Resource Sharing: Information about coping mechanisms, community resources, and recovery strategies are shared.
5. Wrap-up: The session concludes with a summary and motivational closing comments.

Tools used may include a round-table setting, group discussion aids like whiteboards, and informational handouts. No anesthesia or sedation is involved.

Duration

Each session is structured to last 15 minutes per billing unit, though meetings may be longer, typically around 60 to 90 minutes in total.

Setting

These services can be provided in various settings such as:

• Outpatient clinics
• Community centers
• Rehab facilities
• Virtual/online platforms

Personnel

The key personnel involved include:

• Trained Peer Counselors (who are in recovery themselves)
• Occasionally, a licensed therapist or social worker for additional support

Risks and Complications

While generally safe, some risks include:

• Emotional distress during discussions
• Potential for confidentiality breaches Complications are rare but may involve managing emotional crises, requiring prompt referral to a mental health professional.

Benefits

Benefits include:

• Emotional support from peers with similar experiences
• Improved coping strategies
• Enhanced feelings of community and belonging
• May lead to quicker recovery and better mental well-being

Recovery

Post-session care involves:

• Reflection on the discussion
• Practicing shared coping strategies
• Follow-up sessions as scheduled Recovery is ongoing, with no set timeline, and largely depends on individual engagement and participation.

Alternatives

• Individual therapy
• Group therapy with a licensed therapist
• Medication management
• Self-help books and online resources Alternatives vary in cost, personal engagement level, and setting, making peer services a unique community-centered approach.

Patient Experience

Patients typically feel supported and understood, with reduced isolation. They may experience emotional release and empowerment. Comfort measures include a respectful, non-judgmental environment and access to additional mental health support if needed.