Peer support / counselling / mentoring is based on the assumption that individuals who have gone through the same types of experiences (and who are now living or coping successfully) may be best able to provide guidance and assistance to those more newly injured.
The relationship of the peer is first and foremost with the individual (with the disability) and the goals of the interaction are generally set by the desires and expectations of one or both of these individuals.
They are:
Research has shown that patients who are in contact with others with a “lived experience” of the same condition feel more confident about managing their life with a spinal cord injury.
Closely related to the concept of peer mentor is the concept of patient navigator, a person who assists the individual in navigating the health care system and, where necessary, serves as a patient advocate.
NOTE: We have not as yet begun to explore the role of patient navigator in SCI health management, but will follow the systems in the USA where they are piloting this approach.
In many ways, the use of peer mentors, patient navigators, patient advocates, and other forms of patient coaching underscores many of the health system’s underlying weaknesses with respect to access, usability, and responsiveness.