{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T21:43:53Z","timestamp":1788903833258,"version":"build-2803163510"},"reference-count":43,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,1,21]],"date-time":"2026-01-21T00:00:00Z","timestamp":1768953600000},"content-version":"vor","delay-in-days":20,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Personality &amp;amp; Mental Health"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>\n                    Peer support for people with borderline personality disorder (BPD) holds promise to support recovery and reduce distress, but few BPD peer support programs have been developed or evaluated. We describe the design and implementation of a novel stakeholder\u2010driven initiative to build a peer\u2010led online support group for people with BPD. This manuscript does not present a traditional research study or follow an implementation science framework. Instead, it documents a radical, community\u2010led model of care development\u2014one that expands the possibilities for stakeholder\u2010led innovation in mental health services. People with BPD and their families recognized an unmet need and co\u2010created an intervention; researchers later joined to help assess program outcomes and capture impact. We describe support group design, peer facilitator training, and adaptation to online format during the COVID\u201019 pandemic using narrative format. We quantify changes in attendance over time (one\u2010way ANOVAs) and participant demographics and satisfaction (\n                    <jats:italic>N<\/jats:italic>\n                    \u2009=\u2009598 survey respondents). A 2\u2010year peer\u2010driven process identified core principles and designed a peer\u2010led support group. In the first 26\u2009months, 138 peer\u2010support sessions met (1383 total attendees) with significant increases in registered participants, program attendance, and waitlists. Participants were geographically diverse, likely to attend one session (72%), and reported high satisfaction. Many had never received BPD treatment (44%) or met someone else with BPD (48%). This program demonstrates an example of stakeholder\u2010led design of a sustainable program for people with BPD. The sustained demand we observed underscores the need for accessible empowering support for people with BPD.\n                  <\/jats:p>","DOI":"10.1002\/pmh.70057","type":"journal-article","created":{"date-parts":[[2026,1,21]],"date-time":"2026-01-21T09:17:32Z","timestamp":1768987052000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Processes and Early Lessons From a Peer\u2010Designed Recovery\u2010Oriented Borderline Personality Disorder Online Support Group"],"prefix":"10.1002","volume":"20","author":[{"given":"Jillian","family":"Papa","sequence":"first","affiliation":[{"name":"Emotions Matter Inc.  Garden City New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3213-8093","authenticated-orcid":false,"given":"Yujung","family":"Choi","sequence":"additional","affiliation":[{"name":"Emotions Matter Inc.  Garden City New York USA"},{"name":"Duke University  Durham North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-2728-0703","authenticated-orcid":false,"given":"Evan","family":"Nault","sequence":"additional","affiliation":[{"name":"Emotions Matter Inc.  Garden City New York USA"},{"name":"University of Houston  Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1986-3418","authenticated-orcid":false,"given":"Sharon","family":"Nelson","sequence":"additional","affiliation":[{"name":"Emotions Matter Inc.  Garden City New York USA"},{"name":"Pennsylvania State University  University Park Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6024-6721","authenticated-orcid":false,"given":"Sarah\u00a0K.","family":"Fineberg","sequence":"additional","affiliation":[{"name":"Emotions Matter Inc.  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