{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T21:42:55Z","timestamp":1788903775164,"version":"build-2803163510"},"reference-count":48,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2025,10,23]],"date-time":"2025-10-23T00:00:00Z","timestamp":1761177600000},"content-version":"vor","delay-in-days":22,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000245","name":"Michael Smith Health Research BC","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000245","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J Mental Health Nurs"],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>People with borderline personality disorder (BPD) are high utilisers of acute psychiatric services (i.e., psychiatric emergency and inpatient services). Yet, people with BPD often encounter significant stigma in these settings, which can result in demoralisation and reluctance to seek further care. Peer support services are increasingly adopted to align mental health services with recovery\u2010oriented principles. This study aimed to understand the perceived acceptability, opportunities and challenges of integrating peer support for people with BPD in acute psychiatric services. We invited people with lived experience (i.e., people with symptoms of BPD and their loved ones) and mental health professionals who provide care for people with BPD to participate in an online survey. We received 41 quantitative responses and 25 responses to open\u2010ended questions. Peer support was rated as important by people with lived experience and providers. Themes extracted via thematic analysis from the open\u2010text responses considered how peer support would (or would not) meet patients' needs, including: feeling seen, heard and understood; fostering a sense of connection and belonging; reducing negative or stigmatising experiences; accessing instrumental and informational support; experiencing a sense of psychological safety; and enhancing a sense of hope. Most responses saw peer support as well matched to these needs; however, some expressed possible implementation challenges, including staffing consistency, role confusion and incompatibility of crisis stabilisation versus recovery goals. Overall, results underscored the potential of peer support to enhance alignment with recovery\u2010oriented practice, which is an organisational priority for many mental health services.<\/jats:p>","DOI":"10.1111\/inm.70158","type":"journal-article","created":{"date-parts":[[2025,10,23]],"date-time":"2025-10-23T07:11:11Z","timestamp":1761203471000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Lived Experience and Clinician Perspectives on the Priorities and Challenges of Integrating Peer Support in Acute Psychiatric Services for People With\n                    <scp>BPD<\/scp>"],"prefix":"10.1111","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6143-0619","authenticated-orcid":false,"given":"Brianna J.","family":"Turner","sequence":"first","affiliation":[{"name":"Department of Psychology University of Victoria  Victoria British Columbia Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Baylie","family":"McKnight","sequence":"additional","affiliation":[{"name":"Borderline Personality Disorder Society of BC  Victoria British Columbia Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zack","family":"Senay","sequence":"additional","affiliation":[{"name":"Umbrella Society for Addictions &amp; Mental Health  Victoria British Columbia Canada"},{"name":"Department of Social Work University of Calgary  Calgary Alberta Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Skye","family":"Barbic","sequence":"additional","affiliation":[{"name":"Department of Occupational Science &amp; Occupational Therapy University of British Columbia  Vancouver British Columbia Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,10,23]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychores.2024.111623"},{"key":"e_1_2_10_3_1","doi-asserted-by":"crossref","unstructured":"American Psychiatric Association.2022.Diagnostic & Statistical Manual of Mental Disorders (5th ed. text rev.).https:\/\/doi.org\/10.1176\/appi.books.9780890425787.","DOI":"10.1176\/appi.books.9780890425787"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/HRP.0b013e3182a75c2c"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.encep.2020.04.013"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12888\u2010014\u20100380\u2010y"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1191\/1478088706qp063oa"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/1742\u20106723.13970"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10488\u2010011\u20100380\u2010x"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ps.201300244"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/HRP.0000000000000113"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1447\u20100349.2012.00867.x"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ps.20230392"},{"key":"e_1_2_10_14_1","volume-title":"Making the Case for Peer Support: Report to the Peer Support Project Committee of the Mental Health Commission of Canada","author":"Cyr C.","year":"2016"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10597\u2010009\u20109228\u20101"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.2196\/23022"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1080\/14461242.2020.1715815"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1080\/17482631.2019.1667133"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.16118"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2017.12.054"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2215\u20100366(21)00398\u20109"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.1521\/pedi_2021_35_508"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.1108\/MHRJ\u201002\u20102013\u20100008"},{"key":"e_1_2_10_24_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00127\u2010019\u201001739\u20101"},{"issue":"5","key":"e_1_2_10_25_1","doi-asserted-by":"crossref","first-page":"243","DOI":"10.1177\/070674371405900503","article-title":"Mental Health Reform at a Systems Level: Widening the Lens on Recovery\u2010Oriented Care","volume":"59","author":"Kidd S. 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