Introducing Lived Experience Workers Into a Pregnancy Child Protection Intervention
Parent and Staff Experiences
DOI:
https://doi.org/10.18060/28372Keywords:
Peer Support, Child Protection, Family Conferencing, Pregnancy, lived experienceAbstract
Pregnancy Family Conferencing is a program to support families with identified child protection risks during the perinatal period. Parents are often cautious about engagement due to mistrust of services and fear of having their babies removed if they discuss their difficulties. Subsequently, the inclusion of lived experience parent supporter roles was piloted to support families with engagement. Little is known about lived experience workers in child protection services and thus this qualitative study explored the experiences and perspectives of families, parent supporters and professionals, and of implementing parent supporter roles into the pregnancy family conferencing program. Inductive thematic analysis identified benefits of lived experience inclusion in child protection processes for parents, families, staff, and services, and highlighted that introducing lived experience positions into systems requires significant reflection, structures, and flexibility to ensure wellbeing and sustainability for those working in the roles. Recommendations are made for other child protection or social work services introducing lived experience roles. The inclusion of lived experience workers into child protection services has enormous potential for improving the experiences of people accessing services, enacting the values of social work, and balancing the inherent power dynamics embedded in practice. However, in introducing such roles into existing systems, there is a role for social workers and other practitioners in advocating for, and leading, the structural changes required to ensure the sustainability of positions and wellbeing of people working in these roles.
References
Berry, C., Hayward, M. I., & Chandler, R. (2011). Another rather than other: experiences of peer support specialist workers and their managers working in mental health services. Journal of Public Mental Health, 10(4), 238-249. https://doi.org/10.1108/17465721111188269
Braun, V., & Clarke, V. (2022). Thematic analysis: A practical guide. Sage. https://doi.org/10.53841/bpsqmip.2022.1.33.46
Bride, B. E., Jones, J. L., & MacMaster, S. A. (2007). Correlates of secondary traumatic stress in child protective services workers. Journal of Evidence-Based Social Work, 4(3-4), 69-80. https://doi.org/10.1300/J394v04n03_05
Burr, V. (2015). Social constructionism (3rd ed.). Routledge. https://doi.org/10.4324/9781315715421
Byrne, L., Roennfeldt, H., & O'Shea, P. (2017). Identifying barriers to change: The lived experience worker as a valued member of the mental health team: Final report. Queensland Government. https://www.qmhc.qld.gov.au/sites/default/files/identifying_barriers_to_change_final_report.pdf
Cocks, J., Stoker, L., Common, S., Evans, R., Geale, A., Johnston, L., Kime, F., Ross, N. (2021). Parent Peer Support Project: From little things are coming. Final report on the Parent Peer Support Project 2020. Law and Justice Foundation of New South Wales. https://finclusionh.org/wp-content/uploads/2021/02/PPSP-Final-Report-18.2.21.pdf
Cohen, E., & Canan, L. (2006). Closer to home: Parent mentors in child welfare. Child Welfare, 85(5), 867-884. https://citeseerx.ist.psu.edu/document?repid=rep1&type=pdf&doi=33a7e1848c9bc934d914c8ed4c36c0d70e2b7cea
Frame, L., Conley, A., & Berrick, J. D. (2006). “The real work is what they do together”: Peer support and birth parent change. Families in Society, 87(4), 509-520. https://doi.org/10.1606/1044-3894.3566
Gillard, S., Foster, R., White, S., Barlow, S., Bhattacharya, R., Binfield, P., Rachel, E., Alison, F., Sarah, G., Goldsmith, L. P., Alan, S., Mike, L., Jacqui, M., Rosaleen, M., Shalini, P., Stefan, P., Julie, R., Miles, R., Michael, U., & Worner, J. (2022). The impact of working as a peer worker in mental health services: A longitudinal mixed methods study. BMC Psychiatry, 22(1), 373. https://doi.org/10.1186/s12888-022-03999-9
Janoušková, M., Vlčková, K., Harcuba, V., Klučková, T., Motlová, J., & Bankovská Motlová, L. (2022). The challenges of inter-role conflicts for peer support workers. Psychiatric Services, 73(12), 1424-1427. https://doi.org/10.1176/appi.ps.202100566
Kemp, V., & Henderson, A. R. (2012). Challenges faced by mental health peer support workers: Peer support from the peer supporter’s point of view. Psychiatric Rehabilitation Journal, 35(4), 337-340. https://doi.org/10.2975/35.4.2012.337.340
Lalayants, M. (2020). Peer support services in family reunification process in child welfare: Perceptions of parents and family coaches. Journal of Family Social Work, 23(5), 449-471. https://doi.org/10.1080/10522158.2020.1754314
Lingard, L. (2019). Beyond the default colon: Effective use of quotes in qualitative research. Perspectives on Medical Education, 8, 360-364. https://doi.org/10.1007/S40037-019-00550-7
Miler, J. A., Carver, H., Foster, R., & Parkes, T. (2020). Provision of peer support at the intersection of homelessness and problem substance use services: A systematic ‘state of the art’ review. BMC Public Health, 20(1), 1-18. https://doi.org/10.1186/s12889-020-8407-4
Miyamoto, Y., & Sono, T. (2012). Lessons from peer support among individuals with mental health difficulties: A review of the literature. Clinical practice and epidemiology in mental health: Clinical Practice & Epidemiology in Mental Health, 8, 22-29. https://doi.org/10.2174/1745017901208010022
Moll, S., Holmes, J., Geronimo, J., & Sherman, D. (2009). Work transitions for peer support providers in traditional mental health programs: Unique challenges and opportunities. Work, 33(4), 449-458. https://doi.org/10.3233/WOR-2009-0893
Olmos-Vega, F. M., Stalmeijer, R. E., Varpio, L., & Kahlke, R. (2023). A practical guide to reflexivity in qualitative research: AMEE Guide No. 149. Medical Teacher, 45(3), 241-251. https://doi.org/10.1080/0142159X.2022.2057287
Parker, R., Lamb, K. & Weavers (2020). The family violence experts by experience framework: Research report and framework 2020. Safe+Equal. https://safeandequal.org.au/wp-content/uploads/DVV_EBE-Framework-Report.pdf
Rebeiro Gruhl, K. L., LaCarte, S., & Calixte, S. (2016). Authentic peer support work: Challenges and opportunities for an evolving occupation. Journal of Mental Health, 25(1), 78-86. https://doi.org/10.3109/09638237.2015.1057322
Repper, J., & Carter, T. (2011). A review of the literature on peer support in mental health services. Journal of Mental Health, 20(4), 392-411. https://doi.org/10.3109/09638237.2011.583947
Saar-Heiman, Y., Damman, J. L., Lalayants, M., & Gupta, A. (2024). Parent peer advocacy, mentoring, and support in child protection: A scoping review of programs and services. Psychosocial Intervention, 33(2), 73-88. https://doi.org/10.5093/pi2024a5
Saeteurn, E. R., Wu, Q., Vasiliou, N., Mabingani, D., & Krysik, J. (2022). Peer parent programs in child welfare: A systematic review. Child Abuse & Neglect, 129, 1-14. https://doi.org/10.1016/j.chiabu.2022.105682
Shepardson, R. L., Johnson, E. M., Possemato, K., Arigo, D., & Funderburk, J. S. (2019). Perceived barriers and facilitators to implementation of peer support in Veterans Health Administration Primary Care-Mental Health Integration settings. Psychological Services, 16(3), 433-444. https://doi.org/10.1037/ser0000242
Simpson, A., Oster, C., & Muir‐Cochrane, E. (2018). Liminality in the occupational identity of mental health peer support workers: A qualitative study. International Journal of Mental Health Nursing, 27(2), 662-671. https://doi.org/10.1111/inm.12351
Srivastava, P., & Hopwood, N. (2009). A practical iterative framework for qualitative data analysis. International Journal of Qualitative Methods, 8(1), 76-84. https://doi.org/10.1177/160940690900800107
Taplin, S. (2017). Prenatal reporting to child protection: Characteristics and service responses in one Australian jurisdiction. Child Abuse Neglect, 65, 68-76. https://doi.org/10.1016/j.chiabu.2017.01.007
Tayebjee, Z., & Lewkowicz, D. (2019). Learning from vulnerable families to improve healthcare and child protection responses. International Journal of Integrated Care (IJIC), 19(S-1), 1-8. https://doi.org/10.5334/ijic.s3091
Tayebjee, Z., Lewkowicz, D., & Isobel, S. (2024). Supporting high-risk families through a pregnancy family conferencing model: Experiences of professionals. Australian Social Work, Latest Articles, 1-13. https://doi.org/10.1080/0312407X.2024.2331743
Voronka, J. (2019). The mental health peer worker as informant: Performing authenticity and the paradoxes of passing. Disability & Society, 34(4), 564-582. https://doi.org/10.1080/09687599.2018.1545113
Waldfogel, J. (2009). Prevention and the child protection system. The Future of Children, 19(2), 195-210. https://doi.org/10.1353/foc.0.0037
Wall, A., Lovheden, T., Landgren, K., & Stjernswärd, S. (2022). Experiences and challenges in the role as peer support workers in a Swedish mental health context-an interview study. Issues in Mental Health Nursing, 43(4), 344-355. https://doi.org/10.1080/01612840.2021.1978596
Downloads
Published
Issue
Section
License
Copyright (c) 2025 Zia Tayebjee, Daniela Lewkowicz, Sophie Isobel

This work is licensed under a Creative Commons Attribution 4.0 International License.