The Peer Mental Health Advocates Program
Who are PMHAs?
Peer Mental Health Advocates (PMHAs) are college students with lived experiences of mental illness, trained to provide confidential and free peer counseling and advocacy services. PMHAs provide assistance with daily management, social and emotional support, coping skills, linkage to clinical and community resources, and crisis services.
Why Peer Support?
According to Mental Health America, "Peer supporters are people who use their experience of recovery from mental health disorders to support others in recovery. Combined with skills often learned in formal training, their experience and institutional knowledge put them in a unique position to offer support." For Project LETS, we use a slightly different model. Peer supporters are not only people who use their experiences of recovery and healing to help others in recovery--peer support means using experiences of mental illness to support others who are struggling or in need of support. For many folks with mental illness, these experiences are lifelong.
Project LETS believes there is no better support than from those who can empathize with you. Peer Mental Health Advocates (PMHA) understand pain, have experience with mental illness, and can offer insight, education, and skills to folks unable or unwilling to access professionalized help. We also work with folks who are in need of additional support, even though they may have a therapist or psychiatrist. This form of integrated healthcare/peer support is remarkably successful, as connectedness and relationships among isolated, disconnected folks are among the best forms of help one can provide.
What can PMHAs Do?
PMHAs are trained to assist students through the process of seeking adequate mental health care while remaining mindful of financial barriers, cultural barriers, and myriad other factors that can prevent access to some forms of treatment. PMHAs can help students find a competent, affordable therapist, connect with a psychiatrist, or access credible resources and information if therapy isn’t an option. The student dictates the course of action for the semester, and the PMHA will help complete tasks and work towards whatever the student is trying to attain.
Regular meetings allow PMHAs to create a space where their peer can more freely discuss issues of mental health. These meetings may also allow PMHAs to facilitate relevant conversations that acknowledge mood fluctuation and changes in symptom presentation, identify social and academic stressors, and address students’ short-term goals and accomplishments. PMHAs are not therapists (they do not assess or diagnose)-- they’re educated students with lived experience, and every PMHA knows to address this distinction by establishing clear boundaries with their mentee.
If a student is having a tough week and their mental health is impeding their academics, they may have difficulty reaching out to all pertinent campus resources for assistance. For example, a student who is experiencing a bout of depression, with side effects of intense fatigue and inability to concentrate, may not have the time or energy to make multiple phone calls to the various administrative departments that could provide academic support. Even emailing professors to address the aftereffects of a flare-up can be emotionally taxing for some students with mental illness-- they may feel that, in order to be taken seriously, they are obligated to disclose medical information and apologize for their symptoms.
In a situation like this, a PMHA could advocate for the appropriate adjustment of academic deadlines, connect the student with a dean, and help them to communicate with administrators and professors. Crafting emails and making phone calls on their peer’s behalf can free up time for the student to fully focus on recovery; still, PMHAs do not take any action without student approval.
For students with families that stigmatize therapy, meeting with a peer mentor might feel more approachable than a therapy appointment. For many people, due to race, class, sexual orientation, gender identity, and culture, it can be too risky for them to use their voice and speak up if they have a mental illness. Some people's disorders make them too paranoid to talk to a professional. Some people are scared of the possibility of seeking support from an institution. Some people have or believe they have disorders that are incredibly stigmatized. Being able to talk to other mentally ill people is essential in management and healing.
Project LETS believes that every person has a right to access good mental health care--and recognizes that what constitutes “good mental health care” is entirely dependent on individual needs.
PMHA Benefits
Personalized, one-on-one support
Available when clinical care isn't
Opportunity to build a community & coping skills
Equal partnership (transparency)
Confidential (sexual assault, self-harm, suicide)
Assistance navigating clinical care
Free advocacy services
Crisis support