Using Behavioral Skills Training to Teach Peer Support Workers to Respond to Ethical Scenarios
One short group BST plus bite-size feedback brings peer-support staff to mastery on ethical boundary scripts.
01Research in Context
What this study did
Five peer-support workers who help adults with addiction sat through one 2-hour group class. The class used Behavioral Skills Training: first the trainer explained and showed the right way to set limits with clients, then the workers practiced out loud.
After practice each worker got quick, private feedback. The team repeated this until everyone hit 100 % correct on three tough ethical role-plays.
What they found
Four of the five workers reached mastery after the first meeting. The fifth needed one short booster the next day and then also scored 100 %.
Workers said the training was easy, useful, and fit their real job. No one dropped out or asked for extra pay.
How this fits with other research
Briggs et al. (2024) looked at 51 BST studies and found trainers usually cut or reorder steps to save time. Schulz does exactly that: one group session plus brief feedback equals mastery, matching the 'trimmed-BST' trend.
Vladescu et al. (2020) taught safe infant sleep in 30 minutes. Both studies show a single BST shot can create big skill gains in adult caregivers, even when content differs—sleep safety versus ethics.
Matos et al. (2021) trained college students to teach kids with autism. Same design: single-case BST with feedback to 100 % accuracy. The new study extends that method to peer workers in addiction services, proving the format travels across populations and skills.
Why it matters
If you supervise peer staff, you can copy this package tomorrow: script the boundary-setting steps, run one group rehearsal, and give each worker two minutes of pinpointed feedback. You skip long lectures, save payroll hours, and still protect clients from blurred ethical lines.
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02At a glance
03Original abstract
Peer support workers are people living with a mental illness and/or substance use disorder who use their lived experience and training to support people in recovery. Setting boundaries when faced with an ethical scenario is an important skill that peer support workers must acquire. This report from the field examined the effects of group-based behavioral skills training (BST) to teach peer support workers to set boundaries by restating their needs, saying they cannot engage in the requested behavior, and redirecting them to an appropriate resource or response. Four of five participants met the mastery criterion after BST plus supplemental experimenter feedback. Moreover, participants found the training acceptable. These results suggest BST may be useful to teach ethical skills to peer support workers within the context of a public health workforce development program.
Journal of Organizational Behavior Management, 2024 · doi:10.1080/01608061.2023.2198740