Issues of Isolation:
Is community peer support a possibility?

As we are aware, Australia is a vast country with most of our population centred in a dozen coastal cities. Yet we have many isolated communities spread across the continent. When considering crisis response and support programs, it's important not to forget the unique needs of the people in these communities. A number of isolated communities have sought to establish regional peer support programs with varying degrees of success. While there are distinct benefits having local support initiatives to assist people in the aftermath of crises and emergencies, there are also some problems which need to be considered.

Benefits:

• There's usually a greater 'sense of community' in rural regions.
• There's a more rapid response to those in need.
• Local knowledge and familiarity often means greater acceptability.
• There's often more follow-up support which can be lacking when outside resources are used.

Potential problems:

• In a major incident, support people may have an operational role.
• Victims may be known to helpers.
• There may be confidentiality concerns in small communities.
• Supporters may lack credibility when they are commonly seen in other roles in their community.
• When resources are limited, excessive expectations may be placed on supporters.
• Isolation may limit access to professional advice and referral sources when further help is required.