Navigating transitions into, through, and beyond peer worker roles: insider insights from the Supporting Harm Reduction through Peer Support (SHARPS) study.

IF 4 2区 社会学 Q1 SUBSTANCE ABUSE Harm Reduction Journal Pub Date : 2024-10-28 DOI:10.1186/s12954-024-01109-4
Josh Dumbrell, Hannah Carver, Rebecca Foster, Bernie Pauly, Wez Steele, Michael Roy, Tessa Parkes
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Abstract

Background: Peer workers are individuals who draw on their personal experiences in a professional capacity to support clients. Existing research on the role of peer workers in mental health, homelessness, and substance use services has primarily focused on their impact on client outcomes. This paper describes the development of peer workers as they transition into, through, and beyond this role. Utilising data from the Supporting Harm Reduction through Peer Support (SHARPS) study, where Peer Navigators supported people experiencing homelessness and substance use challenges, this paper explores the sense-making involved in an intensive peer support worker role, adaptation to organisational culture, and engagement with opportunities for professional advancement.

Methods: Semi-structured interviews with three Peer Navigators were conducted by two SHARPS study researchers at four time points in 2018 and 2019 corresponding with the beginning, middle, and end of the intervention. These data were analysed along with entries from the three Peer Navigators' reflective diaries. Analysis followed a multi-stage approach to thematic analysis utilising both inductive and deductive processes. The Peer Navigators' personal reflections have also been incorporated into the recommendations.

Results: The foundational training provided to the Peer Navigators before taking up their role helped to ensure readiness and build confidence. This training illuminated the dynamics of supporting individuals with complex health and social challenges. Integrating into diverse organisational environments, the Peer Navigators adapted to new professional expectations and consistently advocated for harm reduction and psychologically informed approaches, sometimes encountering resistance from other professionals. Establishing effective relationships with participants and professionals was essential and involved dealing with challenges such as overcoming personal biases and navigating systemic obstacles. the Peer Navigators benefitted from the specially designed training to support career progress with personal and professional development opportunities which enabled successful transitions beyond the SHARPS study.

Conclusions: Pre-work training, coupled with support and adherence to key principles, enabled the Peer Navigators to integrate effectively into diverse organisations. Quality relationships were vital in achieving client outcomes and supporting the professional growth of the Peer Navigators. These findings are important for services employing peer workers and underscore the importance of a commitment to training and continuing professional development.

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通过同伴互助支持减低伤害(SHARPS)研究,了解同伴工作者角色的转变、经历和超越。
背景:同伴工作者是以专业身份利用其个人经历为客户提供支持的个人。关于同伴工作者在心理健康、无家可归和药物使用服务中的作用的现有研究主要集中在他们对客户结果的影响上。本文描述了同伴工作者在过渡到、通过和超越这一角色时的发展情况。利用 "通过同伴支持减少伤害(SHARPS)"研究中同伴导航员为无家可归者和药物使用挑战者提供支持的数据,本文探讨了密集型同伴支持工作者角色所涉及的感性认识、对组织文化的适应,以及参与专业提升的机会:两位SHARPS研究的研究人员在2018年和2019年的四个时间点,即干预开始、中期和结束时,对三位同伴导航员进行了半结构式访谈。这些数据与三位同伴导航员的反思日记条目一起进行了分析。分析采用了归纳和演绎的多阶段主题分析方法。朋辈导航员的个人反思也被纳入到建议中:同伴导航员在上岗前接受的基础培训有助于确保他们做好准备并建立信心。培训阐明了如何为面临复杂健康和社会挑战的个人提供支持。在融入不同组织环境的过程中,同伴导航员适应了新的专业期望,并始终倡导减少伤害和心理学方法,有时还会遇到其他专业人员的抵制。与参与者和专业人员建立有效的关系至关重要,这涉及到应对各种挑战,如克服个人偏见和驾驭系统性障碍。同伴导航员从专门设计的培训中受益匪浅,这些培训为他们提供了个人和专业发展机会,支持他们的职业发展,使他们能够在SHARPS研究之后成功转型:结论:工作前培训,加上支持和遵守关键原则,使同伴导航员能够有效地融入不同的组织。优质的关系对于实现客户成果和支持朋辈导航员的专业成长至关重要。这些发现对雇用同伴工作者的服务机构非常重要,并强调了致力于培训和持续专业发展的重要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Harm Reduction Journal
Harm Reduction Journal Medicine-Public Health, Environmental and Occupational Health
CiteScore
5.90
自引率
9.10%
发文量
126
审稿时长
26 weeks
期刊介绍: Harm Reduction Journal is an Open Access, peer-reviewed, online journal whose focus is on the prevalent patterns of psychoactive drug use, the public policies meant to control them, and the search for effective methods of reducing the adverse medical, public health, and social consequences associated with both drugs and drug policies. We define "harm reduction" as "policies and programs which aim to reduce the health, social, and economic costs of legal and illegal psychoactive drug use without necessarily reducing drug consumption". We are especially interested in studies of the evolving patterns of drug use around the world, their implications for the spread of HIV/AIDS and other blood-borne pathogens.
期刊最新文献
Challenges and support needs among persons with a migration background who use drugs in four European metropolitan cities. Exploring and describing alcohol harm reduction interventions: a scoping review of literature from the past decade in the western world. Community alcohol sales and opioid poisoning deaths: Alcohol serving space as a harm reduction opportunity. Analysis of different populations accessing online overdose response training and harm reduction supplies (ADORES). How far are we? Assessing progress in hepatitis C response towards the WHO 2030 elimination goals by the civil society monitoring in 25 European countries, period 2020 to 2023.
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