Impact of participation in a peer-led overdose program for people who use drugs

Perreault, Michel; Ferlatte, Marie-Anne; Artunduaga, Ana Carolina; Perron, Chantale; Marshall, Carley; Milton, Diana

doi:10.1080/09687637.2022.2030302

Cited by 1 publication

(1 citation statement)

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“…These outcomes can be used to model implementation success and guide researchers to develop strategies and predictors of their attainment (Proctor et al, 2011). Proctor's nomenclature has proven useful in program implementation research (e.g., Meza et al, 2021), and has recently been used to frame the study of naloxone programs (Teeter et al, 2021;Wood et al, 2021;Perreault et al, 2021;Perreault et al, 2022). Overall, the outcomes are said to be interrelated in dynamic and complex ways and are likely to fluctuate, while also having varying saliency among stakeholders (Proctor et al, 2011).…”

Section: Framework For the Evaluation Of Program Implementationmentioning

confidence: 99%

Implementation facilitators and barriers to the expansion of a peer-led overdose prevention program

Perreault

Ferlatte

Lachapelle

et al. 2023

Drugs: Education, Prevention and Policy

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Implementation Facilitators and Barriers to the Expansion of a Peer-led Overdose Prevention ProgramIn Canada, there has been a substantial increase of opioid overdoses in recent years.PROFAN, a peer-led overdose prevention initiative, was successfully implemented in Montreal, Quebec, for people who use drugs (PWUD), or those likely to witness overdoses. The worsening of the situation during the COVID-19 pandemic sparked the need to expand the program across the province. Individual interviews were conducted with 17 key informants from 12 health regions to identify implementation facilitators and barriers. A thematic analysis was conducted based on emerging themes. Four main facilitators were reported: 1) presence of an active peer network involved with harm reduction in the region, 2) collaboration among community and public health sectors, 3) stakeholders' awareness of opioid situation, and 4) perceived appropriateness of training.Six main barriers also emerged: 1) geographical isolation, 2) existing offer of similar services, 3) difficulty reaching isolated PWUD, 4) stigmatization of PWUD, 5) unwillingness of stakeholders to address situation, and 6) lack of funding stability. The expansion achieved by the PROFAN program highlights the ability of a peer-driven community organization to lead an overdose prevention program when provided with funding and support from government health agencies and partnerships with other organizations such as addiction worker associations.

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