Implantation d’un programme de prévention des surdoses géré par des pairs :        l’expérience de PROFAN

Perreault, Michel; Ferlatte, Marie-Anne; Artunduaga, Ana Carolina; Perron, Chantale; Tremblay, Guillaume; Milton, Diana

doi:10.7202/1085172ar

Cited by 3 publications

(6 citation statements)

References 31 publications

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“…One example is Metad’ame, a peer-run organization in Montreal since 1999 that hires and trains people with lived experience of drug use. For instance, across 14 of Quebec’s administrative regions, it conducted a fatal overdose prevention training program involving naloxone administration (Perreault et al, 2021). Another example is the Vancouver Area Network of Drug Users (VANDU) (Kerr et al, 2006), a group that contributed to the creation of pop-up safe consumption and overdose prevention sites in Canada (Klein, 2020; Pauly et al, 2020).…”

Section: Discussionmentioning

confidence: 99%

“…To improve HR service experiences, participants wanted more empowering approaches that espouse the "nothing about us without us" philosophy which inspired many drug-user rights groups to claim their rights to act on their lives and choose for themselves (Boyd et al, 2016;Denis-Lalonde et al, 2019). A recent initiative is the PROFAN program in Quebec that involves training offered by persons with lived drug use experience on how to reverse an opioid overdose with naloxone administration (Perreault et al, 2021). Another example is the advocacy of the International Network of People Who Use Drugs (INPUD) to keep people safe worldwide during the COVID-19 pandemic (International Network of People who Use Drugs, 2021).…”

Section: Harm Reduction Organizations Run By and For Usersmentioning

confidence: 99%

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Improving Harm Reduction Services: A Qualitative Study on the Perspectives of Highly Marginalized Persons Who Inject Drugs in Montreal

Poliquin

Perreault

Guilhon

et al. 2022

Journal of Drug Issues

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Harm reduction (HR) is an alternative to the moralization of drug use and a pragmatic public health approach aimed at minimizing harms associated with use. This study sought to gain the perspectives of persons who inject drugs (PWID) on the adequacy of services provided by HR organizations in Montreal. Twenty-two semi-structured interviews and two focus groups were conducted with 30 participants. Some of the key advantages of HR perceived by participants include access to injection equipment, psychosocial support, and reduced social isolation. However, many wanted more opportunities for social insertion and greater value to be placed on their knowledge and life experiences (e.g., experiential knowledge of the street scene, drug use, sex work, or homelessness). This study suggests that PWID who access HR services in Montreal are interested in paid work opportunities in environments that promote power sharing, and activities that are conducted and managed by and for them.

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Section: Discussionmentioning

confidence: 99%

Section: Harm Reduction Organizations Run By and For Usersmentioning

confidence: 99%

Improving Harm Reduction Services: A Qualitative Study on the Perspectives of Highly Marginalized Persons Who Inject Drugs in Montreal

Poliquin

Perreault

Guilhon

et al. 2022

Journal of Drug Issues

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“…PROFAN was successfully implemented in Montreal for people at risk of experiencing an overdose, or those likely to witness and respond to overdose situations (Perreault et al, 2021). PROFAN initially targeted people who use opioids (PWUO) and their entourage to provide training on prevention, harm reduction, emergency naloxone administration, CPR, and post-overdose support (Ferlatte et al, 2021 [unpublished report]; Perreault, Ferlatte, Artunduaga et al, 2021), but the program was adapted in 2018 to include a second clientele consisting of community workers (any worker from a local organization likely to witness or respond to an overdose) and was made available to all people who use drugs (PWUD) (Ferlatte et al, 2021). This adaptation was facilitated by a partnership established with the Association des intervenants en dépendance du Québec (AIDQ), an association for addiction workers in Quebec.…”

Section: The Profan Program and Its Expansionmentioning

confidence: 99%

“…In this context, the Canadian opioid overdose prevention strategy was developed, drawing on notions of harm reduction, notably by mobilizing communities around interventions designed to increase the availability and accessibility of medication that can reverse opioid overdoses (naloxone), and to provide education and training on opioid overdose prevention (CDPC, 2013;Leece et al, 2019). These interventions include naloxone training programs, which have been deployed to distribute naloxone kits and provide training to individuals at risk of having an overdose, or those likely to witness and respond to an overdose situation (MacDougall et al, 2019;Perreault et al, 2021). The implementation of these training programs varies according to numerous factors, including the regional need and demand for an opioid overdose prevention response (Perreault et al, 2021).…”

Section: Introductionmentioning

confidence: 99%

“…These interventions include naloxone training programs, which have been deployed to distribute naloxone kits and provide training to individuals at risk of having an overdose, or those likely to witness and respond to an overdose situation (MacDougall et al, 2019;Perreault et al, 2021). The implementation of these training programs varies according to numerous factors, including the regional need and demand for an opioid overdose prevention response (Perreault et al, 2021). Naloxone trainings have received growing attention from researchers, as many authors are calling for a better understanding of their implementation (Leece et al, 2019).…”

Section: Introductionmentioning

confidence: 99%

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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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Bénéfices d’un partenariat pour l’évaluation d’un programme de prévention des surdoses initié par des pairs

Perreault,

Tremblay,

Milton

et al. 2024

Santé Publique

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En 2015, en partenariat avec une équipe de recherche, le programme PROFAN a été mis en place par un groupe de pairs pour contrer le nombre croissant de décès par surdose à Montréal. À partir de 2018, ils ont offert, en collaboration avec l’Association des Intervenants en dépendance du Québec plus de 160 sessions de formation et rejoints 500 organismes québécois, pour un total de plus de 2 000 participants. Une démarche d’évaluation participative a été menée en rapport avec le déploiement du programme. Le niveau d’engagement des deux partenaires a été évalué pour chacune des étapes de la recherche de même que les bénéfices rapportés par chacun. L’examen du niveau d’engagement au cours du processus d’évaluation souligne le grand leadership exercé par l’équipe PROFAN par rapport au financement et à la diffusion des résultats. L’équipe de recherche a exercé ce leadership dans la production du devis, les analyses et la diffusion à l’auditoire de chercheurs et de spécialistes du domaine. La collecte de données a impliqué une collaboration des deux parties. En ce qui a trait aux bénéfices rapportés, certains étaient reliés aux opérations du programme (i.e. crédibilité accrue, soutien pour sa mise à jour ; création de partenariats), alors que d’autres se rapportaient à l’autonomisation des pairs (i.e. développement de compétences). L’urgence d’intervenir pour diminuer les décès semble avoir facilité le financement du projet et le développement de partenariats. Celui entre PROFAN et l’équipe de recherche a été marqué par le partage d’expertise et la collaboration.

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Implantation d’un programme de prévention des surdoses géré par des pairs : l’expérience de PROFAN

Cited by 3 publications

References 31 publications

Improving Harm Reduction Services: A Qualitative Study on the Perspectives of Highly Marginalized Persons Who Inject Drugs in Montreal

Improving Harm Reduction Services: A Qualitative Study on the Perspectives of Highly Marginalized Persons Who Inject Drugs in Montreal

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

Bénéfices d’un partenariat pour l’évaluation d’un programme de prévention des surdoses initié par des pairs

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