“The peer workers, they get it” – how lived experience expertise strengthens therapeutic alliances and alcohol and other drug treatment-seeking in the hospital setting

Francia, Leanne; Berg, Amelia; Lam, Tina; Morgan, Kirsty; Nielsen, Suzanne

doi:10.1080/16066359.2022.2124245

Cited by 8 publications

(3 citation statements)

References 40 publications

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“…Key findings from the research have been published elsewhere, but in brief related to the contribution of the peer worker role in the hospital setting, stigmatising language and barriers to healthcare access [18–20]. The researchers attribute the richness of the research results and the immediate implementation of stigma reduction resources that were co‐developed through the project to this approach.…”

Section: Methodsmentioning

confidence: 99%

Enriching qualitative alcohol and other drug research by engaging lived experience peer researchers in a dual‐interview approach: A case study

Berg,

Francia,

Lam

et al. 2023

Drug and Alcohol Review

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IntroductionEngaging people with lived experience of alcohol and other drug use as peer researchers in qualitative research is becoming more common. However, there are differing opinions on how to best engage and support peer researchers.Case PresentationThrough this case study the researchers aimed to illustrate the potential benefits of a peer/academic researcher dual‐interview approach as a qualitative method in research. In the study, a peer researcher who had lived experience of alcohol and other drug use collaborated with an academic researcher who had qualitative expertise. Semi‐structured interviews (N = 22) were undertaken with men and women with lived experience of alcohol and other drug harms (n = 14) and healthcare staff (n = 8) from alcohol and other drug, and broader healthcare services.Discussion and ConclusionsThe research team contend that in a dual‐interview approach, rather than peer/academic researchers being binary opposites, there exists a continuum along which peer and academic researchers travel back and forth; that supports recognition of similarities and differences; and deepens mutual respect. Engaging peer researchers also represents an opportunity for meaningful capability building, with the ultimate and important goal of having peer researchers drive their own research agendas, and move from supporting to leading alcohol and other drug‐related research.

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Section: Methodsmentioning

confidence: 99%

Enriching qualitative alcohol and other drug research by engaging lived experience peer researchers in a dual‐interview approach: A case study

Berg,

Francia,

Lam

et al. 2023

Drug and Alcohol Review

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“…One approach is to have peers, people who share life experiences with those they serve, deliver interventions in the ED. This role for peers, also referred to as recovery coaches, recovery specialists, or peer mentors, grew out of the idea that lived experience provides individuals with unique insights and the capacity to build rapport with and support others with similar experiences . Peers working in dedicated roles are also well positioned to assist ED patients with substance use disorders (SUDs) compared with medical staff with competing priorities constraining their time …”

Section: Introductionmentioning

confidence: 99%

“…This role for peers, also referred to as recovery coaches, recovery specialists, or peer mentors, grew out of the idea that lived experience provides individuals with unique insights and the capacity to build rapport with and support others with similar experiences. [14][15][16] Peers working in dedicated roles are also well positioned to assist ED patients with substance use disorders (SUDs) compared with medical staff with competing priorities constraining their time. 17,18 Emergency department-based peer recovery support services (PRSSs) are a promising approach for promoting treatment linkage, but evidence regarding their effectiveness is limited.…”

Section: Introductionmentioning

confidence: 99%

Emergency Department Peer Support Program and Patient Outcomes After Opioid Overdose

Treitler,

Crystal,

Cantor

et al. 2024

JAMA Netw Open

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ImportancePatients treated in emergency departments (EDs) for opioid overdose often need drug treatment yet are rarely linked to services after discharge. Emergency department–based peer support is a promising approach for promoting treatment linkage, but evidence of its effectiveness is lacking.ObjectiveTo examine the association of the Opioid Overdose Recovery Program (OORP), an ED peer recovery support service, with postdischarge addiction treatment initiation, repeat overdose, and acute care utilization.Design, Setting, and ParticipantsThis intention-to-treat retrospective cohort study used 2014 to 2020 New Jersey Medicaid data for Medicaid enrollees aged 18 to 64 years who were treated for nonfatal opioid overdose from January 2015 to June 2020 at 70 New Jersey acute care hospitals. Data were analyzed from August 2022 to November 2023.ExposureHospital OORP implementation.Main Outcomes and MeasuresThe primary outcome was medication for opioid use disorder (MOUD) initiation within 60 days of discharge. Secondary outcomes included psychosocial treatment initiation, medically treated drug overdoses, and all-cause acute care visits after discharge. An event study design was used to compare 180-day outcomes between patients treated in OORP hospitals and those treated in non-OORP hospitals. Analyses adjusted for patient demographics, comorbidities, and prior service use and for community-level sociodemographics and drug treatment access.ResultsA total of 12 046 individuals were included in the study (62.0% male). Preimplementation outcome trends were similar for patients treated in OORP and non-OORP hospitals. Implementation of the OORP was associated with an increase of 0.034 (95% CI, 0.004-0.064) in the probability of 60-day MOUD initiation in the half-year after implementation, representing a 45% increase above the preimplementation mean probability of 0.075 (95% CI, 0.066-0.084). Program implementation was associated with fewer repeat medically treated overdoses 4 half-years (−0.086; 95% CI, −0.154 to −0.018) and 5 half-years (−0.106; 95% CI, −0.184 to −0.028) after implementation. Results differed slightly depending on the reference period used, and hospital-specific models showed substantial heterogeneity in program outcomes across facilities.Conclusions and RelevanceIn this cohort study of patients treated for opioid overdose, OORP implementation was associated with an increase in MOUD initiation and a decrease in repeat medically treated overdoses. The large variation in outcomes across hospitals suggests that treatment effects were heterogeneous and may depend on factors such as implementation success, program embeddedness, and availability of other hospital- and community-based OUD services.

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Peer support for patients with opioid use disorder in the emergency department: A narrative review

Jack,

Arif,

Moore

et al. 2024

JACEP Open

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Faced with a growing opioid overdose crisis, emergency departments (EDs) are increasingly hiring peers—people with lived experiences of addiction and recovery—to work with patients in the ED who have opioid use disorders (OUDs) or who have experienced an opioid overdose. Despite a clear need for more support for patients with OUD and rapid expansion in grant funding for peer programs, there are limited data on how these programs affect clinical outcomes and how they are best implemented within the ED. In this narrative review, we synthesize the existing evidence on how to develop and implement peer programs for OUD in the ED setting. We describe the key activities peers can undertake in the ED, outline requirements of the peer role and best practices for peer supervision and hiring, detail how ED administrators have built financial and political support for peer programs, and summarize the limited evidence on clinical and care linkage outcomes of peer programs. We highlight key resources that ED clinicians and administrators can use to develop peer programs and key areas where additional research is needed.

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“The peer workers, they get it” – how lived experience expertise strengthens therapeutic alliances and alcohol and other drug treatment-seeking in the hospital setting

Cited by 8 publications

References 40 publications

Enriching qualitative alcohol and other drug research by engaging lived experience peer researchers in a dual‐interview approach: A case study

Enriching qualitative alcohol and other drug research by engaging lived experience peer researchers in a dual‐interview approach: A case study

Emergency Department Peer Support Program and Patient Outcomes After Opioid Overdose

Peer support for patients with opioid use disorder in the emergency department: A narrative review

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