ArticleHarm reduction journal2021
Organizational support for frontline harm reduction and systems navigation work among workers with living and lived experience: qualitative findings from British Columbia, Canada.
Article in Harm reduction journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.
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Who cites it
22 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Operationalizing the Consolidated Framework for Implementation Research to build and support the lived experience workforce in direct health service provision.Health expectations : an international journal of public participation in health care and health policy · 2024Pooled it
- 'We Feel Invisible a Lot of the Time': Insights Into the Roles of Alcohol and Other Drug Lived and Living Experience Workers.Drug and alcohol review · 2026Article
- Beyond "Peer Worker": Centering Experiential Expertise Within Interprofessional Mental Health Teams.Nursing & health sciences · 2026Article
- Stress first aid for the harm reduction workforce: pilot test results of an occupational stress intervention.BMC public health · 2026Article
- Article
- Recovery support services as part of the continuum of care for alcohol or drug use disorders.Addiction (Abingdon, England) · 2025Article
- Mapping experiences of workplace stigma and discrimination within the lived-living experience of illicit drug use and bloodborne virus peer workforce: a scoping review.Harm reduction journal · 2025Article
- "The people who depended on us became expendable": Experiences of frontline workers with lived and living expertise of drug use during the COVID-19 pandemic.Harm reduction journal · 2025Article
- A review of individual multidisciplinary team roles in alcohol and other drugs.Frontiers in medicine · 2025Review
- Exploring drug consumption rooms as 'inclusion health interventions': policy implications for Europe.Harm reduction journal · 2024Article
- Article
- A qualitative exploration of harm reduction in practice by street-based peer outreach workers.Harm reduction journal · 2024Article
- The joy and pain of being a harm reduction worker: a qualitative study of the meanings about harm reduction in Brazil.Harm reduction journal · 2024Article
- Changes in harm reduction service providers professional quality of life during dual public health emergencies in Canada.Harm reduction journal · 2024Article
- Factors associated with obtaining prescribed safer supply among people accessing harm reduction services: findings from a cross-sectional survey.Harm reduction journal · 2024Article
- Workforce outcomes among substance use peer supports and their contextual determinants: A scoping review protocol.PloS one · 2024Article
- How an emergency department is organized to provide opioid-specific harm reduction and facilitators and barriers to harm reduction implementation: a systems perspective.Harm reduction journal · 2023Article
- (Re)situating expertise in community-based overdose response: Insights from an ethnographic study of overdose prevention sites (OPS) in Vancouver, Canada.The International journal on drug policy · 2023Article
- A scoping review of opioid harm reduction interventions for equity-deserving populations.Lancet regional health. Americas · 2022Article
- Core competencies of peer workers who use pulse oximeters to supplement their overdose response in British Columbia.PloS one · 2022Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe inclusion of people with lived and living experience of substance use is essential to effective and client-centered harm reduction services and strategies. The aim of this study is to critically examine and characterize peer worker roles and the definition, recognition, and support for these roles within harm reduction organizations.
methodsFifteen interviews were conducted with peer workers-people with lived and living experience of substance use engaged in harm reduction service delivery-in British Columbia, Canada. An interpretive descriptive approach to data analysis was used to generate themes that best illustrated the roles of peer workers.
findingsTwo interrelated and overarching themes are presented: (1) peer work in practice; (2) organizational support. Our findings illustrate that peer work is incredibly complex and demanding, requiring peers to be at the forefront of support within their communities while simultaneously navigating the oppressive structures within which they work. While peer workers found a high degree of purpose and meaning in their day-to-day work, their roles lacked definition within organizations, which produced feelings of ineffectiveness and being undervalued. A lack of organizational understanding and recognition of their roles was evident from unclear "peer" role titles, a lack of role communication and expectations, the representation of experiential knowledge, and a lack of role support and training.
conclusionsThese findings may help harm reduction organizations understand peer work and worker roles which may inform and promote equity in future harm reduction initiatives that include people with living and lived experience of substance use.
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