“A peer support worker can really be there supporting the youth throughout the whole process”: a qualitative study exploring the role of peer support in providing substance use services to youth

Abstract Background Youth (ages 12–24) rarely access services and supports to address substance use concerns. Peer support can facilitate service engagement and has been associated with positive substance use recovery outcomes in adults, yet few studies have examined this role among youth specifical...

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Main Authors: Roxanne Turuba, Ciara Toddington, Miranda Tymoschuk, Anurada Amarasekera, Amanda Madeleine Howard, Violet Brockmann, Corinne Tallon, Sarah Irving, Steve Mathias, J. L. Henderson, Skye Barbic
Format: Article
Language:English
Published: BMC 2023-08-01
Series:Harm Reduction Journal
Subjects:
Online Access:https://doi.org/10.1186/s12954-023-00853-3
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author Roxanne Turuba
Ciara Toddington
Miranda Tymoschuk
Anurada Amarasekera
Amanda Madeleine Howard
Violet Brockmann
Corinne Tallon
Sarah Irving
Steve Mathias
J. L. Henderson
Skye Barbic
author_facet Roxanne Turuba
Ciara Toddington
Miranda Tymoschuk
Anurada Amarasekera
Amanda Madeleine Howard
Violet Brockmann
Corinne Tallon
Sarah Irving
Steve Mathias
J. L. Henderson
Skye Barbic
author_sort Roxanne Turuba
collection DOAJ
description Abstract Background Youth (ages 12–24) rarely access services and supports to address substance use concerns. Peer support can facilitate service engagement and has been associated with positive substance use recovery outcomes in adults, yet few studies have examined this role among youth specifically. As such, this qualitative study explored the role of peer support in providing substance use services to youth in British Columbia and how best to support them in their role. Methods Participatory action research methods were used by partnering with youth who had lived/living experience of substance use, including peer support workers, to co-design the research protocol and materials. An initial focus group and subsequent interviews were held with 18 peer support workers who provide services to youth (ages 12–24) based on their own lived experience with mental health and/or substance use. The discussions were audio-recorded, transcribed verbatim, and analysed thematically using an inductive approach. Results Peer support workers' core experiences providing substance use services to youth centred around supporting youth throughout the whole process. This was accomplished by meeting youth where they are at, providing individualized care, and bridging the gap between other services and supports. However, participants experienced multiple organizational barriers hindering their ability to support youth and stressed the importance of having an employer who understands the work you are doing. This involved having someone advocating for the peer support role to promote collaboration, empowering peers to set boundaries and define their own role, and providing adequate training and mentorship. Finally, peer support workers described how their lived experience bridges connection and de-stigmatization at the individual, organizational, and community level, which was unique to their role. Conclusions Peer support plays a unique role in youths’ substance use journeys, given their own lived experience and flexibility within their role. However, their position is often misunderstood by employers and other service providers, leaving peers with inadequate support, training, and mentorship to do their job. The findings from this study call for improved integration of peer support into service environments, as well as standardized training that is in-depth and continuous.
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spelling doaj.art-5c0c0d39ab654d55a0f4f306a30175522023-11-26T12:44:49ZengBMCHarm Reduction Journal1477-75172023-08-0120111110.1186/s12954-023-00853-3“A peer support worker can really be there supporting the youth throughout the whole process”: a qualitative study exploring the role of peer support in providing substance use services to youthRoxanne Turuba0Ciara Toddington1Miranda Tymoschuk2Anurada Amarasekera3Amanda Madeleine Howard4Violet Brockmann5Corinne Tallon6Sarah Irving7Steve Mathias8J. L. Henderson9Skye Barbic10FoundryFoundryFoundryFoundryFoundryFoundryFoundryFoundryFoundryCentre for Addiction and Mental HealthFoundryAbstract Background Youth (ages 12–24) rarely access services and supports to address substance use concerns. Peer support can facilitate service engagement and has been associated with positive substance use recovery outcomes in adults, yet few studies have examined this role among youth specifically. As such, this qualitative study explored the role of peer support in providing substance use services to youth in British Columbia and how best to support them in their role. Methods Participatory action research methods were used by partnering with youth who had lived/living experience of substance use, including peer support workers, to co-design the research protocol and materials. An initial focus group and subsequent interviews were held with 18 peer support workers who provide services to youth (ages 12–24) based on their own lived experience with mental health and/or substance use. The discussions were audio-recorded, transcribed verbatim, and analysed thematically using an inductive approach. Results Peer support workers' core experiences providing substance use services to youth centred around supporting youth throughout the whole process. This was accomplished by meeting youth where they are at, providing individualized care, and bridging the gap between other services and supports. However, participants experienced multiple organizational barriers hindering their ability to support youth and stressed the importance of having an employer who understands the work you are doing. This involved having someone advocating for the peer support role to promote collaboration, empowering peers to set boundaries and define their own role, and providing adequate training and mentorship. Finally, peer support workers described how their lived experience bridges connection and de-stigmatization at the individual, organizational, and community level, which was unique to their role. Conclusions Peer support plays a unique role in youths’ substance use journeys, given their own lived experience and flexibility within their role. However, their position is often misunderstood by employers and other service providers, leaving peers with inadequate support, training, and mentorship to do their job. The findings from this study call for improved integration of peer support into service environments, as well as standardized training that is in-depth and continuous.https://doi.org/10.1186/s12954-023-00853-3Peer supportYouthAdolescentsYoung adultsSubstance useQualitative research
spellingShingle Roxanne Turuba
Ciara Toddington
Miranda Tymoschuk
Anurada Amarasekera
Amanda Madeleine Howard
Violet Brockmann
Corinne Tallon
Sarah Irving
Steve Mathias
J. L. Henderson
Skye Barbic
“A peer support worker can really be there supporting the youth throughout the whole process”: a qualitative study exploring the role of peer support in providing substance use services to youth
Harm Reduction Journal
Peer support
Youth
Adolescents
Young adults
Substance use
Qualitative research
title “A peer support worker can really be there supporting the youth throughout the whole process”: a qualitative study exploring the role of peer support in providing substance use services to youth
title_full “A peer support worker can really be there supporting the youth throughout the whole process”: a qualitative study exploring the role of peer support in providing substance use services to youth
title_fullStr “A peer support worker can really be there supporting the youth throughout the whole process”: a qualitative study exploring the role of peer support in providing substance use services to youth
title_full_unstemmed “A peer support worker can really be there supporting the youth throughout the whole process”: a qualitative study exploring the role of peer support in providing substance use services to youth
title_short “A peer support worker can really be there supporting the youth throughout the whole process”: a qualitative study exploring the role of peer support in providing substance use services to youth
title_sort a peer support worker can really be there supporting the youth throughout the whole process a qualitative study exploring the role of peer support in providing substance use services to youth
topic Peer support
Youth
Adolescents
Young adults
Substance use
Qualitative research
url https://doi.org/10.1186/s12954-023-00853-3
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