Home > Peer engagement in harm reduction strategies and services: a critical case study and evaluation framework from British Columbia, Canada.

Greer, Alissa M and Luchenski, Serena A and Amlani, Ashraf A and Lacroix, Katie and Burmeister, Charlene and Buxton, Jane A [Biomed Central] . (2016) Peer engagement in harm reduction strategies and services: a critical case study and evaluation framework from British Columbia, Canada. BioMed Central. BMC Public Health, 16 (1) 452. DOI: 10.1186/s12889-016-3136-4

URL: https://bmcpublichealth.biomedcentral.com/articles...

BACKGROUND: Engaging people with drug use experience, or 'peers,' in decision-making helps to ensure harm reduction services reflect current need. There is little published on the implementation, evaluation, and effectiveness of meaningful peer engagement. This paper aims to describe and evaluate peer engagement in British Columbia from 2010-2014.

METHODS: A process evaluation framework specific to peer engagement was developed and used to assess progress made, lessons learned, and future opportunities under four domains: supportive environment, equitable participation, capacity building and empowerment, and improved programming and policy. The evaluation was conducted by reviewing primary and secondary qualitative data including focus groups, formal documents, and meeting minutes.

RESULTS: Peer engagement was an iterative process that increased and improved over time as a consequence of reflexive learning. Practical ways to develop trust, redress power imbalances, and improve relationships were crosscutting themes. Lack of support, coordination, and building on existing capacity were factors that could undermine peer engagement. Peers involved across the province reviewed and provided feedback on these results.

CONCLUSION: Recommendations from this evaluation can be applied to other peer engagement initiatives in decision-making settings to improve relationships between peers and professionals and to ensure programs and policies are relevant and equitable.


Item Type:Evidence resource
Drug Type:Alcohol or other drugs in general
Intervention Type:AOD disorder harm reduction
Source:Biomed Central
Date:2016
Pages:452
Page Range:p. 452
Publisher:BioMed Central
Volume:16
Number:1
EndNote:View
Subjects:F Concepts in psychology > Skills > Coping skills
J Health care, prevention and rehabilitation > Substance use prevention > Substance use harm reduction
J Health care, prevention and rehabilitation > Treatment and maintenance
L Social psychology and related concepts > Interpersonal interaction and group dynamics > Peer relations
L Social psychology and related concepts > Interpersonal interaction and group dynamics > Social support
L Social psychology and related concepts > Inclusion and exclusion
T Demographic characteristics > Substance user
VA Geographic area > Canada

Repository Staff Only: item control page