"It's an emotional roller coaster... But sometimes it's fucking awesome": Meaning and motivation of work for peers in overdose response environments in British Columbia

dc.contributor.authorPauly, Bernie
dc.contributor.authorMamdani, Zahra
dc.contributor.authorMesley, Lacey
dc.contributor.authorMcKenzie, Sophie
dc.contributor.authorCameron, Fred
dc.contributor.authorEdwards, Denice
dc.contributor.authorHowell, Amy
dc.contributor.authorKnott, Michael
dc.contributor.authorScott, Tracy
dc.contributor.authorSeguin, Ryan
dc.contributor.authorGreer, Alissa M.
dc.contributor.authorBuxton, Jane A.
dc.date.accessioned2021-03-01T23:39:58Z
dc.date.available2021-03-01T23:39:58Z
dc.date.copyright2021en_US
dc.date.issued2021
dc.description.abstractBackground: The province of British Columbia (BC), Canada is amid dual public health emergencies in which the overdose epidemic declared in 2016 has been exacerbated by restrictions imposed by the Coronavirus Disease of 2019 (COVID-19) pandemic. Experiential workers, commonly known as ‘peers’ (workers with past or present drug use experience) are at the forefront of overdose response initiatives and are essential in creating safe spaces for people who use drugs (PWUD) in harm reduction. Working in overdose response environments can be stressful, with lasting emotional and mental health effects. There is limited knowledge about the personal meaning that experiential workers derive from their work, which serve as motivators for them to take on these often-stressful roles. Methods: This project used a community-based qualitative research design. The research was based at two organizations in BC. Eight experiential worker-led focus groups were conducted (n = 31) where participants spoke about their roles, positive aspects of their jobs, challenges they face, and support needs in harm reduction work. Transcripts were coded and analyzed using interpretative description to uncover the meaning derived from experiential work. Results: Three themes emerged from focus group data that describe the meanings which serve as motivators for experiential workers to continue working in overdose response environments: (1) A sense of purpose from helping others; (2) Being an inspiration for others, and; (3) A sense of belonging. Conclusion: Despite the frequent hardships and loss that accompany overdose response work, experiential workers identified important aspects that give their work meaning. These aspects of their work may help to protect workers from the emotional harms associated with stressful work as well as the stigma of substance use. Recognizing the importance of experiential work and its role in the lives of PWUD can help inform and strengthen organizational supports.en_US
dc.description.reviewstatusRevieweden_US
dc.description.scholarlevelFacultyen_US
dc.identifier.citationPauly, B., Mamdani, Z., Mesley, L., McKenzie, S., Cameron, F., Edwards, D., … Buxton, J. A. (2021). “It’s an emotional roller coaster… But sometimes it’s fucking awesome”: Meaning and motivation of work for peers in overdose response environments in British Columbia. International Journal of Drug Policy, 88, 1-8. https://doi.org/10.1016/j.drugpo.2020.103015.en_US
dc.identifier.urihttps://doi.org/10.1016/j.drugpo.2020.103015
dc.identifier.urihttp://hdl.handle.net/1828/12737
dc.language.isoenen_US
dc.publisherInternational Journal of Drug Policyen_US
dc.subjectExperiential workers
dc.subjectPeers
dc.subjectOvderdose
dc.subjectHarm reduction
dc.subjectMotivation
dc.subjectMeaning
dc.subjectWork
dc.subjectCanadian Institute for Substance Use Research (CISUR)
dc.subject.departmentSchool of Nursing
dc.title"It's an emotional roller coaster... But sometimes it's fucking awesome": Meaning and motivation of work for peers in overdose response environments in British Columbiaen_US
dc.typeArticleen_US

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