Peer support and overdose prevention responses: A systematic 'state-of-the-art' review

dc.contributor.authorMercer, Fiona
dc.contributor.authorMiler, Joanna Astrid
dc.contributor.authorPauly, Bernie
dc.contributor.authorCarver, Hannah
dc.contributor.authorHnízdilová, Kristina
dc.contributor.authorFoster, Rebecca
dc.contributor.authorParkes, Tessa
dc.description.abstractOverdose prevention for people who use illicit drugs is essential during the current overdose crisis. Peer support is a process whereby individuals with lived or living experience of a particular phenomenon provide support to others by explicitly drawing on these experiences. This review provides a systematic search and evidence synthesis of peer support within overdose prevention interventions for people who use illicit drugs. A systematic search of six databases (CINAHL, SocINDEX, PsycINFO, MEDLINE, Scopus, and Web of Knowledge) was conducted in November 2020 for papers published in English between 2000 and 2020. Following screening and full-text review, 46 papers met criteria and were included in this review. A thematic analysis approach was used to synthesize themes. Important findings include: the value of peers in creating trusted services; the diversity of peers’ roles; the implications of barriers on peer-involved overdose prevention interventions; and the stress and trauma experienced by peers. Peers play a pivotal role in overdose prevention interventions for people who use illicit drugs and are essential to the acceptability and feasibility of such services. However, peers face considerable challenges within their roles, including trauma and burnout. Future interventions must consider how to support and strengthen peer roles in overdose settings.en_US
dc.description.sponsorshipAuthors F.M., J.M., H.C., K.H., R.F. and T.P. are part of the Salvation Army Centre for Addiction Services and Research (SACASR) at the University of Stirling and are funded to conduct research and knowledge exchange activities in the field of problem substance use. SACASR is funded by The Salvation Army. No other funding was received for this study. The APC was funded by the University of Stirling.en_US
dc.identifier.citationMercer, F., Miler, J. A., Pauly, B., Carver, H., Hnízdilová, K., Foster, R., & Parkes, T. (2021). “Peer support and overdose prevention responses: A systematic ‘state-ofthe- art’ review.” International Journal of Environmental Research and Public Health, 18(22), 12703.
dc.publisherInternational Journal of Environmental Research and Public Healthen_US
dc.subjectharm reductionen_US
dc.subjectpeer supporten_US
dc.subjectpeer-involved interventionsen_US
dc.subjectillicit drug useen_US
dc.subjectoverdose preventionen_US
dc.subjectlived experienceen_US
dc.subjectsystematic reviewen_US
dc.subjectstate-of-the art reviewen_US
dc.titlePeer support and overdose prevention responses: A systematic 'state-of-the-art' reviewen_US


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