Perspectives From Alcohol and Drug Clinicians Towards the Introduction of Peer Worker Roles Within an Australian Alcohol and Other Drug Treatment Service.

Abstract

Objective: The aim of the study was to investigate the views and perspectives of alcohol and drug (AOD) clinicians regarding the introduction of a peer worker (PW) role within an Australian AOD treatment service, to identify strengths and barriers to guide the integration.

Methods: A cross-sectional survey was conducted with AOD clinicians, using a brief, anonymous survey, to gather quantitative and qualitative insights into their perceptions of the strengths and barriers of introduction of a PW role within the service.

Results: A total of 53 clinicians participated. Results indicated that 62% of clinicians believe that a PW would improve services delivered. Thematic analysis identified 3 main perceived strengths: (i) enhancing engagement and role modeling recovery; (ii) advocacy; and (iii) supporting teams and service culture. Four themes emerged as barriers/concerns: (i) role clarity and scope; (ii) organizational culture; (iii) boundaries; and (iv) PW well-being. Some differences were noted according to clinician's having prior experience working with PW.

Conclusion: Few studies have explored the perspectives of AOD clinicians regarding introducing PW roles in an AOD treatment setting. This study highlights that although a majority of AOD clinicians have positive attitudes, many have concerns regarding PW roles, role boundaries, and the legitimacy of peer expertise. Furthermore, organizational readiness, PW well-being, and the integration of PW and lived experience in recovery orientated care within the workplace were areas of concern. Addressing these within staff education and service planning, with organizational leadership, may help to support implementation.