“The peer workers, they get it” – how lived experience expertise strengthens therapeutic alliances and alcohol and other drug treatment-seeking in the hospital setting

IF 16.4 1区 化学 Q1 CHEMISTRY, MULTIDISCIPLINARY
Leanne Francia, Amelia Berg, T. Lam, Kirsty Morgan, S. Nielsen
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引用次数: 1

Abstract

Abstract Introduction and aims Despite a long history of the adoption of a peer workforce in alcohol and other drug treatment service provision, there is limited peer reviewed literature on the benefits of peer worker role integration in the hospital setting. Our qualitative study explored the perceptions of people with lived experience of problematic alcohol and other drugs use and their experiences of peer worker roles in the hospital setting. Design and methods Twenty semi-structured interviews with people who experienced problematic alcohol and other drug use. Transcripts were thematically analyzed and guided by a broad interest in a therapeutic alliance. Results We identified four themes related to how lived experience expertise within a peer worker role strengthened therapeutic alliances: (i) by building trust and credibility; (i) by building hope; (iii) the ability to approach informally; and (iv) in continuing to be accessible long term. Discussion and conclusion The results partly echo earlier literature, however highlight two innovative aspects that relate to lived experience expertise that maintain therapeutic alliances in the hospital setting being, firstly, the ability to approach informally, and secondly, an opportunity for longer-term engagement. In Australia at present there is a window of opportunity to better integrate peer workers into clinical care models, and as such our results have implications for how policy makers might better approach peer worker integration and configuration to improve treatment-seeking intentions both within and beyond the hospital setting.
“同伴工作者,他们明白了”——生活经验如何加强治疗联盟以及在医院环境中寻求酒精和其他药物治疗
摘要简介和目的尽管在酒精和其他药物治疗服务中采用同伴工作人员的历史很长,但关于在医院环境中同伴工作人员角色整合的好处的同行评审文献有限。我们的定性研究探讨了人们对有问题的酒精和其他药物使用经历的人的看法,以及他们在医院环境中同伴工作角色的经历。设计与方法对有酗酒和其他药物使用问题的人进行20次半结构化访谈。转录本在主题上进行分析,并在治疗联盟的广泛兴趣指导下。结果:我们确定了四个主题,这些主题与同伴工作者角色中的生活经验专业知识如何加强治疗联盟有关:(i)通过建立信任和信誉;(i)建立希望;(iii)非正式接触的能力;(iv)继续保持长期可及性。讨论和结论研究结果部分呼应了早期文献,然而,强调了与生活经验专业知识相关的两个创新方面,这些方面在医院环境中维持治疗联盟,首先是非正式接触的能力,其次是长期参与的机会。在澳大利亚,目前有机会更好地将同伴工作者整合到临床护理模式中,因此我们的研究结果对政策制定者如何更好地处理同伴工作者的整合和配置,以改善医院内外的寻求治疗的意图具有启示意义。
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来源期刊
Accounts of Chemical Research
Accounts of Chemical Research 化学-化学综合
CiteScore
31.40
自引率
1.10%
发文量
312
审稿时长
2 months
期刊介绍: Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.
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