Please use this identifier to cite or link to this item: http://hdl.handle.net/1893/30880
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dc.contributor.authorMiler, Joannaen_UK
dc.contributor.authorCarver, Hannahen_UK
dc.contributor.authorFoster, Rebeccaen_UK
dc.contributor.authorParkes, Tessaen_UK
dc.date.accessioned2020-03-31T00:02:06Z-
dc.date.available2020-03-31T00:02:06Z-
dc.date.issued2020en_UK
dc.identifier.other641en_UK
dc.identifier.urihttp://hdl.handle.net/1893/30880-
dc.description.abstractBackground: Peer support refers to a process whereby individuals with lived experience of a particular phenomenon provide support to others by explicitly drawing on their personal experience. It has been adopted in a variety of service contexts including homelessness, substance use, mental and physical health. Those who experience homelessness have some of the most complex intersecting health and social challenges. This ‘state of the art’ review provides a systematic search and synthesis of literature examining use of peer support models within services for people impacted by homelessness and problem substance use. Methods: A systematic search using six databases (CINAHL, SocINDEX, PsycINFO, MEDLINE, Scopus and Web of Knowledge) was conducted in August 2019 and identified 2,248 papers published in English after the year 2000. After de-duplication and scanning titles/abstracts, 61 papers were deemed relevant. Three more papers (including one grey literature report) were identified via references, but two papers were later excluded due to relevance. The final 62 papers included studies conducted in five countries. A thematic analysis approach was used to compare and contrast the study findings and provide a synthesis of the main learning points. Results: In recent years there has been a substantial increase in research examining the utility of peer support yet there is significant variation across this field. Alongside profiling the range of settings, aims, populations, and main outcomes of these studies, this paper also provides an overview of overarching themes: the overall effectiveness and impact of peer-staffed or peer-led interventions; and challenges commonly faced in these roles. Five themes relating to the challenges faced by peers were identified: vulnerability, authenticity, boundaries, stigma, and lack of recognition. Conclusions: While our findings provide support for current efforts to involve individuals with lived experience in providing peer support to those experiencing concurrent problem substance use and homelessness, they also urge caution because of common pitfalls that can leave those providing the support vulnerable. We conclude that peers should be respected, valued, supported, and compensated for their work which is often profoundly challenging. Suggested guidelines for the implementation of peer involvement in research studies and service delivery are presented.en_UK
dc.language.isoenen_UK
dc.publisherBMCen_UK
dc.relationMiler J, Carver H, Foster R & Parkes T (2020) Provision of peer support at the intersection of homelessness and problem substance use services: a systematic 'state of the art' review. BMC Public Health, 20, Art. No.: 641. https://doi.org/10.1186/s12889-020-8407-4en_UK
dc.rightsThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.en_UK
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/en_UK
dc.titleProvision of peer support at the intersection of homelessness and problem substance use services: a systematic 'state of the art' reviewen_UK
dc.typeJournal Articleen_UK
dc.identifier.doi10.1186/s12889-020-8407-4en_UK
dc.identifier.pmid32381086en_UK
dc.citation.jtitleBMC Public Healthen_UK
dc.citation.issn1471-2458en_UK
dc.citation.volume20en_UK
dc.citation.publicationstatusPublisheden_UK
dc.citation.peerreviewedRefereeden_UK
dc.type.statusVoR - Version of Recorden_UK
dc.author.emailhannah.carver@stir.ac.uken_UK
dc.citation.date07/05/2020en_UK
dc.contributor.affiliationFaculty of Social Sciencesen_UK
dc.contributor.affiliationSociology, Social Policy & Criminologyen_UK
dc.contributor.affiliationFaculty of Social Sciencesen_UK
dc.contributor.affiliationFaculty of Social Sciencesen_UK
dc.identifier.isiWOS:000533917300009en_UK
dc.identifier.scopusid2-s2.0-85084409745en_UK
dc.identifier.wtid1574365en_UK
dc.contributor.orcid0000-0001-6664-7104en_UK
dc.contributor.orcid0000-0002-6846-2661en_UK
dc.contributor.orcid0000-0002-8321-1801en_UK
dc.contributor.orcid0000-0002-0409-3254en_UK
dc.date.accepted2020-02-21en_UK
dc.date.filedepositdate2020-03-04en_UK
Appears in Collections:Faculty of Social Sciences Journal Articles

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