Comagine Health, Portland, OR (ES, CH, GL); Oregon Health & Science University-Portland State University School of Public Health, Portland, OR (ENW, PTK); Oregon Health Authority, Public Health Division, Portland, OR (JML); Mental Health and Addiction Certification Board of Oregon, Portland, OR (EM); Oregon Health & Science University School of Medicine, Section of Addiction Medicine, Portland, OR (ENW, PTK).
J Addict Med. 2022;16(1):93-100. doi: 10.1097/ADM.0000000000000810.
In this narrative review, we outline the literature describing the history, training, certification, and role of peer recovery support specialists working with people with substance use disorders at different stages of active use and recovery. We explore the impact of peer recovery support specialists serving people in various settings, including the community, hospitals and emergency departments, jails and prisons, and treatment and recovery agencies; and describes considerations for future expansion of peer recovery support services, including supervision needs, compassion fatigue and burnout, and scope of practice. Finally, we make recommendations to support the broad implementation of peer recovery support services as a sustainable, cohesive, and replicable component of harm reduction and addiction services. We also make recommendations for research to continue to evaluate peer recovery support specialist interventions across settings and outcomes.
在这篇叙述性评论中,我们概述了描述同伴康复支持专家在物质使用障碍者处于不同使用和康复阶段时的历史、培训、认证和角色的文献。我们探讨了同伴康复支持专家在各种环境中为人们服务的影响,包括社区、医院和急诊室、监狱以及治疗和康复机构;并描述了未来扩大同伴康复支持服务的考虑因素,包括监督需求、同情疲劳和倦怠以及实践范围。最后,我们提出建议,以支持广泛实施同伴康复支持服务,将其作为减少伤害和成瘾服务的可持续、有凝聚力和可复制的组成部分。我们还建议进行研究,以继续评估不同环境和结果下同伴康复支持专家干预措施的效果。