Center for Health Services Research, Institute for Health, Health Care Policy and Aging Research, and School of Social Work, Rutgers, the State University of New Jersey, New Brunswick (Enich, Treitler, Belsky, Crystal); Center of Alcohol and Substance Use Studies, Graduate School of Allied and Professional Psychology, Rutgers University, Piscataway, New Jersey, and Collaborative Support Programs of New Jersey, Freehold (Swarbrick); University Behavioral Health Care, Rutgers Health, Piscataway, New Jersey (Hillis); School of Public Health, Rutgers University, New Brunswick, New Jersey (Crystal).
Psychiatr Serv. 2023 Jul 1;74(7):737-745. doi: 10.1176/appi.ps.20220310. Epub 2023 Feb 23.
Recently incarcerated people with opioid use disorder are at high risk of overdose and adverse outcomes as a result of biopsychosocial risk factors. Peer support models aiming to improve these outcomes have expanded in recent years. This qualitative study aimed to document participants' experiences with peer health navigation before and after prison release, examine participants' perspectives on the role of peer health navigators, and understand participants' views on service improvements.
The authors conducted in-depth, semistructured interviews with 39 recipients of peer health navigation at release, 30 of whom also completed a follow-up interview 3 months later. Interviews were analyzed via cross-case analysis.
Interviewees differently valued the various types of support they received. Participants appreciated working with someone with shared lived experience with whom they could establish a trusting relationship. Nevertheless, structural and policy barriers meant that certain key needs-such as housing and employment-could not always be met.
Peer health navigators can connect participants to evidence-based treatment and help them address their psychosocial needs and develop skills to support long-term wellness. Further research is needed to assess the impact of peer health navigation on participant outcomes, such as overdose reduction, treatment engagement, and sustained recovery.
最近患有阿片类药物使用障碍的被监禁者由于生物心理社会风险因素而面临极高的药物过量和不良后果的风险。近年来，旨在改善这些结果的同伴支持模式有所增加。本定性研究旨在记录参与者在出狱前后接受同伴健康导航的经验，探讨参与者对同伴健康导航员角色的看法，并了解参与者对服务改进的看法。
作者对 39 名即将出狱的同伴健康导航员进行了深入的半结构化访谈，其中 30 名参与者在 3 个月后还完成了后续访谈。通过跨案例分析对访谈进行了分析。
受访者对他们所获得的各种类型的支持有不同的看法。参与者很欣赏与他们有共同生活经历的人一起工作，因为他们可以建立起信任关系。然而，结构性和政策障碍意味着某些关键需求，如住房和就业，并不总是能够得到满足。
同伴健康导航员可以将参与者与循证治疗联系起来，帮助他们满足他们的心理社会需求，并培养支持长期健康的技能。需要进一步研究来评估同伴健康导航对参与者结果的影响，例如减少药物过量、治疗参与和持续康复。
