Isabel Mathieu, Turgeon Daniel, Lessard Émilie, Panaite Andreea-Cătălina, Ballu Gwenvaël, Desroches Odile-Anne, Rouly Ghislaine, Boivin Antoine
Department of Family Medicine and Emergency Medicine, Université de Montréal, Canada.
Dalla Lana School of Public Health, University of Toronto, Canada.
Int J Integr Care. 2025 Jan 16;25(1):1. doi: 10.5334/ijic.8594. eCollection 2025 Jan-Mar.
Peer support workers-people with a significant lived and living experience of a social or health condition-use their experiential knowledge and obtain training to help and care for others. They are integrated in different clinical settings, including those for people experiencing homelessness. Most research on peer support implementation in homelessness has not considered the of the implementation, particularly in periods of crisis.
During the COVID-19 pandemic crisis, a participatory research project examined the integration of a peer support worker in a primary and community care clinic that serves people experiencing homelessness in Montreal (Canada). This article presents a narrative case study analysis of the specific data on implementation derived from this project.
Three main learning points are of interest regarding implementation: 1) crises can precipitate challenges but also particular opportunities for the implementation of peer support initiatives in homelessness; 2) even during a crisis, certain key steps cannot be skipped when the goal is a successful implementation; and 3) research can be an external asset for clinical teams as they struggle to deliver care during periods of crisis.
Peer support initiatives in homelessness can be implemented in the Canadian context during periods of crisis-for example, the COVID-19 pandemic-for health and social care services. Moreover, the concept of itself can be reexamined by clinical and research teams worldwide as potentially enabling the implementation of novel initiatives.
同伴支持工作者——那些有过重大社会或健康状况生活经历的人——利用他们的经验知识并接受培训来帮助和照顾他人。他们融入了不同的临床环境，包括为无家可归者提供服务的环境。大多数关于在无家可归者中实施同伴支持的研究没有考虑实施的[此处原文缺失内容]，特别是在危机时期。
在新冠疫情危机期间，一个参与式研究项目考察了一名同伴支持工作者融入加拿大蒙特利尔一家为无家可归者提供服务的初级和社区护理诊所的情况。本文对该项目中关于实施的具体数据进行了叙事性案例研究分析。
关于实施有三个主要值得关注的要点：1）危机可能带来挑战，但也为在无家可归者中实施同伴支持倡议带来特殊机遇；2）即使在危机期间，若目标是成功实施，某些关键步骤也不能跳过；3）在临床团队努力在危机时期提供护理时，研究可以成为他们的外部助力。
在危机时期，比如新冠疫情期间，加拿大的无家可归者同伴支持倡议可用于健康和社会护理服务。此外，全球的临床和研究团队可重新审视[此处原文缺失内容]概念本身，因为它可能有助于实施新的倡议。
