Resident perspectives on a Montreal peer-run housing project for opioid users

Perreault, Michel; Milton, Diana; Komaroff, Janina; Lévesque, Guy-Pierre; Perron, Chantale; Wong, Kenneth

doi:10.3109/14659891.2015.1029022

Cited by 4 publications

(14 citation statements)

References 41 publications

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“…Participants were recruited from a range of services rather than directly from the streets. Ten studies provided insight into participant views of services generally [33,67,72,75,76,82,84,[86][87][88], one study explored a hypothetical intervention [74] and tenstudies examined specific substance use interventions [68-71, 73, 77-81, 83, 85].…”

Section: Overview Of Included Studiesmentioning

confidence: 99%

“…Such positive environments included settings where participants had access to staff who had lived experience of homelessness, substance use or other relevant life events, suggesting that they believed that such staff could relate to them more effectively [72,78,82,84]. The importance of safety was also reported by participants in three harm reduction studies [73,74,83] Conversely, male and female participants talked about sub-optimal service environments where they felt unable to trust providers [73,84], did not have access to staff trained in dealing with challenging behaviours or who understood drug and alcohol use [71,74] or experienced high staff turnover [67].…”

Section: (I) Facilitative Service Environmentsmentioning

confidence: 99%

“…Participants talked about treatment needing to be long enough in duration for them to avoid relapse/move into recovery [33,72,84,86,87]. In two studies [86,87], participants (all women) reported the need for ongoing support after their abstinence-based treatment ended.…”

Section: (Iii)importance Of Timementioning

confidence: 99%

“…Women in Baird et al's [87] study talked about feeling ill-equipped for life outside of a shelter, and were concerned that lack of support after 90 days of an intensive abstinence-based programme would result in relapse. Perreault et al's [72] study of a 3-year peer support harm reduction housing programme reported that participants considered this to be of insufficient length:…”

Section: (Iii)importance Of Timementioning

confidence: 99%

“…I don't count my first year as looking for work or even possibly returning to school, I count it as just coming down to earth … The longer it lasts, the happier I'll be. ( [72]; p. 357)…”

Section: (Iii)importance Of Timementioning

confidence: 99%

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What constitutes effective problematic substance use treatment from the perspective of people who are homeless? A systematic review and meta-ethnography

et al. 2020

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Background: People experiencing homelessness have higher rates of problematic substance use but difficulty engaging with treatment services. There is limited evidence regarding how problematic substance use treatment should be delivered for these individuals. Previous qualitative research has explored perceptions of effective treatment by people who are homeless, but these individual studies need to be synthesised to generate further practice-relevant insights from the perspective of this group. Methods: Meta-ethnography was conducted to synthesise research reporting views on substance use treatment by people experiencing homelessness. Studies were identified through systematic searching of electronic databases (CINAHL; Criminal Justice Abstracts; Health Source; MEDLINE; PsycINFO; SocINDEX; Scopus; and Web of Science) and websites and were quality appraised. Original participant quotes and author interpretations were extracted and coded thematically. Concepts identified were compared to determine similarities and differences between studies. Findings were translated (reciprocally and refutationally) across studies, enabling development of an original overarching line-of-argument and conceptual model. Results: Twenty-three papers published since 2002 in three countries, involving 462 participants, were synthesised. Findings broadly related, through personal descriptions of, and views on, the particular intervention components considered effective to people experiencing homelessness. Participants of all types of interventions had a preference for harm reduction-oriented services. Participants considered treatment effective when it provided a facilitative service environment; compassionate and non-judgemental support; time; choices; and opportunities to (re)learn how to live. Interventions that were of longer duration and offered stability to service users were valued, especially by women. From the line-of-argument synthesis, a new model was developed highlighting critical components of effective substance use treatment from the service user's perspective, including a service context of good relationships, with person-centred care and an understanding of the complexity of people's lives.

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Section: Overview Of Included Studiesmentioning

confidence: 99%

Section: (I) Facilitative Service Environmentsmentioning

confidence: 99%

Section: (Iii)importance Of Timementioning

confidence: 99%

Section: (Iii)importance Of Timementioning

confidence: 99%

“…I don't count my first year as looking for work or even possibly returning to school, I count it as just coming down to earth … The longer it lasts, the happier I'll be. ( [72]; p. 357)…”

Section: (Iii)importance Of Timementioning

confidence: 99%

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What constitutes effective problematic substance use treatment from the perspective of people who are homeless? A systematic review and meta-ethnography

et al. 2020

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A review, analysis, and extension of peer-leader feedback agreement: Contrasting group aggregate agreement vs. self-other agreement using entity analytics and visualization

Markham

Smith

2017

The Leadership Quarterly

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The little things are big: evaluation of a compassionate community approach for promoting the health of vulnerable persons

et al. 2021

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Background Vulnerable persons are individuals whose life situations create or exacerbate vulnerabilities, such as low income, housing insecurity and social isolation. Vulnerable people often receive a patchwork of health and social care services that does not appropriately address their needs. The cost of health and social care services escalate when these individuals live without appropriate supports. Compassionate Communities apply a population health theory of practice wherein citizens are mobilized along with health and social care supports to holistically address the needs of persons experiencing vulnerabilities. Aim The purpose of this study was to evaluate the implementation of a compassionate community intervention for vulnerable persons in Windsor Ontario, Canada. Methods This applied qualitative study was informed by the Consolidated Framework for Implementation Research. We collected and analyzed focus group and interview data from 16 program stakeholders: eight program clients, three program coordinators, two case managers from the regional health authority, one administrator from a partnering community program, and two nursing student volunteers in March through June 2018. An iterative analytic process was applied to understand what aspects of the program work where and why. Results The findings suggest that the program acts as a safety net that supports people who are falling through the cracks of the formal care system. The ‘little things’ often had the biggest impact on client well-being and care delivery. The big and little things were achieved through three key processes: taking time, advocating for services and resources, and empowering clients to set personal health goals and make authentic community connections. Conclusion Compassionate Communities can address the holistic, personalized, and client-centred needs of people experiencing homelessness and/or low income and social isolation. Volunteers are often untapped health and social care capital that can be mobilized to promote the health of vulnerable persons. Student volunteers may benefit from experiencing and responding to the needs of a community’s most vulnerable members.

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Resident perspectives on a Montreal peer-run housing project for opioid users

Cited by 4 publications

References 41 publications

What constitutes effective problematic substance use treatment from the perspective of people who are homeless? A systematic review and meta-ethnography

What constitutes effective problematic substance use treatment from the perspective of people who are homeless? A systematic review and meta-ethnography

A review, analysis, and extension of peer-leader feedback agreement: Contrasting group aggregate agreement vs. self-other agreement using entity analytics and visualization

The little things are big: evaluation of a compassionate community approach for promoting the health of vulnerable persons

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