Abstracts
Résumé
Les pairs aidants peuvent être intégrés de différentes façons dans les organisations où ils interviennent. Dans cet article, cinq types de structure organisationnelle où l’on fait appel à des pairs aidants en toxicomanie et en santé mentale sont examinés : les groupes de soutien mutuel, les organisations d’entraide, les organisations autogérées par des pairs aidants, les partenariats avec des organismes de pairs aidants et, enfin, l’intégration des pairs aidants dans des organismes pour dispenser certains services. Cet article met en évidence les conditions qui favorisent l’autonomisation des pairs aidants dans ces différentes situations.
Mots-clés :
- pairs aidants,
- toxicomanie,
- santé mentale,
- structure organisationnelle,
- autonomisation,
- rétablissement
Abstract
There are a variety of ways in which peer support workers can be integrated into organizational structures. In this article, five types of organizational structures that operate in the area of mental health and substance misuse are examined: mutual support groups; self-help organizations; organizations managed by peer support workers; partnerships with peer support worker organizations; and, organizations which integrate peer support workers to deliver certain services. This article highlights the conditions that promote empowerment of peer support workers in these situations.
Keywords:
- peer support,
- substance use,
- mental health,
- organizational structures,
- empowerment,
- recovery
Resumen
Los pares de ayuda pueden integrarse de diferentes maneras en las organizaciones en las que intervienen. En este artículo, se examinan cinco tipos de estructuras organizativas en las que se recurre a pares de ayuda en toxicomanía y salud mental : los grupos de ayuda mutua, las organizaciones de ayuda mutua, las organizaciones autogestionadas por los pares de ayuda, las asociaciones con organismos de pares de ayuda y, finalmente, la integración de los pares de ayuda en los organismos con el objetivo de proveer ciertos servicios. Este artículo pone en evidencia las condiciones que favorecen la autonomización de los pares de ayuda en diferentes situaciones.
Palabras clave:
- pares de ayuda,
- toxicomanía,
- salud mental,
- estructura organizativa,
- autonomización,
- restablecimiento
Download the article in PDF to read it.
Download
Appendices
Remerciements
Les auteurs remercient toutes les personnes qui ont contribué à cet article en fournissant gracieusement de l’information sur les services offerts par leur organisme ou en partageant de l’information sur la situation des pairs aidants en général. Des remerciements particuliers sont adressés aux personnes suivantes :
Pierre Arcand, Comité des bénéficiaires, Institut universitaire en santé mentale Douglas
Roxanne Beauchemin, Directrice des services cliniques, Cactus
Céline Bellot, Professeure adjointe, École de service social, Université de Montréal
Karine Bricot, Coordonnatrice, Projet de lieu d'accueil et d'implication sociale pour des personnes qui consomment par injection ou inhalation, responsables et solidaires (P.L.A.I.S.I.I.R.S.)
Thomas Brown, Chercheur, Institut universitaire en santé mentale Douglas
Orly Estein, Pair aidante, CSSS Cavendish
Marie-Noëlle L'espérance , Ancienne coordonnatrice, Groupe d'Intervention Alternative par les Pairs (GIAP)
Pierre Létourneau, Psychologue responsable du soutien du groupe Médecins du Monde Canada
Laurence Mersilian, Directrice, Centre associatif polyvalent d'aide hépatite C (CAPAHC)
Judith Sabetti, Assistante de recherche, Institut universitaire en santé mentale Douglas
Jijian Voronka , Pair, consultante de recherche, Projet Chez Soi
Bibliographie
- Alcoholics Anonymous (Ed.). (2001). Alcoholics Anonymous, 4th edition. New York: A.A. World Services.
- Baker, C.K., Niolon, P.H., Oliphant, H. (2009) A Descriptive Analysis of Transitional Housing Programs for Survivors of Intimate Partner Violence in the United States. Violence Against Women 15(4), 460-481.
- Baldacchino, A., & Rassool, G. H. (2006). The Self-Help Movement in the Addiction Field - Revisited. Journal of Addictions Nursing, 17(1), 47-52.
- Bellot, C., Chesnay, C., Rivard, J., & Raffestin, I. (2008). Rapport final du projet PLAISIIRS. Montréal.
- Bellot, C., Rivard, J., & Greissler, É. (2010). L’intervention par les pairs : un outil pour soutenir la sortie de la rue. Criminologie, 43(1), 171-198.
- Bellot, C., Rivard, J., Mercier, C., Fortier, J., Noël, V., & Cimon, M.-N. (2006). Le projet d’intervention par les pairs auprès des jeunes de la rue du centre-ville de Montréal : une contribution majeure à la prévention. Montréal : Rapport de recherche au FQRSC, Collectif des Pairs.
- Borkman, T. (2008). The Twelve-Step Recovery Model of AA: A Voluntary Mutual Help Association. Recent Developments in Alcoholism (M. Galanter, L.A. Kaskutas eds.).
- Boyd, M. R., Moneyham, L., Murdaugh, C., Phillips, K. D., Tavakoli, A., Jackwon, K., Vyavaharkar, M. (2005). A peer-based substance abuse intervention for HIV+ rural women: a pilot study. Archives of Psychiatric Nursing, 19(1), 10-17.
- Brown, L. D., Shepherd, M. D., Wituk, S. A., & Meissen, G. (2007). How settings change people: Applying behavior setting theory to consumer-run organizations. Journal of Community Psychology, 35(3), 399-416.
- Centre Associatif Polyvalent d’Aide Hépatite C. Rapport annuel 2011-2012.
- Chamberlin, J., Rogers, E. S., & Ellison, M. L. (1996). Self-help programs: a description of their characteristics and their members. Psychiatric Rehabilitation Journal, 19(3), 33-42.
- Chinman, M., Young, A. S., Hassell, J., & Davidson, L. (2006). Toward the implementation of mental health consumer provider services. The Journal of Behavioural Health Services and Research, 33(2), 176-195.
- Colon, R. M., Deren, S., Guarino, H., Mino, M., & Kang, S. Y. (2010). Challenges in recruiting and training drug treatment patients as peer outreach workers: a perspective from the field. Substance Use and Misuse, 45(12), 1892-1908.
- Davidson, L., Chinman, M., Kloos, B., Weingarten, R., Stayner, D., & Tebes, J. K. (1999). Peer support among individuals with severe mental illness: a review of the evidence. Clinical Psychology: Science and Practice, 6(2).
- Foote, J., DeLuca, A., Magura, S., Warner, A., Gret, A., Rosenblum, A., & Stahl, S. (1999). A group motivational treatment for chemical dependency. Journal of Substance Abuse Treatment, 17(3), 181-192.
- Galanter, M. (1988). Zealous self-help groups as adjuncts to psychiatric treatment: a study of Recovery, Inc. The American Journal of Psychiatry, 145(10), 1248-1253.
- Grant, J. (2006). Embracing an emerging structure in community mental health services: Psychiatric survivors as service providers. Unpublished dissertation. Waterloo: Wilfrid Laurier University.
- Goldstrom, I. D., Campbell, J., Rogers, J. A., Lambert, D. B., Blacklow, B., Henderson, M. J., & Meterscheid, R. W. (2006). National estimates for mental health mutual support groups, self-help organizations, and consumer-operated services. Administration and Policy in Mental Health, 33(1), 92-103.
- Hodges, J. Q., & Hardiman, E. R. (2006). Peer support among consumers of professional mental health services: Implications for practice, policy, and research. Journal of Human Behavior in the Social Environment, 14(3), 81-92.
- Humphreys, K., Wing, S., McCarty, D., Chappel, J., Gallant, L., Haberle, B., Horvath, A. T., Kaskutas, L., Kirk, T., Kivlahan, D., Laudet, A., McCrady, B., McLellan, T., Morgenstern, J., Townsend, M. et Weiss, R. (2004). Self-help organizations for alcohol and drug problems: toward evidence-based practice and policy. Journal of Substance Abuse Treatment, 26(3), 151-165.
- Hurlburt, M. S., Hough, R. L., & Wood, P. A. (1996). Effects of substance abuse on housing stability of homeless mentally Ill persons in supported housing. Psychiatric Services, 47(7), 731-736.
- Lazarus, L., Chettiar, J., Deering, K., Nabess, R., & Shannon, K. (2011). Risky health environments: Women sex workers’ struggles to find safe, secure and non-exploitative housing in Canada’s poorest postal code. Social Science and Medicine, 73(11), 1600-1607.
- McNaughton, C. C., & Seters, T. (2007). Housing and transitional phases out of ‘disordered’ lives: The case of leaving homelessness and street sex work. Housing Studies, 22(6), 885-900.
- Mead, S., Hilton, C., & Curtis, L. (2001). Peer Support: A Theoretical Perspective. Psychiatric Rehabilitation Journal, 25(2).
- Mercure, S.-A., Tetu, I., Lamonde, S., Cote, F., & group, G. d. r. w. (2008). Seeing is believing: an educational outreach activity on disinfection practices. Harm Reduction Journal, 5(1), 7.
- Méta d’Âme. (2011). Rapport d’activités 2010-2011. Montréal : Méta d’Âme.
- Miller, T. R., Zaloshnja, E., & Spicer, R. S. (2007). Effectiveness and benefit-cost of peer-based workplace substance abuse prevention coupled with retom testing. Accident, Analysis and Prevention, 39(3), 565-573.
- Norman, J., Walsh, N. M., Mugavin, J., Stoove, M. A., Kelsall, J., Austin, K., & Lintzeris, N. (2008). The acceptability and feasibility of peer worker support role in community based HCV treatment for injecting drug users. Harm Reduction Journal, 5, 8.
- O’Hagan, M., Cyr, C., McKee, H., & Priest, R. (2010). Making the Case for Peer Support: Report to the Peer Support Project Committee of the Mental Health Commission of Canada: Mental Health Commission of Canada.
- Ouimette, P., Humphreys, K., Moos, R. H., Finney, J. W., Cronkite, R., & Federman, B. (2001). Self-help group participation among substance use disorder patients with posttraumatic stress disorder. Journal of Substance Abuse Treatment, 20(1), 25-32.
- Palepu, A., Marshall, B. D., Lai, C., Wood, E., & Kerr, T. (2010). Addiction treatment and stable housing among a cohort of injection drug users. PLoS One, 5(7), e11697.
- Repper, J., & Carter, T. (2010). Using Personal Experience to Support Others With Similar Difficulties: A Review of the Literature on Peer Support in Mental Health Services. Retrieved from http://www.together-uk.org/uploads/pdf/SUID/usingpersexperience.pdf
- Rogers, E. S., Teague, G. B., Lichenstein, C., Campbell, J., Lyass, A., Chen, R., & Banks, S. (2007). Effects of participation in consumer-operated service programs on both personal and organizationally mediated empowerment: results of multisite study. Journal of Rehabilitation Research and Development, 44(6), 785-799.
- Rogers, S. E., Chamberlin, J., Ellison, M. L., & Crean, T. (1997). A Consumer-Constructed Scale to Measure Empowerment Among Users of Mental Health Services. Psychiatric Services, 48(8), 1042-1047.
- Rowe, M., Bellamy, C., Baranoski, M., Wielet, M., O’Connell, M. J., Benedict, P., Sells, D. (2007). A peer-support, group intervention to reduce substance use and criminality among persons with severe mental illness. Psychiatric Services, 58(7), 955-961.
- Shepherd, G., Boardman, J., & Burns, M. (2010). Implementing Recovery: A Methodology for Organizational Change. London: Sainsbury Centre for Mental Health.
- Shepherd, M. D., Schoenberg, M., Slavich, S., Wituk, S., Warren, M., & Meissen, G. (1999). Continuum of professional involvement in self-help groups. Journal of Community Psychology, 27(1), 39-53.
- Solomon, P. (2004). Peer support/peer provided services underlying processes, benefits, and critical ingredients. Psychiatric Rehabilitation Journal, 27(4), 392-401.
- Solomon, P., & Draine, J. (1998). Consumers as providers in psychiatric rehabilitation. New Directions for Mental Health Services(79), 65-77.
- White, W. (2010). Peer-based Addiction Recovery Support: History, Theory, Practice and Scientific Evaluation.
- Wilson, S. (1996). Consumer empowerment in the mental health field. Canadian Journal of Community Mental Health, 15(2), 69-85.
- Wong, Y-L. I., Park, J.M., Nemon, H. Homeless Service Delivery in the Context of Continuum of Care. Administration in Social Work 30(1), 67-94.