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Peer support specialists and perinatal opioid use disorder: Someone that's been there, lived it, seen it
Amanda Fallin-Bennett1, Alex Elswick2, Kristin Ashford1
1University of Kentucky College of Nursing, Perinatal Research and Wellness Center, United States.
Insights
Peer support specialists positively impact perinatal opioid use disorder (OUD) treatment, enhancing recovery for mothers and children. Women suggest improving peer support services by clarifying professional boundaries for better engagement.
Area of Science:
- Perinatal Health
- Addiction Medicine
- Mental Health Services Research
Background:
- Perinatal opioid use disorder (OUD) presents significant risks to maternal and child well-being.
- Peer support services are recommended by SAMHSA for sustained remission from substance use disorders (SUDs).
- Limited research exists on the experiences of pregnant and parenting women with peer support specialists in SUD treatment.
Purpose of the Study:
- To describe the experiences of perinatal women in OUD treatment with peer support specialists.
- To gather recommendations for enhancing peer support services for this population.
Main Methods:
- Qualitative descriptive study utilizing two focus groups with postpartum women (N=9) parenting children under 5.
- Data collected through voice recordings, professional transcription, and content analysis using MAXQDA.
Main Results:
- Four emergent themes: Feeling Supported, Qualities of an 'Ideal' Peer Support Specialist, Strategies for Improvement, and Importance of Communication.
- Participants reported a strong positive impact of peer support specialists (PSSs) on their recovery.
- Suggestions for improvement included clarifying boundaries between peer supporters and clients.
Conclusions:
- Perinatal women with OUD can significantly benefit from peer support services throughout their perinatal period.
- Peer support specialists positively influence recovery, but service enhancements are needed.
- Further research is required to establish the impact of PSS on sustained recovery in perinatal OUD populations.
Abstract:
Perinatal opioid use disorder (OUD) has increased drastically since 2000 and is associated with myriad adverse outcomes. The Substance Abuse and Mental Health Services Administration (SAMHSA) recommends using peer support services to promote sustained remission from substance use disorders (SUDs). Integrating peer support specialists into perinatal OUD treatment has the potential to improve maternal and child health. However, there is limited published research on the experiences of pregnant and parenting women with peer support specialists during SUD treatment. The purpose of this study was to: (1) describe experiences of perinatal women undergoing OUD treatment with peer support specialists; (2) describe recommendations for improving or enhancing peer support services. For this qualitative descriptive study, we conducted two focus groups in a private location in a clinic that serves postpartum women with OUD (N = 9) who were parenting a child under the age of 5. The focus groups were voice recorded, professionally transcribed, and analyzed in MAXQDA using content analysis. Four themes emerged from the data: Feeling Supported by Peer Support Specialists, Qualities of an 'Ideal' Peer Support Specialist, Strategies to Improve Interactions with Peer Support Specialists, and Importance of Communication Across the Perinatal Period. Participants reported that PSSs had a strong, positive impact on their recovery. Postpartum women report overall positive experiences receiving peer support services during their pregnancy and postpartum period. However, participants offered suggestions to improve their interactions with PSSs, such as clarifying the boundaries between peer supporters and clients. Pregnant and postpartum women in OUD treatment have the potential to benefit from access to PSS throughout their perinatal period. Future research is needed to determine the impact of PSS on sustained recovery for perinatal women with OUD.
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