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Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
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Co-Designing the PATH Harm Reduction Training for the Peer Workforce: A Community-Based Participatory Approach.

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Summary
This summary is machine-generated.

Peer Recovery Specialists (PRS) face burnout delivering harm reduction services. The Peer Advanced Training in Harm reduction (PATH) intervention, co-designed with community partners, aims to enhance PRS resilience and workforce sustainability.

Keywords:
Behavioral Health WorkforceCo-designCommunity BoardCommunity-Based Participatory ResearchHarm ReductionPeer SupportsRecovery Rervices

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Area of Science:

  • Public Health
  • Addiction Medicine
  • Workforce Development

Background:

  • Opioid use disorder and overdose remain critical US public health issues.
  • Peer Recovery Specialists (PRS) are vital in harm reduction but face significant stressors like stigma and burnout.
  • Existing interventions inadequately address PRS workforce development and resilience needs in harm reduction.

Purpose of the Study:

  • To develop and co-design a training intervention (PATH) to strengthen harm reduction delivery and PRS workforce sustainability.
  • To enhance PRS personal and job-related resources through education and case-based learning.
  • To utilize a Community-Based Participatory Research (CBPR) framework for culturally grounded intervention development.

Main Methods:

  • PATH is a blended educational intervention comprising eLearning modules and an ECHO-based case discussion series.
  • A Community Board (CB) of eight members with lived experience guided content prioritization through surveys and discussions.
  • Cultural exchange surveys assessed collaboration, communication, and trust between CB members and researchers.

Main Results:

  • Community Board deliberations centered "relational harm reduction" as a core theme.
  • Four eLearning modules and refined ECHO priorities were developed, reflecting PRS needs and pragmatic work realities.
  • High cultural exchange ratings indicated strong mutual respect, shared learning, and perceived impact.

Conclusions:

  • Co-designing interventions with people with lived experience, using CBPR, yields culturally grounded and practice-ready workforce solutions.
  • The PATH intervention demonstrates feasibility for strengthening harm reduction capacity and sustainability.
  • Findings support a forthcoming pilot and clinical trial to evaluate PATH's impact on PRS workforce outcomes and service quality.