Abstract

ABSTRACT Peer recovery services (PRS) in Norwegian municipalities fill a gap in available care in mental health care and/ or substance abuse treatment. In this qualitative study, we interviewed six peer recovery workers (PRWs). Our aim was to explore how the PRWs understood their competences as vital for carrying out the work in PRS. Through a thematic analysis, we found themes the PRWs recognize as important in their recovery competence. The findings can be of practical relevance to those aiming to develop more recovery oriented mental health distress and substance abuse services.

Highlights

  • In the Norwegian welfare state, the public sector provides most healthcare services

  • The themes can be understood as steps toward better knowledge about the skills required of a peer recovery workers (PRWs) and, in chronological order, describe the development of recovery competence

  • People with previous addiction challenges, who act as paid support persons for others with ongoing substance abuse challenges, often feel the need to explain to professionals what they contribute in terms of mental health and substance abuse services

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Summary

Introduction

National guidelines for services aimed at people with mental health distress and/or substance abuse problems emphasize the importance of coor­ dinated efforts among agencies, continuity and high quality in services, user involvement, and real opportunities for users to influence the provision of care (Ministry of Health & Care Services, 2011). Capacity pressure in health services has led to innovations that rely on contributions from civil society to mental health and substance abuse services. One of these innovations is peer recovery services (PRS). The growth of PRS in Norwegian municipalities has brought opportunities to organizations and institutions that serve people with substance abuse and mental health distress. PRS fill a gap in available care, and the peer recovery workers (PRWs) in PRS provide a wide variety of services that seem to be beneficial in the pathway to recovery and a healthy life in the community (Eddie et al, 2019; Reif et al, 2014)

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