Abstract
Background
The drug toxicity crisis has had dramatic impacts upon communities of people who use substances. Peer workers, individuals with lived/living experience of substance use who work in overdose response settings, are particularly susceptible to negative impacts on wellbeing caused by this crisis. Coupled with the devastating effects of the COVID-19 pandemic including reduced capacity and hours of overdose prevention services and physical distancing regulations, the burden placed upon peers is large. However, these mental health impacts have yet to be studied and measured.
Methods
The Professional Quality of Life Scale survey (Version 5) was taken by 47 peer workers between September 2020 and March 2021 to assess compassion satisfaction and compassion fatigue. It was administered as a part of a larger survey administered by peer research assistants - to evaluate the effectiveness of interventions identified and implemented through a peer-led project. Some questions from the tool were also asked prior to implementation of the intervention (September 2020). Participants were recruited by their organizational managers and paid a $25 honorarium.
Results
Our study uncovered a HIGH mean score for compassion satisfaction, a LOW mean score for burnout, and a MEDIUM mean score for secondary traumatic stress among peers working in overdose response settings in British Columbia. We also found changes before and after implementation of the intervention. After implementation, peer workers felt more satisfied from their work, more connected to others, less worn out and were less affected by the traumatic stress of those they help.
Conclusion
Although peers derive significant pleasure and fulfillment from their jobs, i.e., compassion satisfaction, they also face considerable feelings of overwhelmingness, i.e. burnout, and stress due to continuous exposure to the trauma of the people they support, i.e. secondary traumatic stress. These results lay the groundwork for further research on the intersectional factors contributing to negative mental health impacts upon peer workers and highlight potential strategies that bolster the fulfillment they derive from their jobs.
Symptomatic and asymptomatic transmission of SARS-CoV-2 in K-12 schools, British Columbia, April to June 2021
