Table 3 Recommendations for peer engagement in harm reduction initiatives

• Create a low barrier, low threshold environment adapted to the context of the peers involved

• Use reflexivity, reflecting and learning from the process

• Define roles and expectations for all stakeholders

• Be conscientious of who is at the table and prioritise traditionally under-represented peer groups (e.g. those from rural and remote communities)

• Develop formal best practice peer engagement guidelines

• Ensure consistency across regions and stakeholders

• Provide support for building and connecting new and existing peer networks

• Make the most of and expand on capacity that has already been built

• Promote ongoing commitment to the process from all stakeholders