Peer recovery support is a peer-based mentoring, education, and support service provided by individuals in recovery from substance use disorders to individuals with substance use disorders or co-occurring substance use and mental disorders (1).
Full Answer
What are peer-based recovery services?
Peer recovery support services can support or be an alternative to clinical treatment for substance use disorders. Peer-based recovery supports are part of an emerging transformation of systems and services addressing substance use disorders. They are Peer recovery support services, 1 delivered by peer
Can peer therapy promote recovery from substance use disorders?
Use of peers in some aspects of treatment is now commonly accepted as part of the continuum of services to promote recovery from substance use disorders.
How does the peer support program work?
The peer support program was implemented by an occupational therapist and addiction professional following SAMHSA (Substance Abuse and Mental Health Services Administration) recovery community model. The staff person facilitated the first 10 weeks and then withdrew to a supportive background as the community became self-facilitating.
What is the role of Peers in recovery?
The shared experience of being in recovery from a mental health and/or substance use condition or being a family member is the foundation on which the peer recovery support relationship is built in the behavioral health arena. Use the following resources to learn more about the role that peers play in recovery.
What are the categories of peer recovery support?
Research has shown that recovery is facilitated by social support (McLellan et al., 1998), and four types of social support have been identified in the literature (Cobb, 1976; Salzer, 2002): emotional, informational, instrumental, and affiliational support.
What is a recovery peer?
Integrated Recovery Peer Recovery Support professionals work alongside a person to ensure that their recovery is integrated with their physical health, mental health, community and family.
What is Affiliational peer support?
Affiliational support – Interactions with peers on a regular basis creates a feeling of belonging to a group that can be relied upon to help with problems, and a place where their unique qualities can help others.
What is peer support Samhsa?
This mutuality—often called “peerness”—between a peer support worker and person in or seeking recovery promotes connection and inspires hope. Peer support offers a level of acceptance, understanding, and validation not found in many other professional relationships (Mead & McNeil, 2006).
What are the 4 tasks of peer support?
Intentional Peer Support (IPS) utilizes four basic principles or tasks to accomplish its goals:Connection.Worldview.Mutuality.Moving Toward.
What does a peer support worker do?
Peer support workers are people who have lived experience of mental health challenges themselves. They use these experiences and empathy to support other people and their families receiving mental health services.
What is the role of a peer recovery coach?
A peer recovery coach brings the lived experience of recovery, combined with training and supervision, to assist others in initiating and maintaining recovery, helping to enhance the quality of personal and family life in long-term recovery (White, 2009).
What are the core values of peer support?
The most basic value of peer support is that people freely choose to participate. It is for people who want to be involved, not people who have been told they need it or who are pressured to attend. The voluntary nature of peer support makes it easier for us to build trust and connections with one another.
What does a recovery coach do?
A recovery coach can help you identify your strengths and work toward successful change of life situations that may be holding you back. While their role is similar to that of a life coach, the main focus of a recovery coach is to help you to stay sober and to prevent relapse.
What is the peer services model?
Term description: Peer support provided by a group of people without the backing of any national resources. It is mostly peer led and voluntary rather than being facilitated by a paid for third party. An example is a singular peer support group, run only by its own members that has no formal legal status.
What is peer support and why is it important?
Peer support provides a personal level of knowledge by sharing similar life experiences. These common personal experiences can foster meaningful connections and a deeper sense of understanding and empathy between peers who may otherwise feel misunderstood.
Who are the peers?
A peer is someone at your own level. If you are a 10th grader, other high school students are your peers. Peer comes from the Latin par which means equal. When you are on par with someone, you are their peer.
What is peer recovery support?
peer recovery support services program that incorporates a strengths perspective builds on people’s resiliencies and capacities rather than providing services focused primarily on correcting their deficits, disabilities, or problems. Emphasis is on uncovering, reaffirming, and enhancing the abilities, interests, knowledge, resources, aspirations, and hopes of individuals, families, groups, and communities. This approach assumes that the ability to recognize one’s own strengths and identify internal and external resources enhances a person’s chances of success in setting and achieving goals and in realizing his or her aspirations.
What is the strength of peer recovery?
One strength of peer recovery support services has been their adaptability to many stages and modalities of recovery, as well as to different service settings and organizational contexts. This adaptability makes them an effective vehicle for extending support for recovery beyond the treatment system and into the communities where people live and to people following different pathways to recovery. On the other hand, because of the variations in settings, organizational contexts, and recovery stages and pathways, identifying commonalities in peer recovery support services can be challenging.
What is peer leadership?
In addition to conducting one-on-one coaching or mentoring and resource connecting activities, many peer leaders facilitate or lead recovery-oriented group activities. Some of these activities are structured as support groups, while others have educational purposes. Many have components of both.
What is peer resource connecting?
The purpose of resource connecting services is to connect the peer with professional and nonprofessional services and resources available in the community that can help meet his or her individual needs on the road to recovery . The peer leader working in a peer setting to provide recovery resource connecting services often has had personal experience navigating the service systems and accessing the resources to which referral is being made, and can bring those personal experiences to bear.
What is mentoring in recovery?
Although the name given to this service activity varies from project to project, the terms mentoring or coaching refer to a one-on-one relationship in which a peer leader with more recovery experience than the person served encourages, motivates, and supports a peer who is seeking to establish or strengthen his or her recovery .
What is RCSP peer?
RCSP projects use the term peer to refer to all individuals who share the experiences of addiction and recovery, either directly or as family members or significant others. In a peer-helping-peer service alliance, a peer leader in stable recovery provides social support
What are the types of social support?
Research has shown that recovery is facilitated by social support (McLellan et al., 1998), and four types of social support have been identified in the literature (Cobb, 1976; Salzer, 2002): emotional, informational, instrumental, and affiliational support. RCSP projects have found these four types of social support useful in organizing the community-based peer-to-peer services they provide to recovering people. (Some typical examples are shown in Figure 1 below.) These four categories refer to types of social support, not discrete services or service models.
What is peer recovery support?
peer recovery support services pro-gram that incorporates a strengths per-spective builds on people’s resiliencies and capacities rather than providing services focused primarily on correcting their deficits, disabilities, or problems. Emphasis is on uncovering, rearming, and enhancing the abilities, interests, knowledge, resources, aspirations, and hopes of individuals, families, groups, and communities. This approach as-sumes that the ability to recognize one’s own strengths and identify internal and external resources enhances a per-son’s chances of success in setting and achieving goals and in realizing his or her aspirations.
What is the strength of peer recovery?
One strength of peer recovery support services has been their adaptability to many stages and modalities of recovery, as well as to different service settings and organizational contexts. This adapt-ability makes them an effective vehicle for extending support for recovery beyond the treatment system and into the communities where people live and to people following different pathways to recovery. On the other hand, because of the variations in settings, organiza-tional contexts, and recovery stages and pathways, identifying commonalities in peer recovery support services can be challenging.
What are RCSP grants?
RCSP grant projects deliver peer services in a variety of settings includ-ing recovery community organiza-tions, recovery centers , churches, child welfare organizations, recovery homes, drug courts, pre-release jail and prison programs, parole and probation programs, behavioral health agencies, and HIV/AIDS and other medical or social service centers. Peer leaders work in urban and rural communities with many different populations, including those defined by age (e.g., adolescents, elders), race or ethnicity (e.g., Asian/Pacific Islander American, Latino or Hispanic American, Native American, Caucasian), gender (e.g., women) or by co-existing conditions (e.g., HIV/AIDS and other infectious diseases, mental health disorders, homelessness, or a criminal record).
What is mentoring in recovery?
Although the name given to this service activity varies from project to project, the terms mentoring or coaching refer to a one-on-one relationship in which a peer leader with more recovery experi-ence than the person served encourages, motivates, and supports a peer who is seeking to establish or strengthen his or her recovery.
What is RCSP peer?
RCSP projects use the term peer to refer to all individuals who share the experiences of addiction and recovery, either directly or as family members or significant others. In a peer-helping-peer service alliance, a peer leader in stable recovery provides social support
What are the key principles of RCSP?
Notwithstanding important differ-ences among RCSP projects, certain core principles cut across projects. One key principle is having shared values. In the RCSP experience, shared values have, in turn, given rise to other key principles, including a preference for strength-based approaches and a service philosophy that nurtures self-direction, empowerment, and choice.
Who Are Peer Workers?
Peer support workers are people who have been successful in the recovery process who help others experiencing similar situations. Through shared understanding, respect, and mutual empowerment, peer support workers help people become and stay engaged in the recovery process and reduce the likelihood of relapse. Peer support services can effectively extend the reach of treatment beyond the clinical setting into the everyday environment of those seeking a successful, sustained recovery process.
What is BRSS TACS?
Bringing Recovery Supports to Scale Technical Assistance Center Strategy (BRSS TACS) is enriched by the lived experiences of people in recovery, who play key roles in BRSS TACS project leadership, development, and implementation.
What is peer recovery?
Peer recovery support services can support or be an alternative to clinical treatment for substance use disorders. Peer-based recovery supports are part of an emerging transformation of systems and services addressing substance use disorders. They are
What is the role of substance use disorder?
plays an important, but singular, role. Acute care . substance use treatment without other recovery supports has often not been sufficient in helping individuals to maintain long-term recovery. Substance use disorders are currently understood to be chronic conditions that require long-term management, like diabetes.
What is recovery coach?
They help people to create their own recovery plans, and develop their own recovery pathways. Recovery coaches provide many different types of support, including . emotional . (empathy and concern) informational. (connections to information and .
Is peer recovery support good?
positive impacts of peer recovery support on their own recovery journeys. The research supports these experiences. While the body of research is still growing, there is mounting evidence that people receiving peer recovery coaching show reductions in substance use, improvements on a range or recovery outcomes, or both. Two rigorous systematic reviews examined the body of published research on the effectiveness of peer- delivered recovery supports published between 1995 and 2014. Both concluded that there is a positive impact on participants (Bassuk, Hanson, Greene, Richard, & Laudet, 2016; Reif et al., 2014).
What is peer support for substance use?
Peer recovery support for individuals with substance use disorders meets the minimum criteria for a moderate level of evidence (see box on this page). Studies demonstrate improved relationships with providers and social supports, increased satisfaction with the treatment experience overall, reduced rates of relapse, and increased retention in treatment. It is clear that peer support services can provide a valuable approach to guiding consumers as they strive to achieve and maintain recovery. Peer providers serve as models for a life in recovery, which in turn may motivate them to sustain their own recovery. Peer providers also fill a gap that frequently exists in formal and informal treatment services throughout the continuum of care, and they provide a wide variety of nontreatment services that seem to be beneficial in the pathway to recovery and a healthy life in the community. The current emphasis on self-direction and practice-based evidence for peer services supports the use of peers in the treatment of substance use disorders in the modern health care system, but additional research is needed to examine more thoroughly the evidence base for this promising practice.
What is peer recovery?
Peer recovery support services are delivered by individuals in recovery from substance use disorders to peers with substance use disorders or co-occurring mental disorders. This review describes the service and assesses its evidence base.
How effective is peer recovery support?
In summary, peer recovery support services have been linked with successful outcomes and other measures in a fairly small and greatly varied body of literature. Three studies, including one RCT, showed improved substance use outcomes related to the peer recovery support intervention ( 9, 14, 20 ). Improvements in other outcomes were also found, including rehospitalization rates ( 17 ), drug use severity and medical severity ( 20 ), social support ( 9 ), self-efficacy ( 16 ), and quality of life ( 16 ). Several studies, including one RCT, showed increased engagement in or completion of treatment for substance use disorders ( 21 – 23 ). The remaining studies evaluated consumer satisfaction ( 24 ), readiness to change and control over substance use ( 25 ), and value of the peer recovery support service to the consumer ( 14 ). The evidence thus demonstrates some effectiveness for peer recovery support services, although the wide range of service models, populations, and reported outcomes makes it difficult to reach a cross-cutting conclusion about its effectiveness.
How to demonstrate the effectiveness of peer recovery support?
To better demonstrate the effectiveness of peer recovery support, researchers should isolate its effects from other peer-based services. Additional research should solidify its place within the substance use treatment continuum for adults with substance use disorders.
How many randomized controlled trials were there in peer recovery?
They found two randomized controlled trials, four quasi-experimental studies, four studies with pre-post service designs, and one review. Authors chose from three levels of evidence (high, moderate, and low) on the basis of benchmarks for the number of studies and quality of their methodology. They also described the evidence of service effectiveness.
What are the future research needs for peer recovery?
To show conclusively the effectiveness of peer recovery support services, the field would benefit from research that includes a greater level of specificity (for example, to distinguish various peer support services from each other), consistency in service definitions and outcome measures, and follow-up of outcomes over longer periods. This need has been echoed by others ( 3, 26, 27 ). For example, White ( 3) broadly called for “a recovery-focused research agenda capable of illuminating the prevalence, pathways, styles, and stages of long-term individual/family recovery from severe alcohol and other drug use problems,” and he offered a variety of specific suggestions for integrating peer recovery support services.
How to evaluate peer recovery?
Indeed, a greater emphasis on rigorous methods is essential to evaluate the effectiveness of peer recovery support. Studies of existing programs should employ appropriate comparison groups and ideally use randomization to reduce selection bias. A more consistent set of outcome measures should be used across studies. Although the process of recovery may vary across individuals, measures frequently used in the broader recovery literature that should be helpful in future peer recovery support research include abstinence or decreased substance use, reduced criminal activity, stable housing, social connectedness, and quality of life.