Peer support encompasses a range of activities and interactions between people who share similar experiences of being diagnosed with mental health conditions, substance use disorders, or both, as well as lived expertise. As a peer supporter, you are involved with individuals from diverse backgrounds who need your honest help, guidance, and assistance.
Peer support workers are people who have been successful in the recovery process and then 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.
The peer support movement of the 1970’s was a social movement that empowered former mental health service users to help one another and to advocate for themselves. Peer support is gaining momentum and recognition in the sectors of behavioral health, peer-run-organizations, recovery community centers and organizations, criminal justice settings, primary care settings, child welfare agencies, homeless shelters, and veteran support services.
Peer-to-Peer Support is a phenomenon that was coined in the behavioral health field at the Yale School of Medicine in the late 18th century in France (Tang, 2023). Professionals in community mental health were among the first to advocate for the integration of peers into primary care settings. While the mental health profession was slow on the uptake of peer support, widespread attention came in the 19th and 20th centuries, which was when the philosophy was rapidly and widely adopted by the community of mental health consumers. The mental health consumer/survivor movement has been a driving force behind the dissemination, adoption, popularization, and growth of peer support (Tang, 2023).
In the 1970s, big state hospitals across the country were being closed, releasing patients with severe mental health challenges into the community with inadequate transitional support. Simultaneously, patients began to speak out about systematic mistreatment and denial of civil liberties while under the care of state mental hospitals. Once released, former patients sought relief through autonomous peer and mutual support groups, which helped empower individuals as well as the community.
The term ‘peer” is used here rather than “consumer.” The latter implies support services provided by someone who is or has been a recipient of professionally directed treatment services. In the addictions arena, recovery support services may be provided by persons in recovery, or otherwise defined as an ally by those receiving help, who have not been “consumers” of treatment services. Use of the term “peer” rather than “consumer” reinforces that there are multiple pathways to recovery, not all of which involve professionally directed addiction treatment, and affirms an identity linked to a community of recovering people rather than a treatment institution (White, 2004).
Peer support functions to complement but does not duplicate or replace the roles of therapists, case managers, or other members of the treatment team.
Peer support workers can help break down barriers of experience and understanding, as well as power dynamics that may get in the way of working with other members of the treatment team. The peer support worker’s role is to assist people with finding and following their own recovery paths, without judgment, expectation, rules, or requirements.
There is no single ingredient that is required or that guarantees success, but frequent components of successful peer support programs (I have effectively implemented all these components as a peer supporter) includes (SAMSA, 2023):
Furthermore, as a peer supporter, I was involved in almost every aspect of the individual lives by encouraging each person to make their own sound decisions that would provide the best outcome for that individual. Over the years working with the same individuals, I learned to stay consistent by walking along side of the individual and provide the necessary resources, opportunities, and support they may need. Also, I need to have a great understanding of trauma informed practices to remain cognizant not to re-traumatize the individual. This consistency solidified my resilience in why I wanted to make a difference in peoples’ lives that were just like me, but did not have healthy supports, resources, confidence, and encouragement that recovery is sustainable, possible, and daily.
Dr. Ricardo Anderson is a Certified Recovery Support Specialist (CRSS), a co-facilitator of a recovery group for all types of addictions, serves on the Executive Board for WISE as well as the Leadership Board for Peer Professionals. He is an advocate to help eliminate the stigma of mental health among individuals, the community and people of color.
Here are some specific examples of what partnership with us can look like. Every plan is customized — this is just a starting point.
Classroom wellbeing auditClassroom teachers assess their current wellbeing supports, identify specific strengths and gaps, and actively engage with research-based strategies to create an action plan for supporting student wellbeing in the classroom. This audit is more than a checklist—it’s a mirror that reflects how your everyday choices shape the mental health and wellbeing of everyone in your classroom. By pausing to rate, reflect, and plan, you will:
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Specialized mental health skill-building workshopsThis goes beyond basic literacy to provide staff with practical skills and techniques for managing specific situations and promoting positive mental health within the school. Examples
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Adult SEL developmentJust as students benefit from developing social-emotional skills, so do adults. Adult SEL focuses on educators understanding their own emotions, managing impulses, setting goals, showing empathy, building healthy relationships, and making responsible decisions. Examples
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Integration of mental health into curriculumEmbedding mental health education within the regular curriculum normalizes these topics, reduces stigma, and equips all students with foundational knowledge and skills related to their emotional well-being. Rogers’ understanding of key mental health concepts can inform curriculum development. Examples
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Mental health literacy trainingThis partnership focuses on equipping school staff with a foundational understanding of mental health concepts, common disorders in children and adolescents, and the importance of early identification and intervention. Examples
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Trauma-Informed practicesTrauma-informed practice recognizes the widespread impact of trauma and understands potential paths for recovery. In a school setting, this means understanding that students (and staff) may have experienced trauma and that these experiences can affect behavior, relationships, and learning. Training helps staff recognize the signs of trauma, respond in a way that avoids re-traumatization, and create a safe and supportive environment. It also includes understanding secondary trauma or compassion fatigue that educators may experience when working with individuals who have experienced trauma. Examples
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Mindfulness and stress reduction workshops for staffMindfulness involves paying attention to the present moment without judgment. Stress reduction techniques are practical strategies designed to lower physiological and psychological responses to stress. Training in these areas equips educators with tools to manage the inherent demands and pressures of their job, cultivate a sense of calm, and increase their capacity to be present and responsive. Examples
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Building resilience (CLE)Resilience is the ability to adapt well in the face of adversity, trauma, tragedy, threats, or significant sources of stress. Training in resilience helps educators identify their strengths, develop positive coping mechanisms, cultivate optimism, and build strong support networks. Examples
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Enhancing school climate – for the staffSchool climate refers to the quality and character of school life. A positive school climate for staff is characterized by trust, respect, collegiality, collaboration, and a sense of belonging. Consultation focuses on identifying areas for improvement and implementing strategies to foster a more supportive and positive environment. Examples
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Needs assessment and strategic planning (CLE)A systematic process of gathering information about the current state of staff wellbeing within the school, identifying key stressors, and understanding the needs and preferences of the staff. This data then informs the development of a targeted and effective plan for implementing wellbeing initiatives. Examples
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Developing supportive policies and practicesExamining existing school policies, procedures, and unwritten norms to identify those that may contribute to staff stress or hinder wellbeing. Consulting on modifications or new policies that actively promote a healthy work environment. Examples
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Consultation on school mental health systemsThis involves leveraging Rogers’ understanding of best practices in mental health care to advise schools on the development and implementation of comprehensive systems that support student and staff well-being. Examples
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Integrating wellbeing into existing structuresEmbedding wellbeing initiatives within the school’s existing operational framework rather than treating them as separate, add-on programs. This ensures long-term sustainability and demonstrates that wellbeing is a priority. Examples
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Leadership coachingCoaching specifically designed for school administrators and team leaders. This focuses on developing their leadership skills related to supporting staff wellbeing, creating a positive team culture, and effectively managing workplace dynamics that can impact stress levels. Examples
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Individual wellbeing coachingA confidential and supportive partnership between a trained coach and an individual staff member. The coach helps the staff member identify their wellbeing goals, explore challenges, develop strategies, and build self-awareness and resilience. This is particularly helpful for staff experiencing high levels of stress, burnout, or those seeking to proactively enhance their wellbeing. Examples
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Instructional coaching with a wellbeing lensIntegrating conversations and support around wellbeing into existing instructional coaching cycles. This recognizes that teacher wellbeing is intertwined with their classroom practice and provides a holistic approach to support. Examples
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Peer coaching programsTraining selected staff members to serve as peer coaches for their colleagues. This leverages internal expertise and fosters a culture of mutual support within the school. Peer coaches can provide a confidential and relatable source of support, sharing strategies and offering encouragement. Examples
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