Applying an ecological model to identify resources that aid peer support workers in substance use disorder recovery: A qualitative study.

Abstract

This qualitative study aimed to understand the intrapersonal, interpersonal, organizational, community, and public policy resources that peer support workers (PSWs) in the substance use disorder (SUD) recovery field perceive as helpful in supporting their efforts. Twenty-five PSWs participated in semistructured interviews designed to elicit their experiences and perspectives on resources that currently support or could better support their work. PSWs had a mean age of 49.3 years (SD = 12.9) and were primarily cisgender women (n = 16, 64%) and White (n = 20, 80%). Interviews were audio-recorded, transcribed, and analyzed using rapid qualitative analysis. To ensure validity, a PSW consultant reviewed the study materials and themes. At the intrapersonal level, PSWs employed a variety of self-care practices, such as mindfulness, faith-based activities, attendance at recovery meetings, and boundary setting at work. At the interpersonal level, PSWs reported a strong network of social capital, including friends, family, and supervisors. At the organizational level, PSWs identified supportive resources, including employment benefits, a positive work climate, and workplace autonomy. At the community level, PSWs leveraged networks with local organizations. At the public policy level, PSWs appreciated support from government officials. Desired resources included more time for self-care, empathy and understanding from family and non-PSW coworkers, reduced logistical burdens and more supervision, community resources to address social determinants of health, and reduced stigma toward people with SUDs and greater funding. By reinforcing current resources and introducing desired resources, organizations, community members, and policymakers can build the resilience of PSWs and promote high-quality services for the prevention and treatment of SUDs. (PsycInfo Database Record (c) 2025 APA, all rights reserved).