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Integrating Computerized Linguistic and Social Network Analyses to Capture Addiction Recovery Capital in an Online Community

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Investigating Key Elements of Peer Support Programs Focused on Recovery and Reentry in Community-Based Organizations:

Kelli Brown¹, David Nelson¹, Moriah Iverson¹

¹Medical College of Wisconsin, Milwaukee, WI, USA.

Substance Use & Addiction Journal

|November 20, 2025

Summary

Implementing effective peer support programs requires intentional design and structure. Key success factors include sustainable funding, strong leadership, and impactful peer-client interactions, while addressing challenges like mentor training and burnout is crucial for program sustainability.

Keywords:

Consolidated Framework for Implementation Research (CFIR)implementation science peer support program implementation recovery reentry

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Area of Science:

Implementation Science
Community-Based Interventions
Recovery Support

Background:

Peer support programs are evidence-based for substance use recovery and reducing recidivism.
Trained peer supporters with lived experience guide individuals through similar challenges.
Community-based organizations (CBOs) implement diverse peer support models.

Purpose of the Study:

Provide guidance for implementing and sustaining peer support programs in CBOs.
Focus on programs supporting recovery or reentry after incarceration.
Identify factors influencing successful peer support program implementation.

Main Methods:

Utilized the Consolidated Framework for Implementation Research (CFIR) for guidance.
Conducted interviews with 20 leaders from 7 CBOs employing peer specialists.
Analyzed qualitative data and applied CFIR constructs to identify implementation influences.

Main Results:

Program success factors: sustainable funding, strong leadership, clear structure, impactful interactions, flexibility.
Identified challenges: hiring qualified mentors, limited training/certification, career growth, burnout, boundary setting.
CFIR analysis highlighted key constructs influencing implementation.

Conclusions:

Peer support effectively bridges gaps in healthcare, mental health, and behavioral health services.
CBOs must intentionally develop and structure peer support programs.
Study offers actionable insights for effective peer support program implementation and sustainability.