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In this innovative program, incarcerated persons are credentialed as peer support specialists and – while still incarcerated – assist other incarcerated persons who have substance use disorders. To elucidate program impacts, we interviewed 23 agency staff, 13 incarcerated peer support specialists and/or persons supported, and 3 peer support specialists who returned to communities. Qualitative content analysis identified program benefits including the transformative power of training and a future career path for peer support specialists, as well as sobriety and support for incarcerated persons. Challenges included boundary issues for peer support specialists and lack of buy-in from front-line agency staff.

Certifying Incarcerated Persons as Peer Support Specialists: A Qualitative Exploration of A Prison-Based Program