What makes a peer a peer?

OBJECTIVE: The purpose of this study was to learn more about which characteristics are considered important for consumers to feel that a person is their peer. METHODS: Forty-one participants in a jail diversion program for veterans were asked to rate characteristics in terms of importance for acting in a peer support role. Differences by gender, combat exposure, trauma history, and mental health and substance abuse treatment were analyzed using t tests and Pearson correlations. RESULTS: Having served in the military had the highest average rating; trauma experience second. Participants with combat experience were significantly more likely than those without to indicate this as an important characteristic. CONCLUSIONS AND IMPLICATIONS FOR PRACTICE: Increasingly behavioral health programs are recognizing the importance of peer involvement. This study offers guidance on who should be designated a "peer," suggesting that this should vary according to the population served and be based on the perceptions of the consumers.