The professionalism of people with lived experience in overdose treatment and recovery

Background There is a growing demand for people with lived experience (PWLE) in substance use treatment and recovery. Because research highlights their positive impact on client outcomes, greater professionalization of these roles is increasingly needed. This paper presents findings from a survey and interviews with PWLE working in T&R, discusses the characteristics and challenges they face, and outlines recommendations.Methods Quantitative and qualitative findings from a survey conducted in 2025 of n = 59 PWLE working in T&R were triangulated with interviews conducted between 2020 and 2025 with n = 7 Quick Response Team (QRT) personnel from the same Midwestern urban county. Survey data were analyzed using descriptive statistics; open-ended survey responses and interview transcripts were coded using thematic analysis.Results Findings indicate that PWLE work across a multitude of roles in T&R, leveraging their lived experience to quickly build trust with clients and address their clients’ needs. Respondents highlighted the need for sustainable funding mechanisms, accessible training pathways, supervision and wellness support, and efforts to combat stigma.Conclusion There is room for improvement in supporting the professional growth and sustainability of PWLE in T&R. Addressing gaps in the financial and structural foundations of peer roles will support this effort.