Recovery Coaching: Peer Support for Addiction Recovery

Naomi Carr
Dr. Jennie Stanford
Written by Naomi Carr on 10 December 2024
Medically reviewed by Dr. Jennie Stanford on 12 December 2024

Recovery coaching is a non-clinical service that provides support to people during addiction recovery, alongside, following, or instead of professional treatments. Coaches can help access necessary services to manage issues relating to housing, employment, or legal concerns and can serve as mentors or allies throughout the recovery process.

Key takeaways:
  • Recovery coaching provides non-clinical support in managing practical issues that can occur during substance use disorders.
  • The role of the recovery coach is to help the individual access the services they require, motivate and encourage them throughout recovery, and provide advice and empathetic support.
  • To find local recovery coaches, you can look online, speak to a professional involved in your treatment, or use recovery phone apps.
Recovery Coaching: Peer Support for Addiction Recovery

What is recovery coaching?

Recovery coaching is a form of non-clinical support for people overcoming drug or alcohol addiction. Recovery coaches, also known as peer mentors, usually have lived experiences of substance use and have gone through the recovery process themselves, providing a relatable and empathetic support model.

Although they have no clinical qualifications, recovery coaches receive training and certification to enable them to provide appropriate support.

Recovery coaching can be utilized following or alongside professional treatment programs or as an alternative intervention. Additionally, it can be implemented within a clinical environment, criminal justice setting, homeless shelter, or community-based setting.

Recovery coaching will be tailored to the individual’s needs and can help with setting goals for the different stages of recovery and managing practical issues, including housing, employment, and ongoing treatments. Coaches serve as a link to a range of services, helping to improve understanding of and access to resources that can benefit recovery.

The role of a recovery coach in addiction recovery

The role of a recovery coach is to provide support tailored to the individual’s needs. They do not provide therapeutic interventions, although they can offer guidance and some level of emotional support.

As recovery coaches are often people in addiction recovery themselves, they can provide a unique role that clinicians cannot offer, drawing from their own experiences. This can help reduce feelings of stigmatization or judgment that often occur within traditional substance use disorder treatments.

A recovery coach serves as a mentor and ally to the individual, helping them to navigate their recovery and overcome challenges in accessing various services.

Recovery coaches can be referred to by many different names, all of which encompass a similar role, including:

  • Peer recovery coaches
  • Sober coaches
  • Peer recovery support specialist
  • Peer mentor
  • Peer-delivered recovery support

Key responsibilities of a recovery coach

The key responsibilities of a recovery coach include:

  • Providing motivation and encouragement with recovery goals and abstinence
  • Connecting the individual to necessary services
  • Developing goals and plans to support recovery
  • Assisting the individual in addressing needs around housing, finances, employment, medications, and healthcare
  • Deliver empathetic support

Benefits of recovery coaching

Recently, several reviews have looked to ascertain the benefits that recovery coaching can provide. This research is still growing and the definition of recovery coaching and its role in treatment requires further clarification. However, so far, there is strong evidence to suggest that recovery coaching can provide many benefits, including:

  • Reduced substance use
  • Reduced relapse rates
  • Reduced re-hospitalization rates
  • Decreased need for emergency services
  • Decreased involvement with the criminal justice system
  • Improved treatment retention
  • Improved therapeutic relationships with treatment providers
  • Improved access to social supports and services
  • More stability in housing

Difference between recovery coaches and therapists

Recovery coaches offer practical support to people in addiction recovery, helping to develop strategies and goals and access services. In contrast, therapists provide emotional support, focusing on past events, trauma, and emotional difficulties. Therapists will have specialist training and qualifications that recovery coaches do not have.

How recovery coaching is implemented

Currently, recovery coaching is not a clearly defined service, with variations in the coaches’ training, supervision, and role. Some clinical and community teams offer recovery coaching within their treatment models, while other recovery coaching services are provided separately from treatment. Additionally, recovery coaching can be offered on an individual or group basis.

Peer recovery coaching

In individual settings, peer mentors build one-on-one relationships, offering guidance, support, and resources to help individuals navigate recovery challenges, set achievable goals, and maintain motivation. Peer recovery support services (PRSS) have become increasingly used by people in addiction recovery to access support and resources.

Programs like the Peer Recovery Expansion Project (PREP) and integrated health system initiatives have successfully incorporated peer recovery coaches to enhance outreach and deliver treatment services, demonstrating high enrollment rates and positive outcomes.

Group recovery coaching programs

In group settings, peer mentors facilitate discussions, promote shared experiences, and create a sense of community, allowing participants to learn from one another and build supportive networks. For example, peer support groups, such as Alcoholics Anonymous (AA) or Narcotics Anonymous (NA), involve non-clinical assistance and guidance within a group.

These group recovery support coaching programs are often led by an unlicensed non-professional individual in recovery, similar to a recovery coach. Also, people can be allocated a sponsor or mentor from the group, who offers support to the individual in maintaining their sobriety.

Certification and training for recovery coaches

To be certified as a recovery coach, individuals typically must complete a set number of training hours in specific areas. These requirements can vary by state, but they often include training in areas such as ethics, professionalism, coaching in the Emergency Department and Justice settings, and Recovery Coach Academy.

The Connecticut Community for Addiction Recovery (CCAR) provides a breakdown of training specifics and routes to gaining certification.

Choosing a recovery coach

When choosing a recovery coach, it can be beneficial to find out about the following:

  • The number of hours of experience they have
  • Their own experiences
  • If they are certified and with which association
  • How they communicate with their clients and if they are empathic
  • Their costs

A substance use disorder treatment provider or primary care physician may be able to advise on finding recovery coaches in your area. Also, some phone apps can help find a local recovery coach.

FAQs

Common questions about recovery coaching

What’s the difference between a recovery coach and a therapist?

A therapist is qualified to give emotional support, helping people manage underlying trauma and factors contributing to substance use or other issues. In contrast, recovery coaches are not licensed professionals. Instead, they provide practical and non-clinical support to help people manage problems that have occurred because of or alongside substance use issues.

Is peer or recovery coaching covered by insurance?

Recovery coaching is usually not covered by insurance. It can be helpful to speak with your insurance provider to find out if they offer any coverage for this service.

Can I find online recovery coaching services?

Recovery coaching services can also be provided online. This will often involve virtual communication, such as video calls or emails.

How often should I meet with a recovery coach?

How often you need to meet with your recovery coach depends on your requirements and the level of support you need. People who require more extensive services may need to meet their recovery coach more often.

Was this page helpful?

Your feedback allows us to continually improve our information

Resources:

  1. Eddie, D., Hoffman, L., Vilsaint, C., Abry, A., Bergman, B., Hoeppner, B., Weinstein, C., & Kelly, J.F. (2019). Lived Experience in New Models of Care for Substance Use Disorder: A Systematic Review of Peer Recovery Support Services and Recovery Coaching. Frontiers in Psychology, 10, 1052. Retrieved from
  2. Substance Abuse and Mental Health Services Administration. (2017). Peers Supporting Recovery. SAMHSA. Retrieved from
  3. Reif, S., Braude, L., Lyman, D.R., Dougherty, R.H., Daniels, A.S., Ghose, S.S., Salim, O., & Delphin-Rittmon, M.E. (2014). Peer Recovery Support for Individuals with Substance Use Disorders: Assessing the Evidence. Psychiatric Services (Washington, D.C.), 65(7), 853–861. Retrieved from
  4. Satinsky, E.N., Doran, K., Felton, J.W., Kleinman, M., Dean, D., & Magidson, J.F. (2020). Adapting a Peer Recovery Coach-Delivered Behavioral Activation Intervention for Problematic Substance Use in a Medically Underserved Community in Baltimore City. PloS one, 15(1), e0228084. Retrieved from
  5. Tracy, K., & Wallace, S.P. (2016). Benefits of Peer Support Groups in the Treatment of Addiction. Substance Abuse and Rehabilitation, 7, 143–154. Retrieved from
  6. Connecticut Community for Addiction Recovery. (n.d). Certification. CCAR. Retrieved from

Activity History - Last updated: 12 December 2024, Published date:


Reviewer

Dr. Jennie Stanford

MD, FAAFP, DipABOM

Jennie Stanford, MD, FAAFP, DipABOM is a dual board-certified physician in both family medicine and obesity medicine. She has a wide range of clinical experiences, ranging from years of traditional clinic practice to hospitalist care to performing peer quality review to ensure optimal patient care.

Activity History - Medically Reviewed on 23 November 2024 and last checked on 12 December 2024

Medically reviewed by
Dr. Jennie Stanford

Dr. Jennie Stanford

MD, FAAFP, DipABOM

Reviewer

Recovered Branding BG
Ready to talk about treatment? Call today. (855) 648-7288
Helpline Information

Calls to numbers marked with (I) symbols will be answered or returned by one of the treatment providers listed in our Terms and Conditions, each of which is a paid advertiser.

In calling the helpline you agree to our Terms and Conditions. We do not receive any fee or commission dependent upon which treatment or provider a caller chooses.

There is no obligation to enter treatment.

For any specific questions please email us at info@recovered.org

Related guides

Recovery

11 minutes read

Sobriety

7 minutes read

Relapse Prevention

11 minutes read