Integrating peer support specialists into primary care clinics requires workflow adjustments, strong supervision models, and structured training to overcome implementation challenges.

Background

Peer support programs offer a promising approach to addressing the opioid use disorder (OUD) crisis by improving treatment engagement and outcomes. However, they remain underutilized in primary care due to limited guidance on integrating peers into clinical teams. This article provides an overview of the University of Pennsylvania Health System’s primary care peer support program, outlining its core design and activities, as well as challenges and lessons learned in embedding peer specialists within clinical workflows.

Findings

Some of the challenges to including peer supports in primary care include allowing time for peer services in primary care workflows, supervising peer teams across multiple clinics, and coordinating responsibilities among peers, providers, and care teams. This article emphasized the need for structured training and onboarding for peers, ongoing professional development, effective supervision models, and strong team communication strategies to ensure successful integration.

Program/Policy Takeaways

Implementing peer support in primary care requires clear role definitions, streamlined workflows, and team coordination. Health systems can consider establishing training, hybrid or peer supervision models, and communication protocols, as well as sustainable financing, to support peers’ integration.