Wisconsin's Behavioral Healthcare Future: Bettering our Systems Through Peer Recovery Coach Training

Project Summary:

Wisconsin faces significant challenges in addressing substance use and mental health disorders, with overdose deaths surpassing motor vehicle accidents and a two-fold increase in overdose deaths between 2004 and 2014. As the state prepares to implement new Medicaid coverage for peer recovery coach (PRC) services in 2025, there is an anticipated shortage of well-qualified PRCs, particularly in rural and high-need areas. This shortage is especially critical given that Wisconsin has designated 20 western counties and all tribal organizations as "high-needs" areas, with the state experiencing a 28% overdose rate in 2022.

Arbor Place will develop and implement a comprehensive six-month PRC training program, recruiting and training a cohort of 15 individuals to serve as highly skilled peer recovery coaches. The program will focus on serving rural areas, tribal organizations, and pregnant and parenting women, with an emphasis on providing continuous support from point of entry into treatment through post-discharge care. The initiative includes specialized training in the Circle of Security program for PRCs interested in working with parents, offering an evidence-based approach to supporting families affected by substance use disorders.

This pilot project aims to create a sustainable workforce development model that addresses healthcare practitioner shortages while improving access to recovery support services. By preparing a qualified PRC workforce ahead of the state's Medicaid benefit implementation, the project will reduce health disparities in areas with limited resources, and establish a new standard of care where individuals entering treatment are consistently supported by dedicated PRCs throughout their recovery journey. Ultimately, researchers hope to develop a replicable training program that can be expanded across Wisconsin, contributing to improved treatment outcomes and stronger community support systems.