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Open Access Highly Accessed Open Badges Research article

What do peer support workers do? A job description

Nora Jacobson1, Lucy Trojanowski2 and Carolyn S Dewa23*

Author Affiliations

1 6767 Frank Lloyd Wright Avenue, Middleton, WI, 53562, USA

2 Centre for Research on Employment and Workplace Health, Centre for Addiction and Mental Health, 455 Spadina Avenue, Suite 300, Toronto M5S 2G8, Canada

3 Department of Psychiatry, University of Toronto, 250 College Street, Toronto M5T 1R8, Canada

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BMC Health Services Research 2012, 12:205  doi:10.1186/1472-6963-12-205

Published: 19 July 2012



The extant literature suggests that poorly defined job roles make it difficult for peer support workers to be successful, and hinder their integration into multi-disciplinary workplace teams. This article uses data gathered as part of a participatory evaluation of a peer support program at a psychiatric tertiary care facility to specify the work that peers do.


Data were gathered through interviews, focus groups, and activity logs and were analyzed using a modified grounded theory approach.


Peers engage in direct work with clients and in indirect work that supports their work with clients. The main types of direct work are advocacy, connecting to resources, experiential sharing, building community, relationship building, group facilitation, skill building/mentoring/goal setting, and socialization/self-esteem building. The main types of indirect work are group planning and development, administration, team communication, supervision/training, receiving support, education/awareness building, and information gathering and verification. In addition, peers also do work aimed at building relationships with staff and work aimed at legitimizing the peer role. Experience, approach, presence, role modeling, collaboration, challenge, and compromise can be seen as the tangible enactments of peers’ philosophy of work.


Candidates for positions as peer support workers require more than experience with mental health and/or addiction problems. The job description provided in this article may not be appropriate for all settings, but it will contribute to a better understanding of the peer support worker position, the skills required, and the types of expectations that could define successful fulfillment of the role.

Peer support; Job description; Participatory evaluation; Mixed methods