Peer Support Improves Re-entry, Keeps People from Getting Locked up Again

/, Health Care, Mental Health & Substance Use Disorders, Where Money Goes/Peer Support Improves Re-entry, Keeps People from Getting Locked up Again
Working for a Better Texas

By Megan Randall

Texas jails and prisons have become today’s de facto treatment centers for Texans with mental illness. In local Texas county jails, for example, up to 40 percent of bookings in 2013 were for individuals who had previously received public mental health services. Research has shown that inmates with mental illness have difficulty maintaining access to mental health care services post-release, and that they are at a higher risk of returning to jail or prison or winding up in the emergency room – at high fiscal and human cost to our communities. Barriers to successful re-entry can include a lack of continuity in mental or physical care and difficulty establishing access to basic services such as housing or transportation.

Mental health peer support is a cost-effective, evidence-based practice in which an individual with a lived experience of mental illness provides guidance and mentorship to another individual with lived experience. Studies have shown that peer support improves clinical and social outcomes for individuals with mental illness

Peer support re-entry programming can play an important role in reducing human suffering and containing costs by ensuring that inmates successfully transition from correctional facilities into more cost-effective and clinically appropriate community-based care.

Peerstar, LLC, a private provider organization in Pennsylvania, has established an innovative peer support re-entry program in Pennsylvania county jails. Peerstar utilizes a peer in-reach program model where trained and certified Forensic Peer Specialists go into local jails to provide peer support services to inmates with mental illness prior to release as part of the re-entry process. A preliminary program evaluation performed by the Yale School of Medicine’s Program for Recovery and Community Health has shown significant reductions in the rates of Peerstar program participants returning to jail or prison.

We recommend that Texas develop a peer support re-entry pilot program in a local county jail, modeled after Peerstar’s successful peer in-reach program. Peer support is a powerful practice that fosters hope, resiliency, and recovery for individuals with a lived experience of mental illness. Texas has an opportunity to provide national policy leadership in a growing field at the pivotal intersection of mental health and criminal justice. For more information about peer support re-entry programming and recommendations for a Texas pilot program, please read our new report, From Recidivism to Recovery: The Case for Peer Support in Texas Correctional Facilities.

The case for peer support services in Texas prisions

At the Center for Public Policy Priorities, we believe in a Texas that offers everyone the chance to compete and succeed in life. We envision a Texas where everyone is healthy, well-educated, and financially secure. We want the best Texas - a proud state that sets the bar nationally by expanding opportunity for all. CPPP is an independent public policy organization that uses data and analysis to advocate for solutions that enable Texans of all backgrounds to reach their full potential. We dare Texas to be the best state for hard-working people and their families.


  • Peer Support is not new in Texas. Peer Recovery Support has been around since then Gov Ann Richards brought substance abuse treatment to the Texas Criminal Justice System. Winners Circle Peer Support Network of Texas have been doing this since 1992. It’s about time Texas take a closer look at something that is already working.

    Herbert S 07.08.2014
    • Herbert, thanks for your comment, you are absolutely right! Peer support is not new in Texas and we are excited to see momentum and support continuing to build for this incredibly valuable service. We hope that Texas will continue to take the steps necessary to expand upon the work and valuable contributions of community organizations that have helped spearhead innovations in this field, whether for substance abuse, mental health, veterans, or other communities. We hope that you’ll continue to engage and be a part of the discussion moving forward!

      CPPP 08.08.2014
  • Thanks for this infomative and well written article, it speaks wisdom and gives intelligent alternative options to the present system now in place, which would better serve fo our communities and our society as a whole.
    Thank you Ms. Randall for an excellent article!

    Tamara 07.08.2014
    • Tamara, thanks for your support and feedback! We hope that you continue to follow this issue and share the information with others.

      CPPP 08.08.2014
  • The idea of peer support sounds similar to celebrate recovery and AA and I have found them to be a wonderful referral source. However, I have worked with many individuals who deny the existence of mental health issues and although I don’t have stats in front of me, I suspect the majority of individuals that aren’t functioning in society are in denial. How is this addressed?

    Anita 08.08.2014
    • Anita, thank you for your interest in the Peer Support Re-Entry report. As you likely know, recovery truly begins when the individual with lived experience of mental illness accepts the opportunity for treatment, which enables them to engage in the therapeutic process. Therefore, it is critical that there are a variety of opportunities for individuals to enter into therapy and treatment. Thank you again.

      CPPP 08.08.2014

Leave a comment

Your email address will not be published.