Peer support is a flexible and integral component within the continuum of mental health care. It is recognized as an evidence-based practice that can be used in conjunction with traditional clinical services (as an adjunct) to enhance engagement and outcomes. It can also serve as a viable alternative for individuals who may not be ready for, or choose not to engage with, formal professional services. This dual role allows it to meet the diverse needs and preferences of individuals at various stages of their recovery journey, making it a vital part of a comprehensive, recovery-oriented system of care.

A. This is incorrect because many individuals use peer support and professional services concurrently, finding value in both approaches.

B. This is incorrect as peer support is beneficial at all stages of recovery, including initial engagement and during active treatment, not just post-graduation.

D. This is incorrect because peer support is also highly effective when integrated into professionally run programs, such as having certified peer specialists on clinical teams.

1. Davidson, L., Bellamy, C., Guy, K., & Miller, R. (2012). Peer support among persons with severe mental illnesses: a review of the evidence. World Psychiatry, 11(2), 123–128.

Reference Point: In the abstract and introduction (p. 123), the authors describe how peer support services have been developed "as an adjunct to, and in some cases as an alternative to, traditional mental health services." This directly supports the language used in the correct answer.

DOI: https://doi.org/10.1002/j.2051-5545.2012.tb00105.x

2. Farkas, M., & Anthony, W. A. (Eds.). (2021). Psychiatric Rehabilitation (3rd ed.). Boston University, Center for Psychiatric Rehabilitation.

Reference Point: Chapter 10, "The Role of Peer Support in Psychiatric Rehabilitation," discusses the various models of peer support, including its integration into traditional service settings as well as its function in standalone, consumer-operated programs, illustrating its role as both an adjunct and an alternative.

3. Substance Abuse and Mental Health Services Administration (SAMHSA). (2023). What Are Peer Recovery Support Services? (Publication ID: PEP23-06-03-001).

Reference Point: This document outlines the various roles of peer workers and the settings in which they operate, including clinical and non-clinical environments. It states, "Peer support is a vital component of a recovery-oriented system of care," (p. 1) which inherently places it within the broader service system alongside professional services.