In 2020, 5 recovery coaches were trained to provide post-overdose peer support. This initial effort was made possible through funding received by the Wilson County Substance Prevention Coalition. In 2021, 14 more community members completed training, reflecting growing interest and engagement. No new coaches were trained in 2022. In 2023, participation increased significantly, with 39 individuals completing the training. In 2024, the number declined to 12. PORT’s success depends on a steady pool of trained volunteers who are willing to step into this important role after an overdose. These fluctuations highlight both the strength of community commitment and the ongoing challenges of sustaining consistent engagement without reliable support and resources. PORT shows that multi-sector coordination delivers results, but work remains to make these partnerships endure so they can continue serving Wilson County’s most vulnerable populations over time.

• Wilson County EMS
• Wilson County Government
• Wilson County OMDT
• Area L AHEC
• Wilson County Substance Prevention Coalition
• RC3
• Recovery Coaches

Research demonstrates that peer recovery coaches with lived experience can provide the relatable support crucial for engaging overdose survivors in recovery. Embedding coaches within first responder teams builds trust and meets patients where they are. Low-cost training opportunities are maximized when paired with continuing education and professional development. Coaching models that clearly define the peer role and required competencies set coaches up for success.

Providing training stipends or tuition assistance incentivizes skill-building and certification attainment, removing financial barriers to entry for prospective coaches.

Instituting robust mentorship programs, a peer support network, and leadership opportunities empowers growth, which can help with retention.

Offering schedule flexibility, virtual coaching options, and mileage reimbursement helps overcome transportation obstacles, expanding access and increasing retention rates.

• Explore funding options such as Medicaid reimbursement and grants from recovery initiatives.
• Ensure the program has visibility among policymakers to advocate for resources.
• Create professional development opportunities to retain skilled coaches.
• Continue pathways for virtual coaching and mobile capacity to surmount transportation barriers.
• Work with partners to build infrastructure so PORT coaching capacity can flexibly respond as overdose trends evolve.