"It Depends on What You Consider Recovery": Perceptions of Client Cannabis Use Among Peer Recovery Coaches

Peer recovery coaches (PRCs), direct service providers with lived experience in recovery, are a growing sector of the substance use workforce. As rates of cannabis use increase nationwide, including among treatment-seeking populations, many PRCs will work with clients who wish to use cannabis for medical or recreational purposes. This study explores how PRCs perceive the use of cannabis among clients in treatment or recovery services. Semi-structured phone interviews were completed with 28 PRCs in Michigan. Inductive thematic analysis was used to document PRCs' perceptions of client cannabis use, including overall trends, potential benefits, and concerns. While participants indicated a desire to support clients' autonomy, and many were able to identify potential benefits of cannabis use, they also expressed concerns about the quality of clients' recovery and difficulties managing personal biases. Findings highlight key areas for training and technical assistance to assist PRCs in their work with clients who use cannabis.