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Can the Recovery Support Services Ecosystem serve as a Model for Alternative Economies? Part 1

Jesse Heffernan

For decades, recovery support services have demonstrated that peer-led, community-driven models effectively assist individuals in healing and building stronger lives. Research indicates that these approaches lead to improved relationships with providers and social supports, reduced relapse rates, increased satisfaction with overall treatment, and higher treatment retention rates. 


This decentralized approach is also applicable to economic systems. When local communities manage financial resources, they reduce dependency on traditional banks and corporate control. The principles that make peer recovery effective—mutual aid, shared governance, and collective sustainability—can similarly influence alternative economies.


1. Decentralized Care Models: Shifting Power to People

In traditional healthcare, institutions and insurance-funded companies often decide who gets care, how they receive it, and for how long. This top-down system often leads to mixed results and does not work well for everyone. Strength-based wraparound approaches, however, show better outcomes—especially when individuals are involved in decisions about their care.


How Recovery Support Services Challenge This Model

Peer-led recovery services disrupt traditional models by putting decision-making power in the hands of individuals, families, and communities. This mirrors cooperative economic structures, where participants share ownership and decision-making instead of relying on top-down control. Just as worker-owned cooperatives give employees control over business decisions, peer-led recovery models give individuals control over their healthcare. This ensures that services are responsive, inclusive, and effective.


During my tenure as Program Director at Iris Place Peer Run Respite, we referred to individuals not as patients but as guests, allowing them to seek support on their own terms. They were given full autonomy to create and build the experience that would benefit them most with no clinical expectations or forced/coerced outcomes.


Likewise, at Harmony Café, we built an incubator/supportive space where community members could develop their own solutions they saw in the community and learn to draw from existing resources and partnerships to address them. These models are both great examples of how reallocating power can establish small, incremental power shifts that lead to broader change.


“Social change is a million individual acts of kindness.

Cultural change is a million subversive acts of resistance.”  - Mary Pipher


Residents working together in a vibrant community garden adjacent to a cooperative housing project. The scene depicts people planting, watering, and tending to the garden, symbolizing the collective effort and community control inherent in cooperative housing and grassroots economic models.
Residents working together in a vibrant community garden adjacent to a cooperative housing project. The scene depicts people planting, watering, and tending to the garden, symbolizing the collective effort and community control inherent in cooperative housing and grassroots economic models.

2. Mutual Aid & Grassroots Networks: Building Economic Resilience

Many Recovery Support Services Orgs are dependent on philanthropic, state, and federal grants. While these funds are essential, they are also not guaranteed and unstable. Some orgs are now exploring alternative financial models to create long-term sustainability.


Examples of Economic Innovation in Recovery Support

  • Cooperative Housing: Community Land Trusts (CLTs) create affordable housing for individuals in recovery, ensuring long-term affordability and community control. Proud Ground, featured in Time Magazine, helps nonprofits secure land for affordable recovery housing (Time).


  • Alternative Lending Models: Worker cooperatives like Waterbottle Co-op in Baltimore revitalize properties while providing jobs to individuals in recovery. By adopting a worker cooperative model, they increase financial security and attract impact investments (The Guardian).


  • Community-Owned Banking: Community Development Financial Institutions (CDFIs) can help orgs and agencies increase financial access. Capital Impact Partners, for instance, provides loans and investment support for underserved communities (Capital Impact Partners).


Recovery mutual aid financing empowers communities to establish their own safety nets, thereby reducing dependence on traditional funding sources. Just as peer-led recovery models reduce dependence on clinical institutions, alternative economies ensure financial resilience through decentralized, community-led approaches.


Final Thought: Applying Recovery Ecosystem Models to Economic Systems

The recovery movement has already proven that lived experiences people-powered systems (are or adjacent to some form of decentralization) work. These same models can be applied to alternative economies, ensuring that financial resources are distributed in ways that prioritize equity, access, and sustainability. If peer-led recovery services can disrupt power in behavioral health, we can use those same principles to transform economic systems.


In Part 2, we explore healing-centered recovery models and multiple pathways thinking as economic frameworks.









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