In the 1970’s the area that had the greatest use of peer support was in public schools. Thousands of programs were created by teachers and counselors where they recruited, trained, and provided supervision to high school students who wanted to help their peers deal with a variety of issues. Named “peer counseling” at first and later more likely “peer helping” or “peer assistance”. These programs spread to colleges, universities, community agencies, senior citizen groups, and the business world. Many of the programs became student-initiated peer programs or as you say “peer developed peer programs.” The reason I mention this brief history is two-fold. One, many people engaged in mental health peer work are not aware of the extensive development of peer programs in schools, often because the terms used to describe the programs make them appear different or unrelated. The second reason centers of co-optation. This was also a concern during the original development of school-based programs. That is, students who were already using natural helping skills to provide listening, understanding, and support to their friends and members of their peer group were recruited to become “formal” peer helpers. Many of the training programs co-opted the student’s natural inclination to help into a more “professionalized” type of help, thus possibly weakening the natural help that existed within the teen’s social milieu.