Table 1.

Definition of themes

Push and pull of leadership	Push—the expressions internal or personal drive and desire to lead, to advance in one’s career, and confidence in one’s leadership potential. Pull – the expression of being recruited, targeted, encouraged or fast tracked into a leadership role
Managing dual relationships	Balancing the dynamics and challenges of going from co-worker/friend to leader in their organization. Appropriate peer and supervisor relationships with former co-workers/friends and the impact on recovery relationships
Having difficult conversations	The ability to be assertive and give direction, listening with empathy, and constructive criticism
Taking responsibility for others	Expressions of responsibility for mentoring, supporting, coaching or modeling for staff and co-workers
Taking responsibility for self-care	Activities that aim to reduce compassion fatigue and burnout. The balance of professionalism and addressing stigma in the workplace
Addressing stigma	Experiencing bias and/or advocating against bias. Modeling what it means to be a peer professional
Spirituality/a calling to help	Reference to higher power, God, spirituality, which often intersects with religiosity and/or intersecting with a calling to help or become a PSS