Co-morbidities in the areas of mental health, substance use, and chronic medical health issues are significant among adults with low incomes. A study that examined two years of National Survey on Drug Use and Health data found that 52% of adults had at least one of these health conditions—a mental health disorder, substance use disorder, or chronic medical condition—with 6.4% of individuals reporting both a mental illness and chronic medical conditions; 2.2% reporting a mental health disorder and a substance use disorder or dependence; 1.5% reporting substance abuse/dependence and chronic medical conditions; and 1.2% (2.2 million people) reporting all three health issues. This session will share evidence of the effectiveness of peer recovery support services, and demonstrate ways in which Certified Peer Recovery Specialists (CPRS) can be utilized to increase health outcomes among adults with low incomes and comorbidities through in-community services and follow-up contacts. Presentation content will include peers in integrated roles and peer recovery service delivery in various settings, as well as the need for collaboration across healthcare fields, community-based organizations, educational institutions, and state and county governments. The presenter will discuss Maryville’s specific peer recovery support initiatives resulting from collaborative efforts with entities including but not limited to Rowan and Rutgers Universities, Rowan School of Medicine, Camden and Burlington Counties, Camden Area Health Education Center and its Syringe Access Program, Volunteers of America and Joseph’s House homeless shelters, health providers and health educators.