Scaling Up a Peer-Mediated Program Statewide: Lessons Learned Through Peer to Peer.
Michigan grew Peer to Peer to 700 schools by securing admin buy-in and using train-the-trainer, showing BCBAs a clear path for large-scale peer inclusion.
01Research in Context
What this study did
Matthews et al. (2022) tell the 20-year story of Peer to Peer in Michigan schools. They explain how one small program grew to over 700 schools.
The paper is a narrative review, not an experiment. It lists what helped the program spread and what still blocks the way.
What they found
The team found three big levers: get principals on board first, train teachers to train other teachers, and fold peer support into everyday class life.
No test scores or social-skills data are given. The paper focuses on lessons from running the program, not on child outcomes.
How this fits with other research
Older single-case studies like Raslear et al. (1992) and Lowe et al. (1995) showed peer methods work. Amy et al. take the next step and show how to move those same ideas across an entire state.
Laermans et al. (2025) extends the logic downward. They had preschool teachers run Stay Play Talk without outside coaches and still saw big gains. This fits the train-the-trainer model Amy et al. praise.
Stephens et al. (2018) ran a small RCT on peer-mediated PEERS and saw only modest effects. That looks like a clash, but the difference is scope: L et al. tested one curriculum in a few classes; Amy et al. spread a flexible framework statewide. Small, tight trials and large, loose roll-outs can both be right.
Why it matters
If you are a BCBA helping schools adopt peer programs, copy Michigan’s moves: secure admin buy-in first, use train-the-trainer, and embed peers in daily routines instead of running separate clubs. Start with one willing school, document quick wins, then let principals sell the idea to neighboring schools. This roadmap saves you from piloting in isolation and boosts the odds the program survives staff turnover.
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02At a glance
03Original abstract
Peer-mediated interventions are a powerful and practical way of promoting the social relationships, learning, and inclusion of students with disabilities. In this article, we describe one state's efforts to scale up a research-based, peer-mediated program called Peer to Peer throughout Michigan. Among the more than 700 schools that now offer this program, as many as 18,000 peers are involved in supporting nearly 5,000 schoolmates with autism and other developmental disabilities in their learning and relationships. We share our perspectives on eight key factors that have contributed to the growth and widespread adoption of Peer to Peer over the last 20 years. We discuss enduring challenges in this long-haul work and conclude with recommendations for future research focused on schoolwide peer-mediated programs.
Intellectual and developmental disabilities, 2022 · doi:10.1352/1934-9556-60.4.334