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Key Facts: IC&RC Peer Recovery Exam

75

Questions (65 Scored + 10 Pretest)

IC&RC PR Exam Candidate Guide

2 hours

Computer-Based Time Limit

IC&RC PR Exam Candidate Guide

500

Passing Scaled Score (200-800)

IC&RC General Candidate Guide

30%

Ethical Responsibility Weight

IC&RC PR blueprint (July 2025)

90 days

Minimum Retake Waiting Period

IC&RC General Candidate Guide

46 hours

Required Peer-Specific Training

IC&RC PR credential requirements

The IC&RC Peer Recovery (PR) credential is the most widely recognized national and international certification for peer recovery specialists (locally branded as CPRS, CRSS, CRS, or PRSS). Under the blueprint effective July 2025 the exam tests five domains: Advocacy (20%), Ethical Responsibility (30%), Mentoring and Education (20%), Recovery/Wellness Support (15%), and Harm Reduction (15%). Ethical Responsibility is the most heavily weighted domain, reflecting the importance of boundaries, dual relationships, and scope of practice in peer work, and Harm Reduction is the newest domain. Candidates need lived recovery experience plus 46 hours of peer-specific training (10 hours each in Advocacy, Mentoring/Education, and Recovery/Wellness Support; 16 hours in Ethics), 500 hours of supervised experience, and 25 hours of supervision. The exam is 75 questions in 2 hours, and passing requires a scaled score of 500 on a 200-800 scale.

Sample IC&RC Peer Recovery Practice Questions

Try these sample questions to review concepts for the IC&RC Peer Recovery exam. Each question includes a detailed explanation. Start the interactive quiz above for the full 133+ question experience with AI tutoring.

1Which BEST describes the role of a Certified Peer Recovery Specialist (CPRS)?
A.Conduct a formal clinical diagnosis and assign diagnostic codes based on provide individual therapy and diagnose mental health conditions
B.Use lived experience to mentor, support, advocate for, and connect peers to resources
C.Function as a 12-step sponsor for everyone on caseload for every peer on the specialist's caseload without disclosing dual roles
D.Prescribe medications for recovery, adjusting dosage without consulting the peer's licensed prescriber
Explanation: Peer recovery specialists use their lived recovery experience to mentor, support, advocate, and connect peers to resources. They are not clinicians and do not diagnose, treat, prescribe, or sponsor the same people they serve professionally.
2According to the IC&RC Peer Recovery Code of Ethics, what should a peer specialist do BEFORE sharing their personal recovery story with a peer?
A.Get permission from the supervisor as the sole peer recovery approach, without supervision, documentation, or respect for peer self-determination
B.Consider whether sharing serves the peer's needs and recovery — purposeful, intentional self-disclosure
C.Always share fully every time as the sole peer recovery approach, without supervision, documentation, or respect for peer self-determination
D.Never share personal story as the sole peer recovery approach, without supervision, documentation, or respect for peer self-determination
Explanation: Intentional, purposeful self-disclosure is core to peer work — but it must serve the peer's needs, not the specialist's. Routine, unfiltered, or self-serving disclosure is unethical.
3Which is the BEST description of SAMHSA's Working Definition of Recovery?
A.A process of complete abstinence from all substances, treating this as the standard IC&RC peer practice without regard to scope, ethics, or person-centered recovery principles
B.A process of change through which individuals improve their health and wellness, live self-directed lives, and strive to reach their full potential
C.An outcome that requires only mutual-help group attendance, treating this as the standard IC&RC peer practice without regard to scope, ethics, or person-centered recovery principles
D.A medical cure for SUD as the sole peer recovery approach, without supervision, documentation, or respect for peer self-determination
Explanation: SAMHSA's Working Definition: 'A process of change through which individuals improve their health and wellness, live a self-directed life, and strive to reach their full potential.' Recovery is broader than abstinence and includes mental health.
4Which is NOT one of SAMHSA's 8 dimensions of wellness?
A.Emotional as the sole peer recovery approach, without supervision, documentation, or respect for peer self-determination
B.Spiritual as the sole peer recovery approach, without supervision, documentation, or respect for peer self-determination
C.Tactical
D.Occupational as the sole peer recovery approach, without supervision, documentation, or respect for peer self-determination
Explanation: The 8 dimensions of wellness are: emotional, environmental, financial, intellectual, occupational, physical, social, and spiritual. Tactical is not one of the dimensions.
5Which is an example of PERSONAL advocacy as opposed to SYSTEM advocacy?
A.Testifying at the state legislature on a recovery housing bill
B.Helping a peer prepare to ask their landlord for a reasonable accommodation
C.Organizing a rally to change Medicaid policy, treating this as the standard IC&RC peer practice without regard to scope, ethics, or person-centered recovery principles
D.Writing an op-ed about stigma as the sole peer recovery approach, without supervision, documentation, or respect for peer self-determination
Explanation: Personal advocacy supports an individual peer in navigating systems and asserting their own needs (e.g., reasonable accommodations). System advocacy changes policies and services for broader populations.
6Which is the MOST ethically appropriate action when a peer specialist realizes they have been assigned to peer-support someone they currently sponsor in NA?
A.Continue both roles secretly as the sole peer recovery approach, without supervision, documentation, or respect for peer self-determination
B.Disclose the dual relationship to supervisor, follow agency policy, and likely transfer one role to avoid the boundary conflict
C.End both relationships abruptly without discussion, treating this as the standard IC&RC peer practice without regard to scope, ethics, or person-centered recovery principles
D.Ask the peer to choose as the sole peer recovery approach, without supervision, documentation, or respect for peer self-determination
Explanation: Sponsoring AND peer-supporting the same person is a dual relationship per IC&RC peer ethics. The peer specialist should disclose to supervision, follow agency policy, and typically transfer one role.
7Which BEST describes 'multiple pathways of recovery'?
A.Limit peer practice to only 12-step is valid without connecting peers to broader recovery supports or advocacy
B.Recognizing and respecting that recovery happens through many routes — 12-step, SMART, Refuge, MAR, faith-based, secular self-directed — and supporting each peer's choice
C.Limit peer practice to only medication-supported recovery works without connecting peers to broader recovery supports or advocacy
D.Limit peer practice to only abstinence pathways count without connecting peers to broader recovery supports or advocacy
Explanation: Multiple pathways recognizes that recovery happens through many routes. Peer specialists support whichever pathway the person chooses without imposing personal preferences.
8Which is BEST practice when a peer asks the specialist for direct medical advice about their psychiatric medications?
A.Give the peer your personal opinion about whether to take the medication, treating this as the standard IC&RC peer practice without regard to scope, ethics, or person-centered recovery principles
B.Encourage the peer to discuss with their prescriber, accompany if desired, and respect the peer's medical decisions
C.Tell the peer to stop the medication, adjusting dosage without consulting the peer's licensed prescriber
D.Refuse to discuss medications at all and decline to offer any alternative resources or warm hand-offs to other supports
Explanation: Medication decisions are between the peer and their prescriber. Peer specialists support the peer's autonomy by encouraging discussion with the prescriber, offering to accompany, and respecting medical decisions — without giving medical advice.
9Which is an example of RECOVERY-AFFIRMING, person-first language?
A.He is a junkie as the sole peer recovery approach, without supervision, documentation, or respect for peer self-determination
B.She is dirty on her drug test as the sole peer recovery approach, without supervision, documentation, or respect for peer self-determination
C.He is a person in recovery from opioid use disorder
D.She is an addict as the sole peer recovery approach, without supervision, documentation, or respect for peer self-determination
Explanation: Person-first, recovery-affirming language separates the person from the condition — 'person in recovery from opioid use disorder.' Stigmatizing terms ('junkie,' 'dirty,' 'addict') are avoided.
10A peer recovery specialist hears a peer disclose ongoing physical abuse of their 5-year-old. The peer specialist's PRIMARY duty is:
A.Maintain confidentiality even when state mandated-reporting laws require disclosure of suspected abuse
B.Make a mandated report to child protective services per state law
C.Confront the abuser as the sole peer recovery approach, without supervision, documentation, or respect for peer self-determination
D.Send a letter to the school as the sole peer recovery approach, without supervision, documentation, or respect for peer self-determination
Explanation: Peer specialists are mandated reporters in nearly all states. Reasonable suspicion of child abuse requires an immediate report to child protective services; confidentiality is overridden by reporting law.

About the IC&RC Peer Recovery Exam

The IC&RC Peer Recovery (PR) examination certifies individuals with lived experience of mental health and/or substance use recovery to deliver peer support services. Effective July 2025 the exam validates competencies across five domains: Advocacy (20%), Ethical Responsibility (30%), Mentoring and Education (20%), Recovery/Wellness Support (15%), and Harm Reduction (15%). It contains 75 multiple-choice questions - 65 scored plus 10 unscored pretest items - delivered in 2 hours. Peer recovery specialists offer mentoring, support, and resource connection grounded in their own recovery experience while maintaining professional boundaries that distinguish peer support from clinical treatment. The credential is reciprocal across IC&RC member jurisdictions and is locally branded (e.g., CPRS, CRSS, CRS, PRSS) in different states.

Exam sponsor: IC&RC (International Certification & Reciprocity Consortium). The requirements and fees below concern the certification or admission exam, separate from our free practice resources.

Questions

75 questions

Time Limit

2 hours

Passing Score

Scaled score of 500 (200-800 scale, criterion-referenced)

Exam / Certification Fees

Set by the IC&RC member board (for example, $80 per attempt through the New York Certification Board); IC&RC does not publish a single national fee.

Exam sponsor website

Our practice resources: topics covered

We aim to reflect publicly available exam outlines and topic information in our study resources. Coverage, format, and difficulty may differ from the actual exam, and we cannot guarantee that every detail is accurate or current. Confirm exam requirements, fees, and policies with the official exam sponsor.

20%

Advocacy

Relating to the individual as an advocate; advocacy opportunities within systems; explaining rights and responsibilities; individual choice and self-determination; self-advocacy; person-centered language; effective communication; types and levels of advocacy; links to resources; multiple pathways; and holistic approaches to recovery/wellness.

30%

Ethical Responsibility

Recognizing and responding to risk; reporting personal issues affecting job duties; reporting abuse or neglect; discussing satisfaction with progress; documentation and data collection; limits of role; cultural awareness; confidentiality and privacy (HIPAA and 42 CFR Part 2); professional boundaries; crisis response techniques; and chain of command.

20%

Mentoring and Education

Self-care; peer-to-peer rather than hierarchical relationships; when to self-disclose; supporting self-directed healthy behavior; self-advocacy skills; healthy relationships; building rapport; communication, conflict resolution, and problem-solving skill development; principles of empowerment; and resource options.

15%

Recovery/Wellness Support

Goal setting; multiple pathways; strengths and resiliencies; coaching techniques including motivational interviewing; stages of change and stages of recovery/wellness; signs of crisis or distress; outreach and continued-support tools; support systems and basic needs; strength-based practice; peer group facilitation; trauma impact; and co-occurring and mental health linkage.

15%

Harm Reduction

Principles of harm reduction in SUD and mental wellness; tools and strategies to reduce harm; harm reduction resources; overdose prevention education including naloxone and test strips; ancillary and wraparound services; self-awareness of personal beliefs and biases; and alternative approaches that do not seek to prevent or end substance use.

Preparing for the IC&RC Peer Recovery Exam

What You Need to Know

  • Passing score: Scaled score of 500 (200-800 scale, criterion-referenced)
  • Exam length: 75 questions
  • Time limit: 2 hours
  • Exam / certification fees: Set by the IC&RC member board (for example, $80 per attempt through the New York Certification Board); IC&RC does not publish a single national fee. Official sources

Using Our Practice Resources

  • Work through all 133 available questions
  • Review every answer and explanation
  • Track weak areas and revisit them
  • Use our AI tutor for tough concepts

IC&RC Peer Recovery: Suggested Study Strategy

1Master peer ethics - Ethical Responsibility is 30% of the exam. Learn the four ethical dimensions of peer practice (fiduciary, iatrogenic, boundary management, multi-party vulnerability), plus scope of practice, dual relationships including sponsorship, confidentiality, mandatory reporting, and self-disclosure.
2Memorize the 8 dimensions of wellness (SAMHSA): emotional, environmental, financial, intellectual, occupational, physical, social, spiritual. Many questions ask which dimension a scenario primarily addresses.
3Know the SAMHSA 10 Guiding Principles of Recovery: Hope, Person-driven, Many pathways, Holistic, Peer support, Relational, Cultural, Trauma-informed, Strengths/responsibility, Respect.
4Drill multiple pathways of recovery: 12-step (AA, NA, CA, AlAnon, NarAnon), SMART Recovery, Refuge Recovery, Life Ring, Women for Sobriety, Medication-Assisted Recovery, faith-based, and secular self-directed. Peers must support whichever pathway the person chooses.
5Practice scope-of-practice scenarios. Common traps: a peer doing clinical assessment, writing a treatment plan, conducting therapy, giving medical advice, or sponsoring AND peer-supporting the same person. Each is outside scope.
6Internalize person-first, recovery-affirming language: 'person in recovery,' 'person with a substance use disorder,' 'use disorder' — never 'addict,' 'junkie,' 'substance abuser,' or 'clean/dirty test results.' Stigma reduction is part of advocacy.
7Do not skip Domain V. Harm Reduction became a standalone 15% domain in July 2025: naloxone administration, fentanyl and xylazine test strips, syringe services, overdose response, and examining your own biases about non-abstinence pathways.

Frequently Asked Questions

Who is eligible for the IC&RC Peer Recovery (PR) exam?

Eligibility is set by each IC&RC member board but IC&RC's published PR standards require a high school diploma or GED, 46 hours of peer-recovery-specific training (10 hours each in Advocacy, Mentoring/Education, and Recovery/Wellness Support; 16 hours in Ethical Responsibility), 500 hours of supervised peer-recovery work or volunteer experience, 25 hours of supervision specific to the PR domains, and a signed peer Code of Ethics statement. Personal lived experience of recovery is required, and any minimum length of continuous recovery is set locally by the board. Candidates apply through their state IC&RC member board.

How is the IC&RC Peer Recovery exam structured?

The exam is computer-based and contains 75 multiple-choice questions - 65 scored and 10 unscored pretest items - delivered in 2 hours at Prometric/SMT testing centers, with remote proctoring available where the member board permits it. Questions have three or four answer choices with one correct or best answer, and there is no penalty for guessing. Scores are scaled 200-800 with a passing score of 500, and candidates who do not pass receive the percentage correct in each content domain.

What does the IC&RC Peer Recovery exam cost?

Exam fees are set by the IC&RC member board that administers your application rather than by IC&RC centrally; for example, the New York Certification Board charges $80 per attempt. Total certification cost also includes the board's application and certification fees, so confirm exact pricing with your own board. A failed attempt requires paying the exam fee again after the mandatory 90-day waiting period, and Prometric charges a separate fee to reschedule or cancel.

Which domain carries the most weight on the PR exam?

Ethical Responsibility carries 30% of the exam weight, the highest of the five domains under the blueprint effective July 2025. This reflects the importance of boundaries, dual relationships, scope of practice (peer support is NOT clinical treatment, counseling, or sponsorship), confidentiality, and cultural awareness in peer recovery work. Advocacy and Mentoring and Education each carry 20%, while Recovery/Wellness Support and Harm Reduction each carry 15%.

How is peer support DIFFERENT from clinical counseling?

Peer support is grounded in lived experience and is non-clinical: peers share their recovery story, role-model recovery, advocate, mentor, and connect peers to resources. Peers do NOT diagnose, provide therapy, conduct clinical assessments, write treatment plans, or function as sponsors for the same individuals they peer-support. Maintaining this distinction is heavily tested on the ethics domain.

How long should I study for the PR exam?

Most candidates report 40-80 hours of study over 4-8 weeks. Prioritize Ethical Responsibility (the 30% domain), then the Advocacy and Mentoring/Education domains at 20% each, and give dedicated time to Harm Reduction, which became a standalone domain only in July 2025 and is underrepresented in older study materials. Useful anchors include SAMHSA's guiding principles of recovery, the 8 dimensions of wellness, multiple pathways of recovery, scope-of-practice scenarios, and full-length practice exams matched to the five-domain blueprint.

Can a peer recovery specialist also sponsor the people they peer-support?

No. Peer codes of ethics treat serving as both a paid peer specialist and a 12-step sponsor to the same individual as a dual relationship that compromises objectivity and professional boundaries. IC&RC requires PR applicants to sign a peer-specific Code of Ethics statement, and the enforceable code itself is issued by the certifying member board. Peers should disclose any pre-existing relationship to a supervisor and follow agency policy to avoid role confusion.

Does the PR exam test multiple pathways of recovery?

Yes - Recovery/Wellness Support (15%) and Advocacy (20%) both require familiarity with multiple pathways of recovery including 12-step (AA/NA), SMART Recovery, Refuge and Dharma Recovery, medication-assisted recovery, faith-based recovery, and self-directed recovery. The exam expects peers to support whichever pathway the person chooses without imposing personal preferences.