People who inject drugs (PWID) are at high risk for infectious diseases including hepatitis C, hepatitis B, HIV, and endocarditis. Harm reduction programs (HRP) are effective interventions to reduce the burden of infectious diseases in PWID, and are also an effective conduit for providing evidence-based recovery coaching services that can lead to desired outcomes. Recovery Coaches are able to bridge HRP clients to definitive services such as Medication Assisted Treatment (MAT), detoxification, inpatient residential treatment, and outpatient counseling. The demographics, clinical characteristics, and infectious disease surveillance modalities utilized by HRPs have been described before by others. In our study we attempted to quantify evidence-based peer recovery coaching interventions and their efficacy in affecting change in participants of a West Virginia HRP. Peer-Recovery coaching interventions were found to be effective in bringing about positive change in PWID participants in a HRP.