Peer Support for Liver Transplant Recipients With History of ALD

Liver transplant (LT) recipients with a history of alcohol-related liver disease (ALD) may encounter various psychosocial and medical challenges during post-LT recovery, even beyond the initial post-transplant period. Effective and sustainable interventions will be crucial for improving patient outcomes. This clinical trial will examine the impact of peer support specialists (PSS) on the recovery experience of individuals who received LT for ALD. The trial seeks to answer two main questions: * Are LT recipients who work with PSS less likely to resume alcohol use or tend to drink less overall? * Do LT recipients who work with PSS engage more with recommended medical care and have better overall survival?

Inclusion Criteria: * English speakers * Received a liver transplant for alcohol-associated liver disease * Has 1 to 3 years of continuous alcohol abstinence at the time of trial entry Exclusion Criteria: * Liver transplant recipients without a history of alcohol-associated liver disease * Inability to provide informed consent * Active participation in a separate intervention trial for alcohol use disorder