Opioid intervention courts (OICs) have shown early promise in addressing the needs of offenders with opioid use disorders. Using their experience, the authors present a framework for conceptualizing the adaptation and integration of Peer Recovery Support Services (PRSS) into court settings, identifying essential elements of comprehensive programs, essential integration processes, key program design factors, and drivers of success. The framework suggests that while the core elements remain the same, PRSS programs will vary from site to site.