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This study presents a case study of the Overdose Prevention Peer Research Assistant (OPPRA) Project, a CBPR initiative that meaningfully involved harm reduction workers and people who use drugs in research about overdose prevention sites. It describes how inclusion and shared decision-making were accomplished through tailored research training and capacity building with peers and the process of developing supportive research environments that integrate social supports and meet peer research assistants “where they are at.” Further, it outlines innovative and collaborative methods for data gathering and analysis developed to involve peers at every step of the research process and share the results of this original research. Results demonstrate the potential for overdose prevention sites to serve as critical points of connection and promote human rights and wellbeing for peer workers, service users, and the broader community.