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Peer Support: State Credentials, Continuing Broadcast on January 6, 2020 Education, Recruitment, and Retention Peer Support: State Credentials, Continuing Education, and Retention/Recruitment Strategies Amy B. Spagnolo & Rita Cronise


  1. Peer Support: State Credentials, Continuing Broadcast on January 6, 2020 Education, Recruitment, and Retention Peer Support: State Credentials, Continuing Education, and Retention/Recruitment Strategies Amy B. Spagnolo & Rita Cronise February 6, 2020 Rutgers, The State University of New Jersey 1 Member Support Services You can always contact us with any issues you may have. Weʼre eager to help. Neal Comstock , Director of Membership NealC@TheNationalCouncil.org | 202-748-8793 Joel Nepomuceno , Membership Manager JoelN@TheNationalCouncil.org | 202-774-1668 2 Rutgers Faculty: Amy Spagnolo and Rita Cronise 1

  2. Peer Support: State Credentials, Continuing Broadcast on January 6, 2020 Education, Recruitment, and Retention 3 Download the NatCon20 Preliminary Program and discover more incredible speakers, workshops, tracks, engagement opportunities and more online at NatCon20.org 4 Rutgers Faculty: Amy Spagnolo and Rita Cronise 2

  3. Peer Support: State Credentials, Continuing Broadcast on January 6, 2020 Education, Recruitment, and Retention Peer Support State Credentials, Continuing Education, and Recruitment & Retention Strategies 5 Presenters Dr. Amy B. Spagnolo & Rita Cronise Rutgers the State University, Department of Psychiatric Rehabilitation and Counseling Professions Amy B. Spagnolo, Ph.D. Rita Cronise, M.S. Rutgers, The State University of New Jersey 6 Rutgers Faculty: Amy Spagnolo and Rita Cronise 3

  4. Peer Support: State Credentials, Continuing Broadcast on January 6, 2020 Education, Recruitment, and Retention Objectives Roles Certification Hiring Continuing Ed 7 What is a Peer Support Specialist? • Life altering lived experience • Training in core competencies • Regular supervision 8 Rutgers Faculty: Amy Spagnolo and Rita Cronise 4

  5. Peer Support: State Credentials, Continuing Broadcast on January 6, 2020 Education, Recruitment, and Retention Where do Peer Support Specialists work? • Peer-run organizations • Behavioral health • Housing • ACT • VA • Advocacy • Crisis response • Criminal justice • Supported employment 9 How are they paid? • Long tradition of volunteerism (WOC) • 1980’s: Community Support Program (CSP) • 2007: Reimbursement from Medicaid CMS 10 Rutgers Faculty: Amy Spagnolo and Rita Cronise 5

  6. Peer Support: State Credentials, Continuing Broadcast on January 6, 2020 Education, Recruitment, and Retention Peer-Run Respite Funding Source : 2018 PREF (Peer Respite Essential Features) Survey Program Operations Report: Funding, Staffing, Evaluation (Live & Learn, 2019) 11 How is Medicaid Reimbursement used? 1. Medicaid State Plan Amendment 2. Waiver Programs Open Minds, 2019 12 Rutgers Faculty: Amy Spagnolo and Rita Cronise 6

  7. Peer Support: State Credentials, Continuing Broadcast on January 6, 2020 Education, Recruitment, and Retention Medicaid Guidance to the States Peer providers should be self-identified consumers in recovery from mental health and/or substance use disorders 1) Training and credentialing 2) Care Coordination 3) Supervision Letter from the CMS Director, 2007 13 Peer Specialist Training and Certification Programs: A National Overview. Texas Institute for Excellence in Mental Health (TIEMH), School of Social Work, University of Texas at Austin. 14 Rutgers Faculty: Amy Spagnolo and Rita Cronise 7

  8. Peer Support: State Credentials, Continuing Broadcast on January 6, 2020 Education, Recruitment, and Retention Updates (2020): AR = Yes CO = Yes NV = Yes OH=In Development CA=New Legislation 15 Peer Specialist Certification U.S. Government Accounting Office Report (US GAO, 2018) 16 Rutgers Faculty: Amy Spagnolo and Rita Cronise 8

  9. Peer Support: State Credentials, Continuing Broadcast on January 6, 2020 Education, Recruitment, and Retention Appendix: Medicaid Reimbursement for Peer Services 17 Beyond Certification Technical Assistance, Conferences, and Communities of Practice 18 Rutgers Faculty: Amy Spagnolo and Rita Cronise 9

  10. Peer Support: State Credentials, Continuing Broadcast on January 6, 2020 Education, Recruitment, and Retention SAMHSA Mental Health Consumer Technical Assistance Centers* * Subject to change 19 National Peer-Led Associations and Advocacy Organizations Formerly the International Association of Peer Supporters (iNAPS) 20 Rutgers Faculty: Amy Spagnolo and Rita Cronise 10

  11. Peer Support: State Credentials, Continuing Broadcast on January 6, 2020 Education, Recruitment, and Retention SAMHSA Addiction Recovery Support Technical Assistance * National Recovery Institute at Faces and Voices of Recovery *National Peer-Run Center for Addiction Recovery 21 National Allies (Not Peer-Run) 22 Rutgers Faculty: Amy Spagnolo and Rita Cronise 11

  12. Peer Support: State Credentials, Continuing Broadcast on January 6, 2020 Education, Recruitment, and Retention SAMHSA Technology Transfer Centers Addiction, Mental Health and Prevention 23 National Peer Conferences Peer Support Canada National Conference on Peer Support, June 25 & 26, 2020 * In 2020 Peerpocalypse and Alternatives are collaborating to offer the conference together 24 Rutgers Faculty: Amy Spagnolo and Rita Cronise 12

  13. Peer Support: State Credentials, Continuing Broadcast on January 6, 2020 Education, Recruitment, and Retention National Conferences by Allies (Not Peer-Run) 25 26 Rutgers Faculty: Amy Spagnolo and Rita Cronise 13

  14. Peer Support: State Credentials, Continuing Broadcast on January 6, 2020 Education, Recruitment, and Retention Download the NatCon20 Preliminary Program and discover more incredible speakers, workshops, tracks, engagement opportunities and more online at NatCon20.org 27 Communities of Practice 28 Rutgers Faculty: Amy Spagnolo and Rita Cronise 14

  15. Peer Support: State Credentials, Continuing Broadcast on January 6, 2020 Education, Recruitment, and Retention 29 One of the most vital ways we sustain ourselves is by building communities; places where we know we are not alone. – bell hooks 30 Rutgers Faculty: Amy Spagnolo and Rita Cronise 15

  16. Peer Support: State Credentials, Continuing Broadcast on January 6, 2020 Education, Recruitment, and Retention Entering or Re-Entering Higher Education What is the Academic Career Ladder for Peer Support Specialists? 31 Peers are Entering or Re-entering Higher Education • First Career • Change in Career • Career Advancement • Moving into Supervision 32 Rutgers Faculty: Amy Spagnolo and Rita Cronise 16

  17. Peer Support: State Credentials, Continuing Broadcast on January 6, 2020 Education, Recruitment, and Retention Demographic Data / Academy of Peer Services (2015 - 2018) Education Prior to Enrollment 4000 3500 31% 3000 2500 24% 20% 2000 1500 14% 11% 1000 500 0 Graduate Bachelor Associate Some college High school Graduate Bachelor Associate Some College High School n % 33 First career? Continuing education may include steps on the rung of an academic ladder. 34 Rutgers Faculty: Amy Spagnolo and Rita Cronise 17

  18. Peer Support: State Credentials, Continuing Broadcast on January 6, 2020 Education, Recruitment, and Retention Undergraduate Certificate in Peer Support 35 Changing careers? Even more rungs may be available on an academic career ladder. Here are some options. 36 Rutgers Faculty: Amy Spagnolo and Rita Cronise 18

  19. Peer Support: State Credentials, Continuing Broadcast on January 6, 2020 Education, Recruitment, and Retention Behavioral Health 37 Recruitment and Retention Strategies for Employers of Peer Support Specialists 38 Rutgers Faculty: Amy Spagnolo and Rita Cronise 19

  20. Peer Support: State Credentials, Continuing Broadcast on January 6, 2020 Education, Recruitment, and Retention 39 Retention Strategies • Clear job descriptions • An accepting culture • Supervisor understands the role (preferably having been one) • Living wage • Career ladder 40 Rutgers Faculty: Amy Spagnolo and Rita Cronise 20

  21. Peer Support: State Credentials, Continuing Broadcast on January 6, 2020 Education, Recruitment, and Retention Resources for Hiring, Supervision, and Retention New York City Philadelphia Workforce Integration of Peer and Community Peer Support Toolkit Health Worker Roles: A needs-based toolkit to advance organizational readiness 41 SUMMARY The State of Peer Support Workforce: Certification and Funding Continuing Education and Communities of Practice Peer Support Entering or Re-Entering the Academic Making a Difference Career Ladder Recruiting and Retention Strategies www.aps-community.org 42 Rutgers Faculty: Amy Spagnolo and Rita Cronise 21

  22. Peer Support: State Credentials, Continuing Broadcast on January 6, 2020 Education, Recruitment, and Retention Contact Information Amy Spagnolo, Ph.D. spagnoam@shp.rutgers.edu Rita Cronise, M.S. rita.cronise@rutgers.edu Amy B. Spagnolo, Ph.D. Rita Cronise, M.S. Rutgers, The State University of New Jersey 43 Rutgers Faculty: Amy Spagnolo and Rita Cronise 22

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