Peers Gone National Marcie Timmerman, MHA Executive Director, Mental Health America of Kentucky Email: mhaky@mhaky.org Call or Text: 859-684-7778 www.mhaky.org Twitter: @MarcieTimmerman @MHAKentucky Instagram: @mhaofky
OBJEC ECTIVES ES 1. Comprehend National Peer Support Certification 2. Analyze Peer Support Services in your organization 3. Judge when National Peer Support Certification is right for you (or your employees) 4. Synthesize national and statewide trends in peer support services
Discl closures • MHA Kentucky can and does charge a fee if we proctor NCPS testing. That fee is $35 for covering our staff and space cost for the three hours of administration. We do not profit from testing. • MHA Kentucky accepts sponsor dollars from many corporations and organizations for events. We do so with the agreement that funds do not in any way influence our educational or advocacy content. • I have not been paid for any of this work. I have no known financial interests in NCPS testing or any peer support programs.
Brief Introduct ction t to M MHA K Kentucky cky • Mission Statement • How we fit in with MHA National • B4Stage4 Philosophy • 120 by 2020 initiative • Quick explanation of the Mental Health Bell
FYI YI: I sometimes talk fast. Tell me to slow down if you can’t understand me. I was born a yankee. Tell me if you can’t understand my accent. ASK QUESTIONS. I’ll take pauses and breaks and breathe. Take that opportunity to ask about something you don’t understand. I’m not omnipotent nor am I omniscient. I’m not going to have every answer, but I’ll try to find one for you. My door/email/phone are always open. Ask! Tell stories about your concerns. Tell us what’s going on that worries you. Respect all people who are brave enough to share. Please keep any personal info shared here between yourself and that person.
Show of Hands…. • Peer Support Specialists? • Addiction Peer Support Specialists? • Family Peer Support Specialists? • Youth Peer Support Specialists? • Mental Health Provider (LCSW, LPCC, MFT, PhD, MD)? • Employer – makes hiring decisions? • Advocates?
What is Peer Sup upport?
ACTI TIVITY TY Have you ever reached out to someone for advice on how to cope with something you know they’ve been through? What was good about that experience? Was there anything bad about that experience? How did reaching out in the first place make you feel? Now, think about if you have an illness that people blame you for, people believe should just go away if you tried hard enough, that they don’t understand. Wouldn’t it be great to have someone to talk to who has BEEN THERE?
Peer support encompasses a range of activities and interactions between people who share similar experiences of being diagnosed with mental health conditions, substance use disorders, or both. This mutuality—often called “peerness”—between a peer support worker and person in or seeking recovery promotes connection and inspires hope. Peer support offers a level of acceptance, understanding, and validation not found in many other professional relationships (Mead & McNeil, 2006). By sharing their own lived experience and practical guidance, peer support workers help people to develop their own goals, create strategies for self--empowerment, and take concrete steps towards building fulfilling, self--determined lives for themselves. -SAMHA Value of Peers 2017 (https://www.samhsa.gov/sites/default/files/programs_campaigns/brss_tacs /value-of-peers-2017.pdf)
Peer S r Support rt has b been s shown to: • Improve quality of life, • Improve engagement and satisfaction with services and supports, • Improve whole health, including chronic conditions like diabetes, • Decrease hospitalizations and inpatient days, and • Reduce the overall cost of services
Peer r Support rt W Work rkers/Peer r Work rkforce Peer support workers engage in a wide range of activities. These include: • Advocating for people in recovery • Sharing resources and building skills • Building community and relationships • Leading recovery groups • Mentoring and setting goals
Peer er Worker ers Continued ed… Peer support roles may also extend to the following: • Providing services and/or training • Supervising other peer workers • Developing resources • Administering programs or agencies • Educating the public and policymakers
What i is a Peer r Support rt Specialist? t? “Peer Support Specialist” is the term for peer workers in Kentucky. Aged 18+, have a mental health or substance use diagnosis Aged 18+, have a family member who has received services Ages 18-35, have a mental health or substance use diagnosis
Ken entucky P Peer eer Su Support Sp Specia ialis list Education Requi uirements Core Components of the Curriculum for Adult Peer Support Specialists (30 hours) & Family Peer Support Specialists (30 hours, prereq. Leadership Academy) • Problem solving • Wellness recovery action plan • Stages in the recovery process • Effective listening skills • Establishing recovery goals • Using support groups to promote and sustain recovery
KPSS PSS Requirem emen ents continued ed Core Components of the Curriculum for Youth Peer Support Specialists (30 hours, prereq Leadership Academy) • System of care philosophy • Wraparound process • Youth support • Group process • Cultural and linguistic competence • Communication • Organization • Self-care • Leadership • Ethics and values
KPSS PSS requirem emen ents c continued ed Core Components of the Curriculum for Kentucky Family Leadership Academy (15 hours) (prerequisite for both potential Family and Youth Peer Support Specialists) • Leadership roles • Communication skills • Decision-making skills • Dealing with conflict • Effective advocacy • Collaboration and partnerships
Find d out more in Kentuc ucky ky: • Peer Specialist Introductory Test Curriculum criteria, sample exams, and more: Dept. of Behavioral Health & Developmental Disabilities https://dbhdid.ky.gov/dbh/pss.aspx • MHANKYSWOH: https://www.mhankyswoh.org/peer-support • Kentucky STARS www.kystars.org • Bridgehaven Center for Peer Excellence http://www.bridgehaven.org/peer-support-training/ • Consumer Conference May 2020, Clarion Hotel in Lexington
A few precious points ts….. .. • You can be a Peer Specialist and NOT intend to enter the peer workforce. • You can offer peer support and NOT be a peer specialist (we suggest training, however). • Peers who perform Medicaid and Medicare billable services need to be peer specialists and have supervision.
Where a are we, nationally? • Between 2008 and 2018, over 30 state Medicaid programs added peer support as a covered service. There are a number of common services across the country - drop-in centers, respite facilities, warm lines, and self-directed care programs. But there’s still a lot to be done – adolescent/young adult peer support is only covered by Medicaid in seven states. Peer support programming for families is on the rise as a reimbursable service. There are also opportunities to expand peer support in a way that is tailored to people with intellectual disabilities, physical health concerns/chronic diseases, older adults, and the LGBTQ+ community. • It is important to make sure that as the peer support field grows, it is done in a meaningful way. There is a lot of power in being an evidence-based practice that, by nature, focuses on human connection – and a tremendous amount of potential to reach the subsets of the population who need that the most.
• Thanks to the leadership of peers and the growing evidence around the practice over the past decades , the peer workforce has grown to over 24,000 supporters working in all 50 states and U.S. territories. • Considered an evidence-based practice by the Substance Abuse and Mental Health Services Administration (SAMHSA), peer support is Medicaid reimbursable in over 41 states. • From the criminal justice system to housing services to hotlines, peers model recovery and contribute to the lives of others.
What w we know n nationally…. • Across the four states, peer providers were employed in a variety of settings and sectors, including non- and for-profit organizations and government agencies. Some organizations were peer run and staffed. Clinical settings included mental health clinics, detox and rehabilitation centers, crisis stabilization units, and psychiatric hospitals. Non-clinical settings included peer-run respites, community centers, supportive housing, and sobering houses. Many peer providers spent most of their time meeting with consumers in the community or at a facility, such as a jail, prison, or probation center; mental health, family, or drug court; or hospital or primary care clinic. Typical job duties included leading wellness groups, teaching classes, case management, and one-on-one services, including referrals to housing, jobs, and other resources; financial counseling; wellness coaching; accompanying consumers to appointments; and emotional support provided in-person or telephonically. Documentation accounted for a significant portion of time for peer providers in Medicaid-billable positions. https://www.sciencedirect.com/science/article/pii/S0749379718316052
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