Peer Specialists The Potential Link that Bridges Primary Care to Behavioral Health Over 20 Years of Building Healthier Communities
Today’s presenters and learning objectives Patrick Hendry, Vice President of Peer Advocacy, Supports and Services for Mental Health America What a peer specialist does and how their work can benefit a healthcare organization Malinda Fairbanks, Associate Chief of Staff for Mental Health at the Sheridan VA Medical Center Finding a place and a role for a peer specialist on an existing care team Laura Griffith, Executive Director, and Lana Mahoney, Training Coordinator for Recover Wyoming Recruiting a qualified peer specialist leveraging state resources How to provide training for staff in their organization to become a peer specialist supervisor and ongoing training for peer specialists with state resources Janet Jares, Advocacy Coordinator for the Wyoming Department of Health, and Charles Smith, Regional Administrator for Substance Abuse and Mental Health Services Administration (SAMHSA) Current Billing Opportunities available and other financial opportunities to support a peer specialist program Over 20 Years of Building Healthier Communities
Over 20 Years of Building Healthier Communities
Peer Support Overview Over 20 Years of Building Healthier Communities
Peer Support Overview Over 20 Years of Building Healthier Communities
Peer Support Overview Over the last 18 years behavioral health has developed formal systems for training, certifying, and applying peer support. In 2001 Georgia created the first state certification and became the first state able to pay for peer support services through Medicaid. In 2007 CMS acknowledged peer support as an evidence-based practice. As integrated healthcare has grown substantially since the advent of the ACA, peer support has expanded into primary care. Over 20 Years of Building Healthier Communities
Peer Support Overview “Peer support complements and enhances primary care services by providing practical, social and emotional support to help people do the things needed in order to live healthy lives.” Managing chronic health conditions often requires substantial changes in behavior. Routine visits with a primary care provider assists people to understand the steps that they can take to successfully self-manage their illnesses. Well trained peer specialists can assist these individuals implement and sustain the changes, and to develop person-centered plans that increase the likelihood of success. Over 20 Years of Building Healthier Communities
Peer Support Overview Statistical information drawn from Medicaid managed care programs has shown significant reductions in re-hospitalization rates and emergency room visits. It has also shown strong increases in satisfaction with services, improved quality of life, and strengthened self-management. Peer specialists can provide whole health support and increase the efficacy of primary care. For additional information please visit MHA’s Center for Peer Support at www.centerforpeersupport.org or contact Patrick Hendry at phendry@mentalhealthamerica.net Over 20 Years of Building Healthier Communities
Finding a Place and a Role for a Peer Specialist on Your Existing Care Team Malinda Fairbanks, LCSW Sheridan VA Medical Center Opportunities through Recover Wyoming Over 20 Years of Building Healthier Communities
Over 20 Years of Building Healthier Communities
Recruiting a Peer Specialist Option 1: Recruit a Peer Specialist from the 78 persons currently certified in Wyoming. This number is amazing! Here’s a brief history of the Peer Specialist movement in Wyoming. Over 20 Years of Building Healthier Communities
Peer Specialist History in Wyoming 2005- First Wyoming Peer Specialists hired 2007- Peer Specialist services became Medicaid billable in Wyoming 2007- Wyoming Peer Specialist Certification Over 20 Years of Building Healthier Communities
Peer Specialist History in Wyoming Training In 2015 Wyoming was awarded a SAMHSA funded BRSS TACS grant to establish an evaluation system for peer specialist services and to create the curriculum for the Wyoming Peer Specialist Training. Wyoming Peer Specialists, in collaboration with others, helped to create the training curriculum based on national standards and with Core Competencies and Ethics that provide the foundation for this evidenced-based practice. The first Wyoming training was held in the Spring of 2016. Over 20 Years of Building Healthier Communities
Number of Wyo. Certified Peer Specialists Over 20 Years of Building Healthier Communities
Recruiting a Peer Specialist Agencies interested in recruiting a Peer Specialist can contact: Dani Sullivan- Wyo. Dept. of Health, Behavioral Health Division dani.sullivan1@wyo.gov Option 1: Recruit a (307) 777-7903 Peer Specialist from the 78 persons Janet Jares- Wyo. Dept. of Health, Behavioral Health Division currently certified in janet.jares@wyo.gov Wyoming. (307) 777-8515 Lana Mahoney- Training Coordinator, Recover Wyoming lanamahoney@recoverwyoming.org (307) 421-7261 Over 20 Years of Building Healthier Communities
Recruiting a Peer Specialist Option 2: Identify persons within your agency that qualify for the Peer Specialist role and get them the training to become certified. This will take some exploration but could be a career advancement opportunity for individuals already working in the agency. Over 20 Years of Building Healthier Communities
Is Your Agency Ready? Utilizing a Peer Specialist and implementing a Peer Support Program within your agency will take some preparation. Some Readiness Factors Include: Commitment Capacity Culture Over 20 Years of Building Healthier Communities
Is Your Agency Ready? For further review, see “Peer Specialist Agency Readiness Self- Assessment” handout Over 20 Years of Building Healthier Communities
Over 20 Years of Building Healthier Communities
Training – Recover Wyoming Over 20 Years of Building Healthier Communities
Training content Community Resources Peer Specialist Basics Natural Supports Basic Work Competencies Cultural Competency Sharing Your Story Appropriately Resiliency Confidentiality Person Centered Recovery Medicaid Documentation Requirements Hope and Recovery Group Work and Mutuality Using Recovery Language Conflict in the Workplace Trauma Informed Care Reporting to Supervisor/Clinician Self-Care Coping Strategies & The Grief Process Advocacy Behavior/Physical Health Interactions Written Test Positive Relationships Over 20 Years of Building Healthier Communities
Upcoming Training Opportunities through Recover Wyoming NEW PEER SUPERVISOR BASIC FORENSIC FORENSIC TRAINING PEER SPECIALIST SPECIALIST TRAINING PEER SPECIALIST OF TRAINERS ANNUAL MEETING TRAINING TRAINING Upcoming Training Opportunities through Recover Wyoming Over 20 Years of Building Healthier Communities
On-Going Training & Support Info Peer Support and Peer Specialist information, webinars, and technical assistance found through: Doors to Wellbeing https://www.doorstowellbeing.org/ BRSS-TACS (Bringing Recovery Supports to Scale Technical Assistance Strategy) https://www.samhsa.gov/brss-tacs SAMHSA (Substance Abuse and Mental Health Services Administration) https://www.samhsa.gov/ Upcoming Training Opportunities Peers for Progress http://peersforprogress.org/ through Recover Wyoming Over 20 Years of Building Healthier Communities
Current Billing Opportunities & Other Financial Opportunities to Support a Peer Specialist Program Over 20 Years of Building Healthier Communities
Funding for peer specialists from Wyoming Cost and Benefit Frees up licensed staff time Costs for the community (and your agency) may be reduced Opportunity: Wyoming Medicaid Over 20 Years of Building Healthier Communities
Funding Considerations: Peer Support Grants: Federal / State / Foundations Contracts: Federal / State Insurance: Public / Private Health Insurance Examples of Federal Funding: SAMHSA: SAPT; STR/SOR/TOR; Statewide Peer Networks; Recovery Community HRSA: BHWET; FORHP-Community Planning Grants CMS: 1115 Waiver; Rehab Option; 2007 CMS Letter to States DoD-VA DOJ-BJA DoL HUD USDA Over 20 Years of Building Healthier Communities
Upcoming Training Opportunities through Recover Wyoming Over 20 Years of Building Healthier Communities
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