Recovery LIVE! Peer Support Workers across the Continuum of Crisis Services Moderator: Devin Reaves, BRSS TACS Subject Matter Expert Speakers: Val Neff Iris Place Peer Run Respite Dr. Jeanmarie Perrone Penn Medicineʼs Center for Addiction Medicine and Policy Nicole OʼDonnell Penn Medicineʼs Center for Opioid Recovery and Engagement April 23, 2020 | 2:00‒3:00 p.m. EDT
Bringing Recovery Supports to Scale Technical Assistance Center Strategy This presentation was supported by contract number HHSS2832012000351/HHSS28342002T from the Substance Abuse and Mental Health Services Administration (SAMHSA). The views, opinions, and content of this presentation are those of the presenters and do not necessarily reflect the views, opinions, or policies of SAMHSA or the U.S. Department of Health and Human Services (HHS).
Presenters Val Neff Certified Peer Specialist, Assistant Director of Iris Place Peer Run Respite, National Alliance on Mental Illness Fox Valley Jeanmarie Perrone, MD Professor, Department of Emergency Medicine, Hospital of the University of Pennsylvania; Founding Director, Penn Medicineʼs Center for Addiction Medicine and Policy Nicole OʼDonnell Certified Recovery Specialist, Penn Medicineʼs Center for Opioid Recovery and Engagement 3
Explaining Peer Respite Programs Val Neff Certified Peer Specialist and Assistant Director Iris Place Peer Run Respite National Alliance on Mental Illness Fox Valley 4
What Is Peer-Run Respite? Header A peer respite is a voluntary, short-term overnight program that provides community-based, nonclinical crisis support. 5
What to Know... Header Respite is completely voluntary and by “self referral.” All on-site program staff are people with lived experience with mental health issues. 6
Ensuring a Good Fit Header 7
How Is Peer Respite Unique? Header Guests have their own locking bedroom and access to common areas of the home. Guests come and go as they wish (including going to work, school, etc.). 8
What Is a Warm Line? Header 9
Optimizing Buprenorphine in the Emergency Department: A “Warm Bridge” with Peer Recovery Specialists Jeanmarie Perrone, MD Professor, Department of Emergency Medicine, Hospital of the University of Pennsylvania, Founding Director, Penn Medicineʼs Center for Addiction Medicine and Policy Nicole OʼDonnell Certified Recovery Specialist, Penn Medicineʼs Center for Opioid Recovery and Engagement 10
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Working Together 12
Using Automation to Support the Emergency Department 13
Using Data to Inform Policies Buprenorphine Rx 14
Social Norming Social norming 15
What We Have Learned Key insights Our patients are suspicious With automation, there is an 1 4 of clinical settings but trust improvement in the timely peers. identification of patients with opioid use disorder (OUD). All patients with OUD—not The use of buprenorphine and 5 2 just those seeking involvement of Certified Recovery treatment—should be Specialists (CRS)s enhances ED engaged. flow. CRSs are just as supportive Provider training matters, 6 3 of providers as they are of but social barriers matter patients. more. 16
How CORE Works Program Team Locations Served Certified Recovery PPMC Specialists (3) pennmedicine.org/CORE Care Coordinators (2) HUP Administrators + Who we are PAH + Hall Mercer clinical champions CORE provides comprehensive peer support for individuals struggling with opioid use, as well as their loved ones. Our mission is to support all pathways to recovery, remove barriers, and inspire hope. 17
Our Results Impact Providers Value our Program <5 % 68 % More patients are in treatment. “[Nicole] is extremely responsive, and it’s been a wonderful change to have Use of buprenorphine an actual service to address this in the emergency formerly neglected patient need.” 5x department (ED) has – ED physician increased Dramatically. ED providers have training in the use 200 /year The program 5 % 90 % of medication- prevents assisted treatment overdoses. (MAT). 18
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Discussion Header 21
Contact Our Presenters Header Val Neff val@namifoxvalley.org irisplace@namifoxvalley.org Dr. Jeanmarie Perrone jeanmarie.perrone@pennmedicine.upenn.edu Nicole OʼDonnell nicole.o'donnell@pennmedicine.upenn.edu 22
For Further Reading Header Ø Results from the 2016 Peer Respite Essential Features Survey https://power2u.org/wp-content/uploads/2017/01/PREF-Report- 05.05.16.pdf Ø Peer Run Respites ‒ An Effective Crisis Alternative https://www.nasmhpd.org/sites/default/files/Peer%20Run%20Respite %20slides.revised.pdf Ø Peer Support Workers in Emergency Departments: Engaging Individuals Surviving Opioid Overdoses ‒ Qualitative Assessment https://www.thenationalcouncil.org/wp- content/uploads/2018/12/Peer-Support-Workers-in-EDs-Issue- Brief.pdf?daf=375ateTbd56 Ø BRSS TACS Peer Resources List https://c4innovates.com/brsstacs/BRSSTACS-Peer-Resources-List.pdf 23
Contact BRSS TACS Header Ø To learn more about BRSS TACS activities or to ask our presenters follow-up questions, contact us via email at recoverylive@c4innovates.com Ø To request technical assistance, complete the online request form at https://www.samhsa.gov/brss- tacs/technical-assistance-form SAMHSA SA SAʼs mission is to red educe e the e impact of substance e abuse e and men ental illnes ess on Amer ericaʼs communities es. 1‒877 877‒SA SAMHSA SA‒7 7 (1‒877 877‒726 726‒4727) 4727) | 1‒800 800‒487 487‒4889 4889 (TDD) | | http http://www.sa samhsa mhsa.gov ov 24
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