Certification of Parent Support Providers

Report
Medicaid Waivers Learning Community Call
February 17, 2011
1
Why National Certification?
 A few states have statewide certification for purposes
of billing Medicaid: TN, OR, AZ, KY, MI, ID, OK
 Some state are still either working on state
certification or considering it: FL, IA, IN, MH, IL, MA,
ME, NY, TX, CO, SC
 The advantages of national certification:
 No costs to the state to develop or administer
 Easier to market since it is the same as other states
 Outcomes can be compared across states
2
Why make it “cross-disability”?
 Children and youth rarely only have one category of
challenges: mental health, substance use, intellectual
disability, learning disorders, autism spectrum,
physical disabilities
 Even when one child or youth could be squeezed into
one category, there often is a sibling that does not fit
the same category
 Sometimes primary diagnoses need to be reviewed or
changed and families need to know their option
3
Why now?
 Most states will be submitting new Medicaid plans as a
result of the Affordable Health Care Act.
 Parent to parent, youth to youth and adult consumer to
adult consumer peer support needs to be included as
part of the array of services
 Clinical professionals are not available to even provide
all the specialty clinical needs of families
 Parent Support Providers and Youth Support Providers
supplement the workforce to provide the day to day
wellness, rehabilitation and support needs of family
members.
4
What works?
 The outcome data from Kansas, New York, Alaska and
Michigan, the use of Parent Support Providers
 decreases the number of missed appointments to clinics
 Increases attendance in school and graduation rate for
children
 Decreases the use of “high end care” and long-term
residential placement
 Increases the parent’s self-assessment of “practical
knowledge“ about resources and “care coordination”
 Decreases the parent’s stress level about parenting
5
What is Certification?
 Adherence to a set of standards of practice in ten
domains of core competencies
 Adherence to a Code of Ethics
 On-going training requirement for re-certification
 Required peer supervision
6
Parent Support Providers
Core Principle and Definition
This is not a clinical service.
It is a peer-to-peer service.
 The Parent Support Provider is a peer of the parent that is being supported.
Their relationship is based on the sharing their own parenting or “lived
experience”.
 For purposes of certification in the field of parent support in children’s mental
health, “parent” in “parent support” means:
A person who is parenting or has parented a child experiencing emotional,
behavioral or mental health disorders and can articulate the understanding
of their experience with another parent or family member. This person may
be a birth parent, adoptive parent, family member standing in for an absent
parent or a person chosen by the family or youth to have the role of parent.
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Parent Support Provider Service Definition
 The focus of the service is on empowering parents and caregivers to parent
and advocate for their child/youth with emotional, mental or behavioral
health related disorders or challenges
 The scope of the service involves assisting and supporting family members to
navigate through multiple agencies and human service systems (e.g. basic
needs, health, behavioral health, education, social services, etc).
 It is strength-based and established on mutual learning from common lived
experience and coaching that
◦ promotes wellness, trust and hope
◦ increases communication and informed decision making and self-
determination
◦ identifies and develops advocacy skills
◦ increases access to community resources and the use of formal and natural
supports
◦ reduces the isolation that family members experience and the stigma of
emotional, behavioral and mental health disorders
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Domains of Competency
 Ethics
 Communication
 Confidentiality
 Parenting for resiliency
 Effecting change
 Advocacy in and across
 Currency on children’s
systems
 Empowerment
 Wellness and natural
support
behavioral health
treatment and
prevention information
 IDEA information
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Ethics
 Cultural and linguistic






competency
Peer to peer principles
(family-driven, youthguided, consumer driven)
Compliance with laws and
regulations
Duty to do no harm
Responsibility to remain
current in the field
Responsibility as a certificant
Principles of nonexploitation
Confidentiality
 HIPAA, IDEA, 42 CFR
 Inter agency protocols (ROI,




MOA, MOU)
Understanding conflict of
interest
Teaching family members
about confidentiality
Child/adult protection,
juvenile justice and criminal
prosecution related issues
Duty to warn and domestic
violence issues
10
IDEA and Other
Education Information
Currency on Children’s
Behavioral Health
Prevention and Treatment
 Timelines, procedures
 Diagnoses and
and regulations
 Resources for parents
 Communicating written
goals and outcomes
 Working with
enforceable regulations
 Mediation
 Pre-teaching effective
meeting skills to parents
and youth
assessments
 Medication
 Treatment – EBP, PBE
and other practices
 Finding and
summarizing research
and published literature
 Addressing complex
health information
11
Effecting Change
 Preparing adults for the




decision-making process and
behavior change
Supporting opportunities for
self-efficacy
Using conflict and
discrepancy for decisionmaking
Finding and using psychoeducational material
Use of support groups
Communication
 Understanding





cultural/linguistic diversity
Using distance
communication technology
Translating & assisting
adults to communicate
emotions
Assisting adults with
assertive communication
Mediation techniques
Informed and shared
decision making
12
Parenting for
Resiliency
 Identifying culture, family





and individual values
Physical and emotional
development of children
and youth
Use of control, choices
and consequences
Shared decision-making
Crisis planning and
intervention
Transition to adulthood
skills
Advocacy in and
Across Systems
 People-first, strength



based language and
approach
Understanding the
mission and tasks of
service systems for
children
Understanding funding
streams of services
Mediation techniques
Organizational behavior
and decision-making
13
Wellness and
Natural Supports
Empowerment
 Implementation of





consumer/family-driven
and youth-guided
approach
Promotion of selfdetermination
Teaching self-assessment
and goal setting
Understanding stigma
Bridge building and group
leadership
Leadership development
 Crisis prevention and




management for children
and adults
Self care and wellness
planning
Using spirituality and
culture strengths
Identifying family and
community strengths
Community organizing
and problem solving
14
Core Competencies Survey Participants
90
80
70
Between
12/1/2010 and
1/31/2011, ≥92
% of the 123
individuals
from
50 states
rated 94 of
the 103
competencies
as needed.
60
50
40
30
20
10
0
never
≤1 year
1-3 years
≥3 years
15
Certification Opportunities
 Certified Parent Support Provider
 Entry level
 Professional level
 Wraparound specialization
 Cognitive Disability specialization
 Certified Parent Support Provider Supervisor
TM
 Certified Youth Support Provider
TM
TM
 Certified Youth Support Provider Supervisor
TM
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If you have questions or comments on
certification or want to be added to the listserv
Frances Purdy at [email protected]
National Federation of Families for Children’s Mental Health
9605 Medical Center Drive #280
Rockville, Maryland 20850
240-403-1901 or fax 240-403-1909
http://www.ffcmh.org/certification
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