North Carolina Peer Support Specialist Annual Report

Report
The Emerging Role of Certified Peer Support
Specialist
Addictions Professionals of North Carolina –
Fall Conference
Carolina Beach, North Carolina
Ronald Mangum MA, LCAS
Behavioral Healthcare Resource Program
Jordan Institute for Families
at UNC Chapel Hill
October 26, 2007
Agenda
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Introduction
Definition of Peer Support
META – Recovery Innovations
Peer Support, Recovery and possible benefits
History of Peer Support in North Carolina
Time Line for North Carolina
Peer Support Statistics for North Carolina
Approaches
Service Definitions
Flow Chart
Role Delineation Study
Executive Summary
Review of Check list for curriculum
PSSC Goals for 2008
Additional Information
Questions and Answers
Break
Worth
Definition of Peer Support
Peer Counselors ( Peer Support Specialist) are people who have experienced
emotional difficulties and are interested in helping others with similar difficulties,
by listening empathetically, sharing their experiences and offering suggestions,
peer counselors ( Peer Support Specialist) are uniquely able to help others
like themselves.
This approach assumes that individuals who have experienced a mental illness
can better understand and relate to individuals trying to deal
with their mental illness. Additionally, it promotes a wellness model which
considers clients to be normal, as opposed to a medical model which considers
clients to be sick. (Carter 2000).
Article titled : Peer Support “ working together to help each other to achieve harmony
http://www.mentalhealthconsumer.net/peer-support.html
META
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Arizona-based META Services follow this model and describe the
key elements as follows:
1.
Mutuality: Giving and receiving help and support with respect based
on a shared experience.
2.
Empathy: Understanding through the personal experience of having
“been there”.
3.
Engagement: Sharing personal recovery experiences. “If she/he can
do it, so can I.”
4.
Wellness: Focusing on each person’s strengths and wellness.
5.
Friendship: Promoting recovery through relationship and friendship.
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Peer Support, recovery and
possible benefits
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This model of formalized peer support neatly fits a recovery ethos and approach, as developed internationally over the last
twenty years6, in the following ways:
1.
They value the lived experience of recovery, powerfully demonstrating the principle that having experienced mental
health problems need not necessarily be entirely negative.
2.
They offer a chance for people with experience of mental health problems to contribute or ‘give back’, commonly
identified as being helpful in promoting recovery.
3.
They offer much needed training and employment opportunities for people who have experienced mental health
problems.
4.
They offer a supportive and well managed work environment for peer support workers and clients - both may have
fluctuating levels of health and particular support needs.
5.
They work around recovery planning methods using tools specifically designed to promote the recovery experience,
for example, Wellness Recovery Action Planning (WRAP)7 or the Strengths Model8.
6.
They emphasize learning – both in their emphasis on training and self management skills.
7.
Clients who opt to use one of these services should be prepared to actively engage in a recovery planning process.
8.
Because many are newly developed projects they are based from the outset around the principles and values which
have been described in the international literature as being helpful towards promoting recovery.
9.
Through their very nature they provide a level of empathetic and therapeutic relationship between peer worker and
client not always possible between peer and professional.
10.
They can promote engagement with people who have shunned professionally led services. Complementing existing
services with peer support could also offer new options to people who currently fall out with the remit of secondary
mental health services.
The role and potential development of peer support services Scottish Recovery Network 2005
History of Peer Support – North
Carolina
The NC Mental Health Consumers’ Organization (NCMHCO) was
established in l989. It is a non-profit organization that was designed and is
managed by primary consumers to offer information, advocacy and support
to adults with mental illness. A sixteen member Board of Directors is elected
by over six hundred members from each region to govern for two-year
terms. NCMHCO is the only statewide organization that is one hundred
percent consumer membership. All Board Members and Staff have in the
past or continue to cope with mental health challenges. NCMHCO is special
because it is “peer-run”, meaning all board members and staff have
personal life experiences with mental illness. The organization is a support
and advocacy agency that works on behalf of consumers across North
Carolina. Peer support is a valuable addition to professional services.
People with mental illness provide hope and support to others coping with
the same challenges. People learn from others not only about coping skills
but also about fostering hope. There are currently 52 local support groups
affiliated with the NC Mental Health Consumers’ organization.
Time Line for North Carolina
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1987 Initial – Talks and movement began in North Carolina
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September 16, 2006 – 1st Presentation @ North Carolina Empowerment
Conference
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September 18, 2006 – Hiring for Clinical Instructor
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January 08-10, 2007 – Role Delineation Study
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September 14, 2007 – Curriculum
Peer Support and North Carolina
• Applied – 65
Substance Abuse__ Mental Health___
• Approved - 50
• Application review process – see handout
• Phone calls of inquiry – 5 – 10 per week
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these numbers reflect results up to October 15, 2007
Approaches
• Paraprofessional – supervised by a professionally
trained counselor
• Volunteer – workers who conduct peer support on an
outreach basis
• Former clients – provide support to new clients
• Peer tutors – provide individual living skills instructions
• Workers – provide pertinent information on topics such
as housing, social services, transportation, recreational
activities etc.
• Workers – who provide community networks and
activities (Barker 1987)
Article titled : Peer Support “ working together to help each other to achieve harmony
http://www.mentalhealthconsumer.net/peer-support.html
Service Definitions Covered
Medicaid Billable Services
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Community Support – Adults (MH/SA)
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Assertive Community Treatment Team (Medicaid Billable Service)
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(Medicaid Billable Service)
Social Setting Detox (Non-Hospital)
(Medicaid Billable Service)
http://www.ncdhhs.gov/mhddsas/servicedefinitions/servdef3-27-06rev.pdf
Professional Employment Path
Recovery Based Employment Path
Certified Clinical
Supervisor
Certified Substance
Abuse Counselor
(CSAC)
2 years supervision
experience
& 30 hours education
Certified Peer
Support Specialist
Licensed Clinical
Addiction Specialist
(LCAS)
Masters Education +
1 year supervised
work
6 months work
experience as a Peer
Support Specialist
Peer Support
Specialist Training
40 hours PSS &
20 hours additional
Bachelor’s Degree
Certified Substance
Abuse Counselor
(CSAC)
•3 years full time
experience
•270 hours Board
approved training
•Passing exam score
1 year clean
and sober
Role Delineation Study
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See handout
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Purpose
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Process
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Results
Executive Summary
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See handout
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Highlights of the
summary
Review of check list for curriculums
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See handout
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Intent of checklist
Peer Support Specialist
Certification Goals for 2008
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Standard curriculums used to train Peer Support Specialist for North
Carolina
Continue to increase numbers of Certified Peer Support Specialist for North
Carolina
Develop a newsletter updating Certified Peer Support Specialist of pertinent
information on a quarterly basis
More information on certification for
Peer Support Specialist can be
found at:
http://bhrp.sowo.unc.edu/index.php?q=node/122
www.behavioralhealthcareinstitute.org/pss
Contact information:
Ron Mangum
[email protected]
919 843 7583
Applications are available here for those interested
Questions and Comments
Break
• Thanks for your time and attention. We will
now take a break with Worth Bolton
presenting when we return.

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