Denise Camp and Andy Bernstein 5/23/2014. Welcome to the twelfth in a series of webinars for peer supporters.

Transcription

1 Welcome to the twelfth in a series of webinars for peer supporters. This webinar series is presented by members of the International Association of Peer Supporters (inaps) with generous assistance from Optum, without whom this series would not be possible. inaps is solely responsible for the content of the webinars. The webinar will begin at noon, Eastern. Thank you for your participation! Audio When signing into the webinar website, please be certain you enter a telephone number (without an extension) for call back. The audio portion of the webinar will be on your telephone. 2 Other Disciplines 1

2 Peter Ashenden Director of Consumer Affairs OptumHealth Behavioral Solutions Contact Information T F Peter.ashenden@optum.com Other Disciplines 2

3 These webinars may be recorded and made available on our website for future viewing. By joining the webinar you agree that your name, if you choose to provide it, and any interactions you have in the chat or during the Q&A session of the webinar may be included in the recording Thank you for your participation! Self Disclosure for Peer Supporters and for Other Disciplines Denise Camp, ALWF, CPS, CCAR-T, WHAM WRAP Project Coordinator Training Specialist On Our Own of Maryland Baltimore, Maryland and Andy Bernstein, PhD, CPRP Psychologist in Independent Practice, Clinical Director, UA Health and Wellness Center (Camp Wellness) Tucson, Arizona inapsfree Webinar # 12 May 23, 2014 Other Disciplines 3

4 Disclosure for peer specialists: how much is too much? DENISE CAMP ALWF, CPS, CCAR-T, WHAM ON OUR OWN OF MARLAND When am I disclosing TOO much? When it is illness focused When it not relevant to the issue being discussed with the peer When it is more about me and not about supporting the peer When the details could be triggering or traumatizing Other Disciplines 4

5 Appropriate disclosure When it is recovery-focused When it is relevant When it is about supporting the peer When it is getting the point, feelings, and emotions across without the gory details Disclosure to your supervisor Your supervisor knows you are a peer but may not know your story Your supervisor is not your therapist You can/should disclose when Self-care is an issue When your work is triggering When you need accommodations per the ADA (Note: this must be done prior to accepting a position) Other Disciplines 5

6 Self Disclosure in Behavioral Health: Different Disciplines, Different Meanings Andy Bernstein, PhD, CPRP Psychologist in Independent Practice, Clinical Director, UA Health and Wellness Center (Camp Wellness) Tucson, Arizona inaps Free Webinar # 12 May 23, 2014 RTP (Recovery to Practice) Professional Disciplines Represented Peer Specialists/Peer Supporters Psychologists, Counselors Social Workers Psychiatric Nurses Addiction Professionals Psychiatrists Other Disciplines 6

7 QUESTION: Why Are Peer Providers In a Different Situation than Traditionally Trained Providers? The Kind of Disclosures We re NOT Addressing in this Webinar Involuntary-information which clients obtain Accidental unplanned encounters in the community, utterances which just pop out Unavoidable appearance, speech, job titles, aspects of who we are which are simply observable by people whom we serve Age, gender, accent, visible disability, etc. Other Disciplines 7

8 What We ARE Addressing Deliberate, intentional, planned, conscious disclosures of personal information Boundaries Define the nature of a relationship, like parameters. Help clarify where one person ends and the other begins. Can help provide guidelines for behavior. Create a context in which individual actions take on specific meaning. Can be maintained, crossed, or violated Other Disciplines 8

9 Deliberate Self-Disclosure Should either be part of: Maintaining a boundary e.g., around the helper-helpee dyad Crossing a boundary extending the helping relationship to a new place It should not be experienced by the helpeeas Violating a boundary making him or her uncomfortable or intruded upon the client s sense of control has been taken away Brief History of Helping Before professionals Mutual Help Experiential Knowledge Industrial Revolution and Class System Professional Knowledge Formal training and purported expertise Accountability to third parties society (educators, certifiers, geographic regions) payors(insurers) professions (guild system) Techniques and the standardization of helping Commodification of the helping industry Objectification of helpees, and helpers Other Disciplines 9

10 Brief History of Helping, pt. 2 Consumer Empowerment Naturopathic, alternative medicine Whole person Self-Help movement Nothing about us without us! Questioning big pharm and big psych Recovery and psychosocial rehabilitation Consumer providers, peer workforce Integrated Health Care Two Helping Paradigms Professional book knowledge expertise defined by formal education and credentials provided in exchange for money uni-directional accountability clear boundaries and fixed roles power rigidly defined a priori externally regulated Mutual Help experiential knowledge expertise defined by lived experience provided for the love of helping no money involved bi-directional accountability flexible boundaries and complementary roles power situationally defined un-regulated Other Disciplines 10

11 What s In Your Training? What did we learn in training about self-disclosure What we do in practice Is there any discrepancy? Why or why not? What role do employers, settings and job titles play? Three Types of Disclosure Content facts about us or about experience we ve had in our lives Process how we are thinking at the moment Attitudinal our beliefs or values, how we think in the big picture Other Disciplines 11

12 Content Examples This is my first year working in this setting. I m a student, and this is part of my training. I ve received mental health services in the past. I m in recovery myself from I, too, have been the parent of adolescents. No, I m not actually a parent. I ve had serious trauma in my own past. No, I ve never been divorced. I once lived in, also. I grew up in a family in which. Process Examples There s a couple of different thoughts I have about that. I m thinking about asking you some questions about your family, but I m not sure how you d feel about that. There s something about your tone of voice when you said that which makes me think. I m trying to figure out what you mean when you say that. I m having trouble remembering how you ended up in that situation.\ Other Disciplines 12

13 Attitudinal Examples I usually think that when a person is sitting here, there are forces acting upon them which they re trying to understand. Yes, I do believe in God. I think it s important for clients to have some sense of control over what happens here. I generally believe that people do things for reasons that make sense to them at the time. I m not opposed to medication; I just think that it is only one tool among many which can be used. Reasons to Self-Disclose Can build rapport and credibility Can establish shared history Can convey understanding of culture, reducing barriers Can dispel fears and assumptions regarding psychobabble and hiding behind professional role Can provide basis for role-modeling effect Can empower the helpee OTHERS?? Other Disciplines 13

14 Reasons NOT to Self-Disclose It might work against building the kind of relationship you re trying to create. It might make YOU feel uncomfortable and thus compromised in your ability to work well. It might be coming out of YOUR need to share and not the needs of the person with whom you re working. It might be forbidden in the setting in which you work. It might not be consistent with the way in which you work. It might be the wrong time to do so. OTHERS?? A Few Good Resources Corrigan, P., and Lundin, R. (2001). Don t call me nuts!: Coping with the stigma of mental illness (pp ). TinelyPark, IL: Recovery Press. Corrigan, P. (2003). Beat the stigma: Come out of the closet. Psychiatric Services, 54(10), Fisher, D. (1994). A psychiatrist s gradual disclosure. New York State, Office of Mental Health, OMH News, 6(9), 16. Available at or at Frese, F. III, Stanley, J., Kress, K., and Vogel-Scibilia, S. (2001). Integrating evidence-based practices and the recovery model. Psychiatric Services, 52, (accessed April, 2008) Goldberg, S.G., Kileen, M., and O Day, B. (2005). The disclosure conundrum: How people with psychiatric disabilities navigate employment. Psychology, Public Policy, and Law, 11(3), Jamison, K.R. (1997). An unquiet mind: A memoir of moods and madness (pp ). New York: Knopf. SAMHSA document on self-disclosure: ZurInstitute course on self-disclosure: Other Disciplines 14

15 Questions and Discussion A short quiz on this webinar is now available on the International Association of Peer Supporters website: If you complete the quiz, a certificate will be mailed to you (U.S. Postal Mail) within 3-4 weeks. Other Disciplines 15

16 Our thanks to Peter Ashenden and Optum for their ongoing support of this webinar series and their dedication to quality in the practice of peer support. Other Disciplines 16