State of Georgia Department of Behavioral Health & Developmental Disabilities

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1 State of Georgia Department of Behavioral Health & Developmental Disabilities R U R A L H E A L T H L E A R N I N G C O L L A B O R A T I V E N A T I O N A L G O V E R N O R S A S S O C I A T I O N W E N D Y W H I T E T I E G R E E N, M S W A U G U S T

2 Peer Support Certification and Training Access Crisis Lines Modified EBPs Centers of Excellence Consultation Diverse/Flexible Supervision Models Telemedicine University System Partnerships Rural Behavioral Health Access Georgia Department of Behavioral Health and Developmental Disabilities 2

3 National Behavioral Health Shortage Areas Georgia Department of Behavioral Health and Developmental Disabilities 3

4 Behavioral Health Workforce Challenges Georgia Department of Behavioral Health and Developmental Disabilities 4

5 Behavioral Health Workforce Challenges

6 Strategies for Rural Access: Broad Scope of Service Georgia Department of Behavioral Health and Developmental Disabilities 6

7 Strategies for Rural Access: Broad Range of Services Georgia s Foundation: Peer Services Addictive Disease Support Services Community Support Teams Case Management Community Support Intensive Customized Care Coordination Group Skills Training Addictive Diseases Peer Support Programmatic Model Addictive Diseases Peer Support One-to-One Model Peer Mentors: State Hospital to Community Transition Youth Peer Support Programmatic Model Youth Peer Support One-to-One Model Mental Health Peer Support Programmatic Model Mental Health Peer Support One-to-One Model Parent Peer Support Programmatic Model Parent Peer Support One-to-One Model Whole Health & Wellness One-to-One Model Assertive Community Treatment Crisis Stabilization Programs Family Training Psychosocial Rehabilitation Peer Warm Line Support Health & Wellness Centers Supported Employment Community Transition Planning Georgia Department of Behavioral Health and Developmental Disabilities 7

8 Strategies for Rural Access: Train a CPS Workforce Whole Health Adult MH Adult AD 450+ CPSs 36 Youth Forensic 37 Parent 130 August 2017 Georgia Department of Behavioral Health and Developmental Disabilities 8

9 Georgia Peer Support Use FY 2016 Annual Use of FFS Units Adult Peer Support- Individual Peer Support Whole Health Total $19,329,483 Source: DBHDD ASO Payments by Service Mix - Statewide Service Date Between 07/01/2015 and 06/30/2016 Age Category: Adult;C&A Adult Peer Support- Group Georgia Department of Behavioral Health and Developmental Disabilities 9

10 Strategies for Rural Access: Train a CPS Workforce Candidates for Certification Training Identify themselves as former or current consumers of mental health or dual diagnosis services Are well grounded in their own recovery experience (varied terms of recovery, includes parents for parent-to-parent peer support) Hold a high school diploma or General Education Development (GED) diploma (including diploma earned in special education) Demonstrate basic reading comprehension and written communication Demonstrate experience with leadership, including advocacy and/or creation and/or implementation of peer-to-peer services

11 Strategies for Rural Access: Train a CPS Workforce Core Competencies Lived experience as a recovery tool Mutual support Roles and responsibilities Boundaries Ethics Documentation Treatment team participation and support Goal setting and attainment Recovery principles Cultural competence

12 Georgia: Peer Support Whole Health & Wellness CMS-Approved Language: support and coaching interventions to individuals to promote recovery and healthy lifestyles and to reduce identifiable behavioral health & and physical health risks and increase healthy behaviors intended to prevent the onset of disease or lessen the impact of existing chronic health conditions by teaching more effective management techniques that focus on the individual s self-management and decision making about healthy choices which ultimately extend the members lifespan. Georgia Department of Behavioral Health and Developmental Disabilities 12

13 Georgia: Peer Support Whole Health & Wellness Whole Health Competencies: Whole Health Action Management (WHAM) Engaging in person-centered planning to identify strengths and supports in 10 science-based whole health and resiliency factors Supporting the person in writing a whole health goal based on personal motivation and person-centered planning Supporting the person in creating and logging a weekly action plan Facilitating WHAM peer support groups which create new health behaviors Building the person s Relaxation Response skills to manage stress Building the person s cognitive self-management skills to avoid negative thinking

14 Georgia: Peer Support Whole Health & Wellness Specific Interventions Include: Skills development for sharing basic health information Promoting awareness regarding health indicators Assisting the individual in understanding the idea of whole health and the role of health screening Supporting behavior changes for health improvement Building skills on the use of wellness tools (e.g. relaxation response, positive imaging, wellness toolboxes, daily action plans, stress management, etc.) to support the individual s identified health goals

15 Georgia: Peer Support Whole Health & Wellness Specific Interventions, continued: Working with the individual in his/her selection of incremental health goals Teaching/modeling/demonstrating skills such as nutrition, physical fitness, healthy lifestyle choices Promoting and offering healthy environments and skills-development to assist the individual in modifying his/her own living environments for wellness Supporting the individual as they practice creating healthy habits Personal self-care, self-advocacy and health communication Assisting in the coaching related to disclosing history, discussing prescribed medications, asking questions in health settings

16 Georgia: Peer Support Whole Health & Wellness Health-Certified CPSs have the ability to function in a variety of settings Emergency Room FQHC Community BH Center RN providing medical technical support Health-Trained Certified Peer Specialist

17 Recommendations P A R T N E R W I T H L I V E D E X P E R I E N C E L E A D E R S H I P W I T H I N S T A T E P R E P A R E Y O U R J U S T I F I C A T I O N Local Workforce Data Outcomes/Evidence Identifying Champions T A K E I N C R E M E N T A L S T E P S ( i f n e c e s s a r y ) Identify a single certification type Identify a single service If funding mechanism allows, create pilots T A K E B O L D S T E P S ( i f p o s s i b l e )! Georgia Department of Behavioral Health and Developmental Disabilities 17

18 W E N D Y W H I T E T I E G R E E N, M. S. W. W e n d y. T i e g r e e d b h d d. g a. g o v

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