11/17/2015. Cardinal Innovations Healthcare Solutions Peer Support & Peer Bridger Pilot. Disclaimer. What Is Peer Support?

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1 Cardinal Innovations Healthcare Solutions Peer Support & Peer Bridger Pilot Disclaimer Information provided in this presentation pertains only to the counties in the Cardinal Innovations Healthcare service area. This information is specific to the Cardinal Innovations service area and may not apply to other organizations, providers, stakeholders or individuals outside the Cardinal Innovations service area. Presentation slides are brief, bullet-points of information and should not be used out of context. Copyright 2015 Cardinal Innovations Healthcare Solutions. All rights reserved. What Is Peer Support? Peer support services are an evidence-based mental health model of care which consists of a qualified peer support provider who assists individuals with their recovery from mental illness and substance use disorders. CMS recognizes that the experiences of peer support providers, as consumers of mental health and substance use services, can be an important component in a State s delivery of effective treatment. 1

2 (b)(3) Medicaid Service Who is it for? Adults with Mental Health and/or Substance Use/Addictive disorders Who provides the service in NC? Peers who are in recovery for at least one year and who have had a minimum of 60 hours of training and have been certified by BHRP, School of Social Work, UNC, Chapel Hill, NC hired by designated provider agencies Benefits of Peer Support for Individuals Increased hope Increased participation in services, including partnership with clinical staff Engagement in active self-directed recovery Increased responsibility for own wellness Reduction of recidivism Wilma Townsend, Employing Consumers in the Work Place 2/2008 Research Peers working on a team with a case manager was associated with fewer major life problems and greater gains in social support. (Chinman et al., 2000; Solomon & Draine, 1995) In a study of one to one peer support for those with 2

3 Efficacy Consumer Delivered Services in Drop-ins and Living Rooms are associated with increased quality of life, enhanced social support, and problem solving. (Mowbray & Tan, 1993) Peer-led mental health groups are associated with decreased symptoms, increased coping skills, and increased life satisfaction among long-term members (Davidson, 1999; Chamberlain, 1996; Humphreys, 1997; Raiff, 1984) Efficacy There is an inverse relationship between peer services for co-occurring mental health and substance use disorder needs. The longer the services, the lower the sense of isolation and brooding, and the higher the level of community support seeking In a study of 4,000 people with co-occurring disorders who were also homeless, longer services resulted in less substance use and mental distress and greater levels of well being. (Gonzalez and Rosenheck (2002); Laudet et al., 2000) State Certification Requirements Application and approval through UNC Chapel Hill School of Social Work, Behavioral Health Resource Program Job history and employment goals Two personal reference forms Certificate showing completion of 40 hours of state approved peer support specialist training Certificate(s) of completion of 20 hours of training related to peer support 3

4 Recertification Certified Peer Support Specialists (CPSS) are required to renew certificate every two years Obtain 20 hours of training within two years (continuing education and/or in service) pertaining to skills development and delivery of services Information on certification is at: (919) Peer Support Services help Individuals to: Find solutions to life s current problems Develop a network of contacts or resources Write a letter or make a phone call about an issue related to their illness, well-being, landlords, bills, family obligations Gain information about pre-employment, employment, getting a GED, or going back to college Maintain skills in an external social setting or organizing daily life and medications More Services Helping make appointments and be proactive in whole health care Assisting with a personal crisis plan and/or a Psychiatric Advanced directive or WRAP Assisting in learning how to maintain stable housing Assisting in locating improved housing situations 4

5 Where do Peer Support Specialist work? Comprehensive Community Clinics Assertive Community Treatment Teams(ACTT) Community Support Teams Psychosocial Rehabilitation Centers (PSR/ Clubhouses) Hospital Inpatient and Emergency Departments Facility Based Crisis Centers Mobile Crisis Units Cardinal Innovations Peer Bridger Pilot History of Peer Bridger in North Carolina Wake County developed a Peer Bridger program 2003 run by Preferred Alternatives, Inc. Alamance Regional Medical Center and RHA Behavioral Health s Peer Bridger program

6 Peer Bridger Pilot Discharge teams educated on Peer Support Engage Individuals via referral provider list to have Certified Peer Support Specialist meet on the day of discharge from crisis site Follow with Peer Support services for 6 months or more Reduce use of crisis services Track outcomes with Recovery Assessment Scale every 90 days Recovery Components Empowerment to manage own recovery journey Support from not only the Certified Peer Support Specialist but also from building natural supports Education about illness Advocacy Meaningful employment Peer Support Bridger Guidelines The Certified Peer Support Specialist (CPSS) will start with coordination of care with the provider before the Individual is discharged The Certified Peer Support Specialist (CPSS) will be available to the Individual during normal business hours Monday through Friday 6

7 More Guidelines The CPSS will be provided with an office for consumer interviewing, working on pre-and post-crisis plans, and Wellness Recovery Action Plans (WRAP) although the majority of the service will occur in the community per service definition requirements Supervision will be given by a Qualified Professional (QP) Guidelines The CPSS will not assume the role of First Responder nor will they be on call after business hours. Crisis backup will be provided by the resources of the service provider, the Cardinal Innovations Access Line, and Mobile Crisis The PSS will be part of the treatment team. The main function of the CPSS on this team is to aid and oversee the transition from hospital to recovery, to act as a guide, advocate, and educator Considerations The CPSS will administer the Recovery Assessment Scale-Short Form to all consumers within the first 3 visits and every 90 days and submit to the LME/MCO Providers should develop WRAP, Patient Advance Directives (PAD), Crisis Plans as appropriate There will be a written job/role description provided by the employer for the duties of the CPSS with specialized training for post crisis settings 7

8 Questions and Discussion 8