Cross-State/Program FEP Learning Exchange: Incorporating Individuals with Lived Experience into First Episode Psychosis Programs April 27, 2017
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Cross-State/Program FEP Learning Exchange:Incorporating Individuals with Lived Experience
into First Episode Psychosis Programs
April 27, 2017
Disclaimer
The views, opinions, and content expressed inthis presentation do not necessarily reflect theviews, opinions, or policies of the Center forMental Health Services (CMHS), the SubstanceAbuse and Mental Health ServicesAdministration (SAMHSA), or the U.S.Department of Health and Human Services(HHS).
Agenda
• Address Housekeeping Issues
• Welcome and Poll Questions
• Introduction of Presenters
• Sascha Altman DuBrul
– Introduction to the OnTrack Peer Specialist Role
• Dana McCrary & Chad Jones
– State of Georgia’s Support for the Inclusion of Individuals with Lived Experience
– Incorporating Individuals with Lived Experience in ViewPoint Health’s FEP Program
Sascha Altman DuBrulRecovery Specialist and TrainerOnTrackNY and the ACT InstituteCenter for Practice Innovations at the New York State Psychiatric Institute
Introduction to the OnTrackNYPeer Specialist Role
The Peer Specialist role in an OnTrackNY team is
held by someone who has first-hand experience
with emotional and/or mental distress (often called
“mental illness”) and who has actively engaged in
a process of self-discovery and/or recovery related
to those struggles.
Who is the Peer Specialist?
Peer Specialist
Perspective
Clinical Perspective
OVERLAP
Peer/Clinical Perspective
Distinctions
Peer Specialists as Part of the OnTrackNY Team
Working as part of a team allows for productive synergy to take place between the clinical and peer roles, helping to support and define each other, while positively influencing one other’s perspectives and cultures.
Phase 1: Outreach, Engagement and Bridge
Builder
Phase 2: Relationship Building, Non-
Traditional Understandings of Psychosis, and
Co-Creating Support and Wellness Tools
Phase 3: Identification of future needs and
services transition
Three phases of
OnTrackNY as it
applies to Peer
Specialists:
Dana McCrary & Chad JonesGeorgia DBHDD ViewPoint Health
FAMILY RECOVERY: THE IMPACT OF PARENT & YOUTH
PEER SUPPORT SERVICES
Georgia Parent & Youth Certified Peer Specialist
13Georgia Department of Behavioral Health and Developmental Disabilities
Georgia: Brief History
1999
First Medicaid
Billable Peer Support Service
2001 Adult Mental Health
Certification
2006NASMHPD Mortality Report*
2007Addition of
Wellness Elements
to Peer Support
Definition
2007 CMS State Medicaid Directors
Transmittal
**
2007CMS PRTF Demo
Waiver for
Parent and
Youth Peer
Support
2010Medicaid CHIPRA Grant to develop Parent
and Youth Peer
Support
2012Medicaid Approval for Peer Support Whole Health
2012Medicaid Approval
for Addictive Disease
Peer Support
2013 BIP and MFP for Parent
and Youth Peer
Support
2017Medicaid
State Plan
Approval for
Parent and
Youth Peer
Support
State Event
National Event
* http://www.nasmhpd.org/sites/default/files/Mortality%20and%20Morbidity%20Final%20Report%208.18.08.pdf
** https://downloads.cms.gov/cmsgov/archived-downloads/SMDL/downloads/smd081507a.pdf
14Georgia Department of Behavioral Health and Developmental Disabilities
DBHDD INITATIVES that paved the way and weConnected THE WORK
Breaking Ground
Georgia is the first state to develop
curriculum, training and
certification for adult peer support
CPSs/CARES
Georgia embraces System of Care Philosophy and
Values
CBAY
• High Fidelity Wrap Training
• Peer Support embedded in the team/process
• Supporting Family Recovery at Home and in the Community
HTI
• Serving Young Adults & their Families
• Growing Services to meet the needs of Transition Age Youth/Families
• Making Sure Georgia Youth/Families receive services the whole life cycle
SUICIDE
PREVENTION
• Funding Adult & Youth Mental Health First Aid Train the Trainer for Parents/Young Adults
• QPR
Addictive
Disease
Integration of MH/SA
15Georgia Department of Behavioral Health and Developmental Disabilities
Development of a network of credentialed Parent and Youth Peer Support Specialists
Identification of targeted workforce
Create a foundation of effective, knowledgeable families/youth who are potential candidates for future certification.
Create forum for families/youth to identify and articulate family needs to be addressed by Certified Parent/Youth Peer Specialist (CPS-P/CPS-Y)
Build certification and curriculum
Develop a credentialed network of family and youth Certified Peer Specialists
Develop statewide payment mechanism
Modify standards and policies to support use of new workforce
Identify facilitator/consultant to help guide the work
“Tilling the soil” strategy for preparing the workforce to embrace these new professionals
16Georgia Department of Behavioral Health and Developmental Disabilities
Youth Certified Peer Specialist (CPS-Y)
Youth Certified Peer Specialist – An individual who is a young adult, ages 18 through age 26, with lived experience who received behavioral health services as a youth, and is
willing and able to self-identify as a person who has or is receiving behavioral health services and is prepared to use that experience in helping others.
Candidates must be 18-26 years of age;
Have a diagnosis of mental illness, substance use disorder, or a dual diagnosis; and a strong desire
to identify themselves as a person living with a behavioral health condition; (current or former
person receiving behavioral health services);
Be able to advocate for themselves;
Have a high school diploma or GED.
Be able/willing to actively seek and manage their own appropriate care; and
Be able to share their own personal story in a safe and appropriate way.
17Georgia Department of Behavioral Health and Developmental Disabilities
Parent Certified Peer Specialist (CPS-P)
Parent Certified Peer Specialist – Is the parent or legal guardian (in a permanent relationship for at least 3 years) of a child who is living with a mental health, substance use or a co occurring diagnosis who provides support to other parents who are raising a child
with similar behavioral health conditions.
o Candidates must be the parent or legal guardian of a child living with mental illness, substance use and/or co-occurring diagnosis;
o Currently employed providing Peer Parent Support ; or
o Currently employed in the public sector Behavioral Health system as a paraprofessional and have the desire to distinguish themselves as a Parent CPS-P; or
o Have related experience serving youth and families through participation in community volunteering, support groups, family organizations and/or advocacy;
o Experience Navigating Complex Public Health or Child Serving Systems;
o Be able to share their own personal story in a safe and appropriate way;
o Have a high school diploma or GED.
18Georgia Department of Behavioral Health and Developmental Disabilities
Approximately
2,642 Certified
Peer Specialists
are certified in
Georgia.
Current Georgia CPS Workforce
450+
13031
1555
439
CPSs
Adult MH
Adult AD
Parent
Forensic
Youth
Whole
Health
37
19Georgia Department of Behavioral Health and Developmental Disabilities
Cultivating A Workforce that Respects and Values Each Others Roles
• Parent/Youth CPS role is not interchangeable with traditional staff that works from the perspective of their training and status as licensed health care providers.
• Parent/Youth CPSs work from the perspective of "having been there." Through their lived experience they lend unique insight into mental illness and what makes resilience and recovery possible
• Parent/Youth CPSs have an equivalent voice with other professional practitioners
• Creating balance and cohesion on the team between the youth/family served, professionals, and parent practitioners
Child/Family + Peer Specialist + Health Practitioner = Clinical Team
20Georgia Department of Behavioral Health and Developmental Disabilities
Lessons Learned
Prioritize wellness and self care
Both parent and young adult peers will need access to continued educational, training and coaching .
Prepare to support participation through providing food, stipends, transportation and creating child friendly meeting environments.
Develop mechanism to connect the network of parent and youth professions to their peers - Certified Peers still need support.
21Georgia Department of Behavioral Health and Developmental Disabilities
Where We Are Headed
Create a toolkit the will assist providers and agencies in recruitment, retention, utilization, supervision and building more effective partnerships with people in recovery
Work with providers to create a recovery oriented culture and supported environment
Create tools, training and coaching to enhance CPS-Y/CPS-P competencies
Expand peer support throughout the BH system
22Georgia Department of Behavioral Health and Developmental Disabilities
Dana McCrary, DBHDD
Office of Recovery Transformation & Office of Children, Young Adults & Families
Presenters
TECHNICAL ADVISOR
Wendy White Tiegreen, Director DBHDD
Office of Medicaid Coordination & Health System Innovation
View Point Health
Board RetreatIntroducing
Lived Experience in First Episode Services
The Reason
View Point Health believes youth and young adults participate better in strengths-based care when peer-
to-peer interactions and supports are available.
The interactions enhance individual’s ‘voice and choice’, self-advocacy and sufficiency skills; and an
understanding of behavioral health challenges.
The Reach
View Point Health offers youth and young adult peer-to-peer choices around gender, personal needs and
age appropriateness
View Point Health and the FAVOR offer:
• Family peer support and advocacy (CPS-P)
• Young adult peer-to-peer support (CPS)
• Youth peer-to-peer support (CPS-Y)
FEP Technical Assistance Resources
• A series of TA materials related to First Episode Psychosis are available on the NASMHPD website at https://www.nasmhpd.org/content/information-providers.
• NRI will be reaching out to states soon to update the Snapshot of State Plans for Using the MHBG Ten Percent Set Aside for First Episode Psychosis.https://www.nasmhpd.org/sites/default/files/Information%20Guide%20-%20Snapshot%20of%20State%20Plans%20Revision_0.pdf
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