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APS Virtual Learning Community - AMA-03 Tale of Two Consortia

6/20/2018

APS VLC: www.aps-community.org 1

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Ask Me Anything: Online LiveA Tale of Two Consortia

June 20, 2018 | 2:00 – 3:00 pm

Academy of Peer ServicesVirtual Learning Community

REGIONAL PLANNING CONSORTIUMS

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ASK ME ANYTHING A TALE OF TWO CONSORTIA

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AGENDA

• Welcome / Introductions• RPC Overview (101)• Regional Activities• How to Get Involved!

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Introductions

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Alexis Harrington, Capital Region

Peter Griffiths, North County

Emily Hotchkiss-Plowe, Southern Tier & Mohawk Valley

Margaret Varga,Western New York

Maryam Zoma, New York City RPC

Project Director


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REGIONAL PLANNING CONSORTIUMS

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RPC 101 – WHAT IS AN RPC?

What is Medicaid Managed Care?Traditional Medicaid Structure Medicaid Managed Care

State State

Managed Care Organizations (Insurance Companies)

Community Organization

Mental Health Clinic

Hospital

Community Organization Mental Health Clinic Hospital


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REGIONAL PLANNING CONSORTIUMSPURPOSE & OBJECTIVES

The purpose of the RPC is:“The RPC will work closely with State agencies to guide behavioral health policy in the region, problem solve regional service delivery challenges, and recommend priorities for reinvestment of Medicaid

savings.”The RPCs:

• work collaboratively to resolve issues;• strengthen the regional voice; • act as an bidirectional information exchange.


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A Regional Planning Consortium (RPC) is a board (Steering Committee)including regional representation from:

REGIONAL PLANNING CONSORTIUMINITIATIVE SUMMARY

County Mental Health Directors (Director of Community Services)

Peer, Family, & Youth Advocates

Community Based Organizations

State Government Reps

Managed Care Organizations

Hospitals & Health System Providers

Key Partners

Key: VotingNon-Voting

New York City Regional Planning Consortium

• NYC RPC housed at NYC Department of Health and Mental Hygiene.• Eight Steering Groups that meet monthly, bimonthly, or quarterly. They

include representatives from a single stakeholder group. Two representatives from each Steering Group sit on the Advisory Board.

• Medicaid Behavioral Health Service Participant Steering Group includes peers. Core membership of 15 to 20 peers, advocates, and Medicaid beneficiaries.

• Two peers sit on the NYC RPC Advisory Board.• Bi-annual community Town Hall event rotated throughout the five

boroughs. Approximately 20% of attendees are peers, community members, family, and advocates.

• Will begin Youth and Family Peer Steering Group once children’s Medicaid behavioral health services transition.


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REGIONAL PLANNING CONSORTIUMSMULTI-STAKEHOLDER SUBCOMMITTEES

& PEER-RELATED ISSUESStatewide Initiatives:- Strategic Initiative: View through the Lens of the Client- Brief Community Mental Health Assessment- Timeline for the State Designated Entity- Understanding & Clarifying Role of Certified Peer Specialists- Partnering with Several Peer-Run Organizations

Regional Examples:- Mohawk Valley: COPE in the Mohawk Valley- Capital Region: Fireside Chats- NYC: Community Education, Town Halls, & Service Utilization

REGIONAL PLANNING CONSORTIUMSSTATEWIDE INITIATIVES

Statewide Examples:- Strategic Initiative: View through

the Lens of the Client

- Brief Community Mental Health Assessment

- Timeline for the State Designated Entity

- Understanding & Clarifying Role of Certified Peer Specialists

- Partnering with Several Peer-Run Organizations


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Promotes awareness & opportunities for employment for folks with lived experience & their family members through:- informational sessions, - brochures, and - development of Learning Circles.

Learning Circles are groups of people working to earn their certification at the same time. They provide support and community to people working in the peer support field.

Contact: Emily Hotchkiss [email protected] or 518-391-9260 for more information

COPE: Career Opportunities for Peer Empowerment in the Mohawk Valley

Open to people interested in:Certified Peer SpecialistCertified Recovery Peer Advocate (CRPA) Certified Addiction Recovery Coach (CARC)Youth Peer Advocate (YPA) Family Peer Advocate (FPA)

CAPITAL REGION FIRESIDE CHATSFAMILY VOICE & HOW WE’VE GATHERED

FEEDBACK• Fireside Chat Town Hall Meetings

• Held 6 fireside chat town hall meetings throughout the Capital Region (1 in each county)

• Spreading the Word:• Utilized Family & Peer Advocates• Health Homes• Care Managers• Other Children’s Providers


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CAPITAL REGION FIRESIDE CHATSFAMILY VOICE & FEEDBACK WE’VE HEARD

• Engagement• Too much paperwork to engage with families effectively• Decrease in number of contacts for families who were receiving case management before

Health Homes

• Assessments• Personal questions being asked, sometimes the first time meeting with the family• Some personal questions may bring up trauma from the past (sexuality)

• Access to Services• Families being asked if they want to access services that aren’t available (specific

examples in Greene County)

Activities Peers Have Contributed to in the NYC RPC

• Community Education Materials• Guidance and feedback on community education brochures on the Health and

Recovery Plan (HARP) and Home and Community-Based Services (HCBS) and promotional materials.

• Town Hall• Four peers on Town Hall advisory committee. • Participation in the RPC Town Hall prompting work of peers in the community and

utilization of Health Home Care Management.• Service Utilization and Improvement

• Direction on survey on reasons why members choose not to receive HCBS after completing the assessment and being approved for services.

• Development of best practices for Health Home Care Management outreach.• Case managers/Health Home Care Managers matrix.• Engagement of criminal justice involved in Health Home Care Management.


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How to Get Involved

Visit: www.clmhd.org/rpc/Peers-Family-Members_216_pg.htm

And click on the link to provide anonymous feedback!


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Like/Follow: https://www.facebook.com/COPEMOHAWKVALLEY/

Contact your Regional RPC CoordinatorCapital Region

Alexis Harrington

[email protected]

Central Region

Kathryn Molanare

[email protected]

Finger Lakes

Bethann White

[email protected]

Long Island

Michael Hoffman

[email protected]

Mid Hudson

Marcie Colon

[email protected]

Mohawk Valley

Emily Hotchkiss-Plowe

[email protected]

North Country

Peter Griffiths

[email protected]

Southern Tier

Emily Hotchkiss-Plowe

[email protected]

Tug Hill/Seaway

Beth Solar

[email protected]

Western New York

Margaret Varga

[email protected]

New York City

• Monthly NYC RPC Medicaid Behavioral Health Service Participant Steering Group Meeting: [email protected]

• Bi-Annual Town Hall: [email protected]

• Questions: [email protected]


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NYC Peer and Community Health Workforce Consortium

Implementation

Research

Engagement


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What is the NYC Peer and Community Health Workforce?

• Brief Overview

• Origin

• Goals

• And more about the process and activities of the Consortium coming

next…

Collection of Information


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Informed Product Development

1.2 1.2 1.2 1.2 2.34.7

0 2.3 1.2 2.3

20.917.4

11.617.4

12.8

4337.2 34.9

39.5 39.5

30.2

44.250

40.7 43

0

20

40

60

80

100

Recruitment processes use clearjob descriptions to outline the

distinct roles and responsibilitiesof PSCHWs that complement theroles and responsibilities of their

position

PSCHWs are encouraged to useand share their own livedexperience to support the

recovery and wellness of others

PSCHWs attend relevant andappropriate staff meetings andcase conferences for the people

they support

PSCHWs are given theopportunity to meet, exchange

ideas and/or network with othersin similar positions

PSCHWs are provided with thetechnology and designated workspace they need to perform their

jobs

PERC

ENT

Assessing Current Practices:Responses of Provider Organizations

Strongly Disagree Disagree Neither Agree or Disagree Agree Strongly Agree

When considering your program’s readiness for integration of Peer Support and Community Health Workers (PSCHWs), please indicate how much you agree or disagree with each of the statements below (n = 86)


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2.3 5.8 2.3 2.3 2.38.1 12.8

05.8 2.3

17.4

36

15.122.1 22.1

41.9

27.9

46.5 45.338.4

30.2

17.4

3624.4

34.9

0

20

40

60

80

100

Program administration has adequate knowledge and

access to training resources to improve integration of PSCHW’s in the workplace

Supervisors have worked aspeer support or communityhealth workers in the past

Supervisors have beeneducated about the roles of

PCHWs and about theirrole-specific supervision

needs

Other staff who interactwith PSCHWs have beeninformed about PSCHW

values, roles andresponsibilities

All levels of staff have beenmade aware of how peersupport and community

health services align withagency mission, values and

philosophy

PERC

ENT

Strongly Disagree Disagree Neither Agree or Disagree Agree Strongly Agree

When considering your program’s readiness for integration of Peer Support and Community Health Workers (PSCHWs), please indicate how much you agree or disagree with each of the statements below (n = 86)

Assessing current practices:Responses of provider organizations (continued)

Provider Organizations:Most Significant Barriers to Workforce Integration

Percentage of Provider Organizations per barrierPercentage of Provider Organizations per barrier

35%

5%2%

7%

39%

9%3% None of the above or N/A

Unsure of the value that these workerswill add to programComplicated reimbursement structures

Amount of time/resources requited totrain staff on new models of careLow fiscal or funding resources

Lack of clarity of peer support andcommunity health worker rolesConflicting model, framework orapproach


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38.8

4.829.1

27.3

Percent of Respondents per selectionYes

No

Maybe

NotSure/N/A

Anticipated Workforce Expansion

Does your program plan to expand its Peer Support and Community Health Workforce over the next three years

(n = 227)?

Findings and Implications While it is challenging to determine

the specific barriers in place, only 38.8% of Provider Organization respondents reported YES to plans for expansionThis suggests that barriers are in place, but that additional evaluation is needed to better identify organizational needs, which may also vary greatly

First Step: Organizational barriers must be identified and addressed


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Findings and implications (cont’)

By focusing on ways to strengthen skill sets and knowledge, capacity is expanded and collaboration is enhanced (as opposed to eliminating opportunities to hold certain responsibilities)

Build capacity across the workforce

• For all training areas, between 56- 74 percent of PROVIDER ORGANIZATION respondents reported that availability of training was appropriate for level of need

• Meanwhile, for 4 out of 8 areas of competency listed, over 17% of provider organizations reported that PS/CHWs either rarely or never held competencies

• Points to keep in mind:• Respondents are not necessarily dissatisfied with

level of competence perceived to be low• Given the view of appropriate levels of available

training, other possibilities may include:• Belief that there is no need for PS/CHWs to perform

tasks for the listed competencies• Training is available, but not required/used fully

Translation of Findings to Practice: Implementation of practices to support workforce growth



Expand availability of opportunities for advanced Peer positions (and potential supervisors or mentors) in the workforce

Compensation practices should align with advancement in the roles

Training and Supervision Practices that support advancement in skills, knowledge, and competencies

How?Need:


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Translation of Findings to Practice (cont’): Implementation of practices to support workforce growth

Identify and address organizational barriers

How?Need:

Create clear expectations for employers and employees (through job description, interview, intra-workplace preparation, and workflow re-design, etc.)

Use assessment tools, best practice guides, and toolkit resources to consider assets and needs, and to develop recommendations

Focus on dissemination of materials

• Strategies: create sub-group targeted to meet diverse interests

• Promote materials when convening of like-minded stakeholders

• Continuous strengthening and initiation of partnership with those who share similar goals

• Continuously review materials to ensure that most up-to-date and relevant resources are available

Encourage uptake of organizational recommendations

• Continue to develop plan for delivery of Technical Assistance (TA) to individual organizations

• Collect data to monitor multi-level outcomes and assess impact of TA

Next Steps


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Opportunities for Peer Connections for Recovery Peer Advocates and Addiction Recovery CoachesRegional Implementation Team (RIT): Held quarterly at OASAS field office at 501 7th Avenue, 8th Floor

For Youth Peer Advocateswww.youthpowerny.org/ypinitiatives/Peer Leader and Support Development: PLSD is a quarterly mutual support group for Youth Peer Advocates.

for Mental Health Peer SpecialistsCAB Monthly meeting – 2nd Tues Peer Workforce Coalition monthly meetingBoth at DOHMH 42-09 28th St LIC

Alumni Association of New York

Meets quarterly—contact association for details: Albert Aponte 347-226-1569 [email protected]

• Mission• The Alumni Association of New York is organized

exclusively for promoting recovery, providing recovery-based services and supporting those organizations embracing similar beliefs, principles and ideologies.

• Keeping graduates engaged, conducting research, education and informational activities targeted to families, young people and adults to encourage awareness of recovery, participation in community based organizations, and decreasing stigma. Attend Recovery Rallies and participate in events that support recovery.

Opportunities for Peer Connections (cont’)


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Connect with the Consortium

• To continue the conversation• Get more information• Explore other ways to become involved with Consortium

activities

Contact the Consortiumby email: [email protected] by phone: (347)396-4996


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Thank you!Joseph Swinford, New York

State Office of Mental Health, Office of Consumer Affairs,

our panel presenters and you!

Academy of Peer ServicesVirtual Learning Community

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