peer support: state credentials, continuing education, and ... · demographic data / academy of...

Peer Support: State Credentials, Continuing Education, Recruitment, and Retention

Broadcast on January 6, 2020

Rutgers Faculty: Amy Spagnolo and Rita Cronise 1

Rutgers, The State University of New Jersey

Peer Support: State Credentials, Continuing Education, and Retention/Recruitment Strategies

Amy B. Spagnolo & Rita CroniseFebruary 6, 2020

Member Support ServicesYou can always contact us with any issues

you may have. Weʼre eager to help.

Neal Comstock, Director of [email protected] | 202-748-8793

Joel Nepomuceno, Membership [email protected] | 202-774-1668

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NatCon20.orgDownload the NatCon20 Preliminary Program and discover more incredible speakers,

workshops, tracks, engagement opportunities and more online at

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Peer SupportState Credentials, Continuing Education, and Recruitment & Retention Strategies


PresentersDr. Amy B. Spagnolo & Rita Cronise

Rutgers the State University, Department of Psychiatric Rehabilitation and Counseling

Professions

Rita Cronise, M.S.Amy B. Spagnolo, Ph.D.

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Roles Certification Hiring Continuing Ed

Objectives

What is a Peer Support Specialist?

• Life altering lived experience• Training in core competencies• Regular supervision

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Where do Peer Support Specialists work? • Peer-run organizations• Behavioral health• Housing• ACT• VA• Advocacy• Crisis response• Criminal justice• Supported employment

How are they paid?

• Long tradition of volunteerism (WOC)

• 1980’s: Community Support Program (CSP)

• 2007: Reimbursement from Medicaid CMS

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Peer-Run Respite Funding

Source: 2018 PREF (Peer Respite Essential

Features) Survey Program Operations Report: Funding,

Staffing, Evaluation

(Live & Learn, 2019)

How is Medicaid Reimbursement used?

1. Medicaid State Plan Amendment

2. Waiver Programs

Open Minds, 2019

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Medicaid Guidance to the States

Peer providers should be self-identified consumers in recovery from mental health and/or substance use disorders

1) Training and credentialing2) Care Coordination3) Supervision

Letter from the CMS Director, 2007

Peer Specialist Training and Certification Programs: A National Overview.

Texas Institute for Excellence in Mental Health (TIEMH), School of Social Work, University of Texas at Austin.

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Updates (2020):AR = YesCO = YesNV = YesOH=In DevelopmentCA=New Legislation

Peer Specialist CertificationU.S. Government Accounting Office Report

(US GAO, 2018)

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Appendix: Medicaid

Reimbursement for Peer Services

Beyond CertificationTechnical Assistance, Conferences, and

Communities of Practice

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SAMHSA Mental Health Consumer Technical Assistance Centers*

* Subject to change

National Peer-Led Associations and Advocacy Organizations

Formerly the International Association of Peer Supporters (iNAPS)

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SAMHSAAddiction Recovery Support

Technical Assistance *National Recovery Institute

at Faces and Voices of Recovery

*National Peer-Run Center for Addiction Recovery

National Allies (Not Peer-Run)

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SAMHSATechnology

Transfer Centers

Addiction, Mental Health and Prevention

National Peer Conferences

*In 2020 Peerpocalypse and Alternatives are collaborating to offer the conference together

Peer Support Canada National Conference on Peer Support, June 25 & 26, 2020

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National Conferences by Allies (Not Peer-Run)

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NatCon20.orgDownload the NatCon20 Preliminary Program and discover more incredible speakers,

workshops, tracks, engagement opportunities and more online at

Communities of Practice

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One of the most vital ways we sustain ourselves is by building communities;

places where we know we are not alone.

– bell hooks

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Entering or Re-Entering Higher Education

What is the Academic Career Ladder for Peer Support Specialists?

Peers are Entering or Re-entering Higher Education

• First Career• Change in Career• Career Advancement• Moving into Supervision

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Demographic Data / Academy of Peer Services (2015 - 2018)

Education Prior to Enrollment

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500

1000

1500

2000

2500

3000

3500

4000

Graduate Bachelor Associate Some college High school

n %

24%

31%

20%

Graduate Bachelor Associate Some College High School

11% 14%

First career?Continuing education may include steps on the rung of an academic ladder.

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Undergraduate Certificate in Peer Support

Changing careers?

Even more rungs may be available on an academic career ladder.

Here are some options.

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Behavioral Health

Recruitment and Retention

Strategies for Employers of Peer Support Specialists

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Retention Strategies

• Clear job descriptions

• An accepting culture

• Supervisor understands the role (preferably having been one)

• Living wage• Career ladder

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Resources for Hiring, Supervision, and RetentionNew York City

Workforce Integration of Peer and Community Health Worker Roles: A needs-based toolkit to

advance organizational readiness

PhiladelphiaPeer Support Toolkit

SUMMARY

The State of Peer Support Workforce: Certification and Funding

Continuing Education and Communities of Practice

Entering or Re-Entering the AcademicCareer Ladder

Recruiting and Retention Strategies

Peer SupportMaking a Difference

www.aps-community.org

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Contact InformationAmy Spagnolo, Ph.D.

[email protected]

Rita Cronise, [email protected]

Rita Cronise, M.S.Amy B. Spagnolo, Ph.D.

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