Transcript Title page with lifestyle image

Recovery Support Services
Kelly Champ, Northeast Regional Vice President, Optum Specialty Network Services
Peter Ashenden, Director of Consumer and Family Affairs, Optum
January 30, 2015
Introductions
 Name:
Let us know who you are?
 Where: Let us know where you are located?
 What: Let us know what you do in your work place?
 Why: Let us know what your expectations from today’s
overview are.
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Objectives
Increase knowledge of
Recovery Support services for
Addiction.
Understand the differences
between Recovery Support
services and mutual aid
groups.
Illustrate Engagement Tools
for those Seeking or are in
Addiction Recovery.
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New SAMHSA Definition
Working Definition
of Recovery
A process of change through which individuals
improve their health and wellness, live a self-directed
life, and strive to reach their full potential.
Four major domains
that support recovery:
Principles of Recovery
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Person-driven
Occurs via many pathways
Is holistic
Is supported by peers
Is supported through relationships
Is culturally-based and influenced
Is supported by addressing trauma
Involves individual, family, and
community strengths and responsibility
 Is based on respect
 Emerges from hope
Health: Overcoming or managing one's
disease(s) as well as living in a physically
and emotionally healthy way.
Home: A stable and safe place to live.
Purpose: Meaningful daily activities, such as
a job, school, volunteerism, family
caretaking, or creative endeavors, and the
independence, income, and resources to
participate in society.
Community: Relationships and social
networks that provide support, friendship,
love, and hope.
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The Pillars of Peer Support
Five Core Tenants of the Pillars of Peer Support
1.
2.
3.
4.
5.
Education
Certification
Employment
Professionalism
Community
Advocacy
Daniels, A., Bergeson, S., Ashenden, P., Fricks, L., Powell, I.,
 Pillars of Peer Support: Advancing the Role of Peer Support Specialists in
Promoting Recovery
The Journal of Mental Health Training, Education and Practice (2012)
Pillars of Peer Support (POPS)
Phase 1
• Developed the 25 Pillars of Peer Support (States billing Medicaid)
Phase 2
• Promoted Peer Support Services in states that do not bill Medicaid for
reimbursement
Phase 3
• Whole Health Peer Support Services and Health Reform
Phase 4
• (9/2012) Establishment of Standards for Excellence in Peer Support
Services
Phase 5
• (2013) The Role of Peers in Building Self-Management with Mental
Health, Addiction and Family/Child Health Settings
Phase 6
• (10/2014) Effective Supervision of Peer Specialists
Pillars of Peer Support reports are available for download at: www.pillarsofpeersupport.org
What Are Peer Coaches?
 Peer recovery coaches balance three overarching services roles:
1. Personal guide and mentor for individuals in or seeking recovery
2. Connector to instrumental recovery support resources which includes housing,
employment and professional and non-professional services
3. Liaison to formal and informal community supports, resources and recovery
supporting activities
 The peer recovery coach highlights his/her own “lived” experience.
 Family members may also be qualified as peers.
 Peer coaches should have specific knowledge and skills that enable them to
develop peer practice in ways that help and do not harm, and are authentic
process and path of recovery, as determined by the person that is served.
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What Roles do Peer Coaches have in the system?
They are NOT:
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A physician
A talk therapist
A case manager
They are/can be:
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A support system
A role model
A provider of hope
A coach for WRAP or other engagement tools
A translator between “doctor talk” and the consumer
A cheerleader
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Why use a Peer Coach as a part of a Healthcare team?
 Isolation: These are illness of isolation, when we isolate we get worse.
A peer supporter can reduce isolation and connect consumers with other peers.
 Support: Often we have stressed family and friend relationship because of
the symptoms of the illness. A peer can provider support and access to other
peers for needed support.
 Internal stigma: These are also illnesses of shame. A peer can normalize the
experience and reduce the internal stigma that gets in the way to staying in
treatment.
 External stigma: Society still sees mental illnesses are frightening and
shameful Having a peer who is in recovery can reduce the fear of external
stigma.
 Hope: Having a role model of a peer who has been there and has moved into
wellness is a powerful symbol of hope for consumers struggling with symptoms.
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Who Qualifies for the Peer Coaching Services?
The member has a severe and persistent behavioral health condition or substance
related disorder, and any one of the following criteria are met:
The member has
difficulty accessing
behavioral health
or medical care
• Mbr primarily relies on emergency
room services
• Mbr has had 2 or more inpatient
admissions within the last year (MH)
• Mbr has had 2 months or greater
LOS in IOP and/or 2 or more tx
episodes in a 12 month period (SA)
The member is
being discharged
• From a lengthy stay in a hospital or
facility-based program
• Or being released from incarceration
The member has
difficulty managing
activities of daily
living including:
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Personal finance;
Personal hygiene;
Nutrition and meal preparation
Home maintenance;
Childcare; or
Legal, housing, transportation, and
other community service needs
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Who Qualifies for the Peer Coaching Services?
The member has a severe and persistent behavioral health condition or substance
related disorder, and any one of the following criteria are met:
The member has
difficulty
maintaining
• employment
• or meeting educational
goals
The member lives
in an unsafe
environment
• Homeless
• Group Home
• Shelter
The member
doesn’t have family
or social supports
• or they are unable to help
the member utilize care
• or manage the member’s
behavioral health condition
or substance related
disorder
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Overview of Peer Support Services and Recovery
In this model, the Peer:
 Helps the consumer with the development of their goals
 Supports the consumer in creating and implementing health strategies
 Monitors progress toward the goals
 Helps the consumer brainstorm to overcome barriers
 Acts as facilitator, teacher and coach, and provides encouragement
 For example, if the consumer's health goals are to eat three low fat meals a
day, the peer coach may help them find some resources for recipes, might
help them plan a week of meals and help them shop, might help them cook,
might check in each day to see what barriers they are facing
 Or, if the consumer wants to add wheel chair exercises each day, the peer
finds a resource to teach the exercises, helps the peer set up a routine that
works for them, does the exercise with the peer several times, checks in each
day on how they are doing
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Engagement is THE Key to SUCCESS!
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Valuable Methods of Engaging an Individual
 Meet the person where they are comfortable in the community
 Let them know that you too are a person with the lived experience of a
substance use issue
 Using the person centered assessment support the development of the
recovery plan
 Identify the resources to meet the recovery goals
 Provide linkage and support with needed resources to meet the recovery goals
 Average length of stay is 3 to 6 months
 Average face to face time with the individual is 3-5 hours per week and is
subject to the needs of the person
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What are the Advantages of Engagement?
Recovery Support Services are social vehicles for recovery.
These services help people initiate and maintain recovery and
enhance their quality of life by:
 Improving health and wellness
 Building recovery capital (internal and external supports that reinforce recovery)
 Helping individuals play an active role in managing their recovery
 Improving health and recovery outcomes in diverse communities
 Reducing relapse rates
 Lifting barriers and increases access to medical and other supportive services
 Reducing the onset, duration and intensity of symptoms associates with several
addiction in adults and at-risk children and adolescents
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Advantages of Engagement to Recovery Supports
Recovery Planning focuses on these major components:
 Recovery from substance use (abstinence)
 Living and financial independence
 Employment and education
 Relationships and social supports
 Medical health
 Leisure and recreation
 Independence from legal problems and institutions
 Mental awareness and spirituality
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Peer Recovery Support Services
Develop the capacity and infrastructure of the organized
recovery community to become a full partner and
participant
Explore range of options regarding paid and volunteer
peers
Expand Peer Recovery Support Services (PRSS) and
increase service menu options and points of access
Integrate Peer Recovery Support Services (PRSS) into
recovery community and diverse service settings, including
treatment
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Recovery Supports
Addiction Recovery Support distinguishes the singular goal toward which all
efforts are directed.
Recovery involves three critical elements:
A. Sobriety (abstinence from alcohol, prescribed medications, and unprescribed
drugs)
B. Improvement in global health (physical, emotional, relational, and
ontological—life meaning and purpose)
C. Citizenship (positive participation in and contribution to community life)
Support involves the provision of informational, emotional, instrumental,
and/or affiliation.
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Where are Peer Support Services Located?
 Recovery Community Organizations
 Recovery Community Centers
 Faith Based Organizations
 Recovery Schools
 Criminal Justice Systems
 Emergency Room Departments
 Recovery Houses / Oxford Houses
 Addiction and Mental Health Agencies
 Recovery Ministries
 Access to Recovery Grants
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