Resource - Indiana Rural Health Association
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Transcript Resource - Indiana Rural Health Association
Indiana Certified Recovery Specialist
CRS
A “new” designation of Community Health Worker
(CHW)
Not clinicians, “I Am The Evidence”- adding
experiential knowledge to the array of services
Not to lighten work load of others, specific role to fill
Not inexpensive way to provide care, beware of coopting, can be a career ladder
Peer Support is Peer Support- that’s what it is
Behavioral Health Peer Support in Rural Indiana
for Employers
Workforce development continues to be a critical issue
in rural areas
Limited availability of trainings, trainees, expense
Economic limitations, reimbursement for services
Workforce development, centralized data collection,
utilization of outcome measures, updating materials.
Integration into continuum, array of services
Development and support- insuring everyone who
chooses to has access to peer support
Behavioral Health Peer Support in Rural Indiana
for CHW/CRS
Transportation to trainings, and for work
Availability of trainings/costs of trainings
Reimbursement rates limit employment opportunities
for peers
Accommodating peers who have limitations regarding
a choice of supporters
Access to work improvement trainings
Meeting the Challenge
3 day training Indiana State Certified Community Health
Worker. Open to the public, based on availability
2 additional days for the Indiana State Certified Recovery
Specialist designation for those who qualify
Follow-up opportunities for qualified persons in Substance
Abuse, Gambling Addiction, other Specialties
Ongoing availability of free CEUs (21 hours available, 14 hours
required)
Monthly conference calls, archived webinars, conferences and
workshops
Continued work with employers, promotion of peer support as a
value added service, beginning to gather data, “keeping an ear to
the ground” to stay abreast of changing challenges and
opportunities
Meeting the Challenge
Education for employers on Peer Recovery Services as
defined by Indiana’s MRO program
Assisting in understanding reimbursement rates
Understanding workforce development
Periodic trainings, archived webinars
Work place preparation, supervision, integration
Participation
in Recovery Oriented Systems of Care
Mechanisms for CHW to provide their unique
contributions in planning and development, being
major decision makers in policy, innovators in the
workplace
A flexible workforce, moving seamlessly through
healthcare delivery, able to adjust to a wide variety of
environments
Ensuring availability of updates for a continuously
improving and expanding workforce
Are CRSs also CHWs?
Do not provide clinical care
Most do not hold another license
Experiential knowledge is key to success
Intense involvement in relationship building
Relate as peers
Achieve what others cannot
CRSs as CHWs
Role in integrated care
Role in dual diagnosis treatment
Other Emerging Specialties
Housing
Forensic
Family
Veterans
Addiction
Integrated Peer Workforce
“Leveraging community health workers is an
evidence-based practice known to improve overall
public health,” said Gregory N. Larkin, M.D.,
former Indiana State Health Commissioner
The CHW umbrella encompasses many job titles
including Certified Recovery Specialist, Care
Transition Coordinator and Patient Navigator.
Health Care Reform
Focus on health care homes (including person-
centered care and shared decision-making)
Inclusion of patient navigators (“community
members who are trained in strategies to connect
individuals to care, to help them overcome barriers
to receiving care, and to assist them in various other
ways through their course of treatment”)
Behavioral Activation
Helping people prepare for health care visits and
ask questions
Identifying and setting health-related goals
Planning specific action steps to achieve goals
Encouraging exercise and good nutrition
Assisting in daily management tasks and problemsolving
Providing social and emotional support and
feedback
How to calculate return in an
Accountable Care Environment?
Consider reimbursement against real cost
Consider gains in reduction of missed
appointments, in-patient service utilization,
medication compliance
Consider improvement in efficient use of staff time
as evidenced by preparation for meaningful
appointments with clinicians and prescribers
Distribution of CRSs
“It’s not—like you might think—that you don’t
have the money to offer recovery support
services, but rather that you don’t have the
money not to offer them.”
- Keith Humphreys
Positive Health Outcomes
Decrease in high-risk behaviors for HIV
Decreased infant mortality
Decreased psychiatric symptoms
Significant decreases in HbA(1c), body mass index,
total cholesterol, LDL cholesterol, and systolic and
diastolic blood pressure among persons with
diabetes
(Davidson, 2012)
More Positive Outcomes
Increased rates of engagement and retention
Improved trust and communication between
patients and health care providers
Improved adherence and self-care
Improved quality of life
(Davidson, 2012)
To Summarize
Indiana has a strong Certified Recovery Specialist
Program that has been noted nationally as an
exemplary program.
(Pillars of Peer Support 2011)
The peer services movement continues to grow
and diversify.
The provision of peer services adds value to a
recovery-oriented system of care.
Evidence base is growing along with expansion of
peer workforce.
Health care reform represents an unprecedented
opportunity to solidify the role of peers in mental
health and whole health.
Questions?
Bruce Van Dusen AAS
[email protected]
317-232-7912