10/30/18 1 Peer Support and Supervision: Working Toward a Recovery-Oriented Behavioral Healthcare Workforce Presented by Minnesota Recovery Connection 1 What is Peer Recovery Support? • “…designed and delivered by people who have experienced both substance use disorder and recovery.” • Delivered by peers who have been successful in the recovery process • Embody a powerful message of hope, as well as a wealth of experiential knowledge • Non-clinical, uses recovery capital as a lens to help identify distinct areas of assets that could be enhanced and barriers to be addressed in individuals’ recovery processes. • Can effectively extend the reach of treatment beyond the clinical setting into the everyday environment of those seeking to achieve or sustain recovery 2 Peer Recovery Support Services Why… • Peers offer living, concrete proof that recovery is possible. • Peers are effective in engaging people into care who otherwise would not choose to access it. • Peers experientially know how to navigate the health and social services systems in their community, how to advocate for themselves within programs, and how to persevere in the face of bias and discrimination. • This experiential knowledge complements the clinical and technical knowledge that practitioners acquire in their training and practice. 3
Transcript
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Peer Support and Supervision: Working Toward a Recovery-Oriented Behavioral Healthcare Workforce
Presented by Minnesota Recovery Connection
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What is Peer Recovery Support?• “…designed and delivered by people who have experienced both
substance use disorder and recovery.”
• Delivered by peers who have been successful in the recovery process
• Embody a powerful message of hope, as well as a wealth of experiential knowledge
• Non-clinical, uses recovery capital as a lens to help identify distinct areas of assets that could be enhanced and barriers to be addressed in individuals’ recovery processes.
• Can effectively extend the reach of treatment beyond the clinical setting into the everyday environment of those seeking to achieve or sustain recovery
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Peer Recovery Support ServicesWhy…
• Peers offer living, concrete proof that recovery is possible.
• Peers are effective in engaging people into care who otherwise would not choose to access it.
• Peers experientially know how to navigate the health and social services systems in their community, how to advocate for themselves within programs, and how to persevere in the face of bias and discrimination.
• This experiential knowledge complements the clinical and technical knowledge that practitioners acquire in their training and practice. 3
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What is a Peer Recovery Specialist?
Personal guide and mentor for individuals seeking to achieve or sustain long-term recovery from addiction, regardless of pathway to recovery
Connector to instrumental recovery-supportive resources, including housing, employment, and other professional and nonprofessional services
Liaison to formal and informal community supports, resources, and recovery-supporting activities
Pre-Recovery RecoveryInitiation
Recovery Maintenance
Enhanced Quality of Personal Family Life in Long-term Recovery
Breaking Intergenerational Cycles
When to start Peer Recovery Support Services?
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Emotional support: demonstrations of empathy, caring, and concern in such activities as peer mentoring and recovery coaching, as well as recovery support groups;
Informational support: provision of health and wellness information, educational assistance, and help in acquiring new skills, ranging from life skills to employment readiness and citizenship restoration (e.g., voting rights, driver’s license).
Instrumental support: concrete assistance in task accomplishment, especially with stressful or unpleasant tasks (e.g., filling out applications, obtaining public benefits) or providing supports such as child care, transportation to support group meetings, and clothing closets.
Affiliation support: opportunity to establish positive social connections with others in recovery so as to learn social and recreational skills in an alcohol- and drug-free environment.
STRESSORS ADVOCACY RELATIONSHIPSLEGAL RESOURCES LIFE EXPERIENCE
MENTAL HEALTHAGE EMPLOYMENT
PHYSICAL HEALTHLANGUAGE RACE
I help you, help you
N o rC al M H A , 2 0 1 6 6
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to live an ordinary,meaningful life guided by their own choicesin a local community or neighborhood
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Key Considerations for Integrating Peer Support Staff
How?• Environment/Culture of the Organization• Program and Services• Staffing• Advancement of Profession
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Preparing the Organizational CultureRecognize Peer Support is an evidence-based practice
Recovery and resilience, as well as peer support, be endorsed and promoted from the top down and implemented from the bottom up
Solicit input from staff, people in recovery, and family members and other allies through focus groups and community listening sessions.
Provide resources, ongoing training, and opportunities to orient current staff
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• Ensuring Organizational Commitment• Financial Planning• Organizational Assessment• Developing a Position Description• Identifying and Preparing the Team• Anticipating Common Concerns• Supervision• Training• Recruitment Process• Supporting Peer Recovery Specialists
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Evidence Suggests That Peer Support & Coaching• Reduces the number of admissions and
days spent in hospitals and increased time in the community• Reduces use of acute services (e.g.,
emergency rooms, detoxification centers) • Increases engagement in outpatient
treatment • Increases active involvement in care
planning and self-care
• Improves social functioning • Increased hope, quality of life,
and satisfaction with life • Reduces substance use• Reduces depression and
demoralization • Improves chances for long-
term recovery • Increases rates of family
reunification• Reduces average service costs
per person
So u rce : Eq u ip p in g B e h avio ra l H e alth Syste m s & A u th o ritie s To Pro m o te Pe e r Sp e cia list/Pe e r R e co ve ry C o ach in g Se rv ice s (Sam h sa, 2 0 1 2 )
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Programs and Services• Understand the role before
writing the job description-include existing staff in theprocess
• Be clear about the nature of the role you are looking for the person to perform
• Decide what Peer Recovery Specialists are going to do and how they are going to do it
• Advocacy is a part of peer services
Source: Equipping Behavioral Health Systems & Authorities To Promote Peer Specialist/Peer Recovery Coaching Services (Samhsa, 2012) 12
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Staffing• Before hiring, decide which/what type of trainings/credentialing
the peers will receive
• Trainings non-peer staff will receive
• Hire two or more peer staff at a time
• How peers will be supervised
• Performance expectations• How performance will be evaluated
• How to address performance related issues13
What do Peer Recovery Specialists do?
• Assertive Outreach- assist with clients that are disconnected and would benefit from being reengaged• Community Education- educate the
community about behavioral health conditions that both help and hinder recovery• Advocacy- both within the
organization and within the broader community
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• Empowerment and Leadership Development- engage in nonhierarchical, collaborative relationships and support others by helping identify their desires and create action steps• Recovery Capital Assessment- explore
strengths and assets from an individual, interpersonal and community perspective• Recovery and Wellness Planning- action
plans for developing full lives in their communities
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• Assertive Linkages to Community Resources – identify, map, and develop recovery resources on education, employment, housing, childcare, and more• Recovery-Focused Skills Training- facilitate
life-skills groups like problem-solving or conflict-resolution• Companionship and Modeling- providing
social support with a focus on assisting clients in developing their own, sustainable, pro-recovery support network• Crisis Support – Peers can provide critical
support during challenging times by sharing their lived experience
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• Ongoing Recovery Management-can extend the duration of support services beyond a treatment episode and move the locus of support from the treatment environment to the client’s natural environment• Health System Navigation-Peers use
their familiarity with the system itself to create connections, remove barriers, and increase the ease with which people can access needed supports
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QUESTIONS?
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• Reference List• Kaplan, L., The Role of Recovery Support Services in Recovery-Oriented Systems of Care. DHHS Publication No. (SMA) 08-4315. Rockville, MD: Center for Substance Abuse Treatment, Substance Abuse and Mental Health Services Administration, 2008.
• Center for Substance Abuse Treatment, What are Peer Recovery Support Services? HHS Publication No. (SMA) 09-4454. Rockville, MD: Substance Abuse and Mental Health Services Administration, U.S. Department of Health and Human Services, 2009.
• NorCal, Mental Health America, 2016, https://www.mhanca.org/programs
• Philadelphia Dept. of Behavioral Health and Intellectual Disabilities Services and Achara Consulting Inc. (2017). Peer Support Toolkit. Philadelphia, PA: DBHIDS.
• White, W, Peer Based Addiction Recovery Support: History, Theory, Practice, and Scientific Evaluation (2009). http://www.naadac.org/assets/1959/whitew2009_peer-based_addiction_recovery_support.pdf
• Equipping Behavioral Health Systems & Authorities To Promote Peer Specialist/Peer Recovery Coaching Services (2012). Center for Mental Health Services and the Center for Substance Abuse Treatment, Substance Abuse and Mental Health Services Administration, US Department of Health and Human Services.
