Data: Michael Razavi, MPH, CADC I, PRC, CPS Eric Martin, MAC, …€¦ · data: michael razavi,...
Transcript of Data: Michael Razavi, MPH, CADC I, PRC, CPS Eric Martin, MAC, …€¦ · data: michael razavi,...
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Oregon Peer StatsData: Michael Razavi, MPH, CADC I, PRC, CPSEric Martin, MAC, CADC III, PRC, CPS
MHACBO OREGON BEHAVIORAL HEALTH SURVEY (N=1,302)
A SURVEY OF ADDICTION PEERS, MENTAL HEALTH PEERS, PEER WELLNESS SPECIALIST, CADCS, QMHAS, QMHPS, AND LICENSED MENTAL HEALTH PROFESSIONALS
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Peer respondents 312 certified peers participated in this survey (CRM, PRC, CGRM, PSS, PWS), of which 296 reported that peer work is their current primary occupational activity.
Addiction Peers (CRM, PRC, CGRM)Mental Health Peers (PSS, PWS)
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Median Age of Peers (n=312)
MH Peers: 45.5Addiction Peers: 45.5Peer Wellness Specialist: 47.5
53.052.5
51.047.547.0
4645.545.5
44.043.0
0.0 10.0 20.0 30.0 40.0 50.0 60.0
CADC III
CGAC
CADC II
Peer Wellness - PWS
CADC I
Licensed MH Prof
MH Peers - PSS
Addiction Peers - CRM
QMHA
QMHP
Median age of behavioral health workers by credential
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Sexual Orientation of Peers (n=296)(n=296)
Hetero, 81.6%
Gay or Lesbian, 3.0%
Bisexual, 8.1%
No Answer, 7.1%
Other, 2.0%
Hetero Gay or Lesbian Bisexual No Answer Other
Peer: Sexual Orientation81.6% of peers identify as heterosexual
Approximately 93.5% of Oregon’s general population identifies as heterosexual (Oregon State Health Assessment, OHA, 2018).
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Peer Gender (n=296)n=296)
Female, 60.88%
Male, 36.05%Transgender, 0.34%
No Answer, 1.70%
Other, 1.02%
Female Male Transgender No Answer Other
There is a significantly higher proportion of women among peers, and this is generally consistent with the entire social service industry.
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Peer Veteran Status (n=296) (n=296)
Yes, 0.34%
No, 99.66%
Yes No
Peers currently serving in U.S. Military
Peers who are Veterans
Yes, 8.80%
No, 91.20%
Yes No
Approximately 9.1% of peers are either currently serving in the U.S. military or are veterans.
10.3% of Oregon adults are veterans (Veteran Data Central).
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Peer Recovery Status (n=296) (n=296)
9.50%
9.52%
33.67%
46.26%
0.00% 10.00% 20.00% 30.00% 40.00% 50.00% 60.00%
No answer
Mental Health Recovery
Co-occurring Recovery
Addiction Recovery
Peer Recovery Status
Peer Recovery Status
1/3rd of peers describe themselves as being in recovery from both mental health and addiction. This is consistent with SAMHSA’s largest scale epidemiological research showing that 37% of those with an SUD have co-occurring mental illness.
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Supporting Recovering Staff (n=296) (n=296)
67.80%
27.12%
4.41%
0.68%
0.00% 10.00% 20.00% 30.00% 40.00% 50.00% 60.00% 70.00% 80.00%
Strongly Agree
Agree
Disagree
Strongly Disagree
My agency fully supports employees in recovery
My agency fully supports those in recovery
94.9% of peers report that their agency is supportive of staff who are in recovery.
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Are you now or have you been employed by an agency where you were once a client? (n=296)
Yes, 41.87%
No, 51.56%
No answer, 6.57%
Yes No No answer
42% of peers have been employed at an agency where they were once a client.
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ANOCVA Wage AnalysisMedian Staff Wages (n=1,302)
Median Addiction Peer Wages: $15.10/hour
Median MH Peer Wages: $17.00
56.9% of peers owe on student loans. Of those who owe on student loans:Median Student Loan Debt for
Mental Health Peers: $28,500.00Median Student Loan Debt for
Addiction Peers: $20,000.00$15.10
$17.00
$18.94
$19.79
$22.55
$23.30
$25.00
$26.90
$30.17
$0.00 $5.00 $10.00 $15.00 $20.00 $25.00 $30.00 $35.00
Addiction Peer
MH Peer
Addiction Counselor
QMHA
Preventionist CPS
Gambling Counselor CGAC
Addiction Supervisor
QMHP
MH Supervisor
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Annual Cost of Living Increases (n=296)(n=296)
51.42%
48.58%
0.00% 10.00% 20.00% 30.00% 40.00% 50.00% 60.00%
Yes
No
My agency provides annual cost of living increases
Annual Cost of Living Allowances
Approx. half of peers report that they receive an annual COLA.
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Health Insurance for Peers (n=296)
15.00%
43.00%
15.00%
7.00%
20.00%
0.00%5.00%10.00%15.00%20.00%25.00%30.00%35.00%40.00%45.00%50.00%
Employer provides 100% of health insurance
Employer pays a portion of my health insurance
I purchase my own health insurance
I don't have any health insurance
I have Oregon Health Plan15% of peers report having 100% employer paid health insurance.
20% of peers qualify for OHP.
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Benefits as reported by Peers (n=296)
54.14%
73.31%
69.92%
71.43%
18.60%
91.90%
83.91%
63.22%
55.94%
0.00% 20.00% 40.00% 60.00% 80.00% 100.00%
Agency paid cell phone
Training/education funds
Paid time off to attend trainings
Mileage, vehicle care reimbursement - if applicable
Employer offered Life Insurance
PTO/Vacation Time
PTO/Sick Leave
FMLA
Retirement/401k etc.
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Addiction & Mental Health Peer Turnover Intention (n=296)
Stay in current iob or advance
at current agency, 68.9%
Go to another agency,
different work, 24.7%
Leave social services
entirely, 6.4%
Turnover Intention: Addiction Peers
Stay in current iob or advance at current agency
Go to another agency, different work
Leave social services entirely
Stay in current job or advance at current agency,
64.1%
Go to another agency, different
work, 27.5%
Leave social services entirely,
8.4%
Turnover Intention: Mental Health Peers
Stay in current job or advance at current agency
Go to another agency, different work
Leave social services entirely
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Peer Occupational Satisfaction (n=296)(n=296)
13.06%
29.55%
46.05%
11.34%
0.00% 10.00% 20.00% 30.00% 40.00% 50.00%
Very Dissatisfied
Somewhat Dissatisfied
Somewhat Satisfied
Very Satisfied
Peer Occupational Satisfaction
Peer Occupational Satisfaction
Satisfied, 57.4%
Dissatisfied, 42.6%
PEER OCCUPATIONAL SATISFACTION
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Peers: Percent of time doing paperwork (n=296)
38.00%
0.00% 5.00% 10.00% 15.00% 20.00% 25.00% 30.00% 35.00% 40.00%
% of time doing paperwork
Percent of time doing paperwork
Peers & Paperwork
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Turnover Intention Summary
Approximately 2/3rds of addiction & mental health peers report a desire to stay in their peer job at their current agency, and/or advance at their current agency. 47.2% report they want to continue doing peer work at their agency or at another agency.This is consistent with our findings in the 2016 Health Share Peer Survey that found 47.5% wanted to continue doing peer work.A substantial number of peers (47.3%) want to move up the career ladder to become CADCs or QMHAs, likely due to increased wages.
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Background Checks (n=1,302)
81.05%
46.80%
44.19%
25.68%
12.60%
0.00% 20.00% 40.00% 60.00% 80.00%
Addiction Peer
CADC
MH Peer
QMHA
QMHP
Percent of behavioral health workers reporting a criminal
history.
33.12%
18.60%
11.00%
9.46%
7.38%
0.00% 10.00% 20.00% 30.00% 40.00%
Addiction Peer
MH Peer
CADC
QMHA
QMHP
Percent of behavioral health workers reporting a prior DHS
case (child welfare, etc.).
29.63%
21.90%
19.42%
17.14%
10.96%
0.00% 10.00% 20.00% 30.00% 40.00%
MH Peer
Addiction Peer
CADC
QMHA
QMHP
Percent of those with a criminal record who have been denied employment as a result
of a background check.
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Background Checks (n=1,302)
20.83%
20.30%
14.71%
10.64%
4.48%
0.00% 5.00% 10.00% 15.00% 20.00% 25.00%
MH Peer
Addiction Peer
QMHA
CADC
QMHP
Percent of those with a criminal history where an offer of
employment has been withdrawn as a result of
waiting an extended period for the results of a background
check.
19.15%
38.89%
0.00% 20.00% 40.00%
All Behavioral Health Workers
Black or Black Mixed Race
Percent of all behavioral workers with a criminal history & black
behavioral health workers with a criminal history who have been
denied employment due to their criminal history.
25.26%
36.54%
0.00% 20.00% 40.00%
All Behavioral Health Workers
Black or Black Mixed Race
Percent of all behavioral workers with a criminal history & black
behavioral health workers where employment has been "held up"
due to criminal history.
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Background Check Summary
Peers and CADCs have the highest rates of employment barriers related to their recovery and criminal histories.
Mental Health Peers have the highest rates of being denied employment, or having job offers withdrawn, likely due to more exclusionary criteria criteria related to their work with “vulnerable populations.”
African American Behavioral Health Workers have the highest rates of disproportionate exclusion due to criminal histories.
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Barriers: Peers vs. Clinicians (n=1,302)
64.58%
48.96%
51.56%
30.73%
20.83%
12.50%
54.00%
42.18%
44.52%
32.53%
26.03%
13.93%
0.00% 20.00% 40.00% 60.00%
Housing
Safe & Supportive Housing
Transportation
Employment
Insurance
Other
Biggest barriers to services experienced by clients, peers vs. clinicians
Peers Clinical
Peers (CRM, PRC, CGRM, PSS, PWS)were more likely to report housing, safe housing, and transportation as barriers for their clients.
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Supervisory Assessment of Training needs
50.05%
45.54%
36.63%
31.68%
26.73%
Trauma-informed Care
Motivational Interviewing
Co-occurring Mental HealthDisorders
Outreach & Engagement Skills
Medication Assisted Treatment
0.00% 20.00% 40.00% 60.00%
According to Addiction Supervisors: Top Addiction
Peer Training Needs
52.08%
43.75%
39.58%
35.42%
29.17%
Trauma-informed Care
Motivational Interviewing
Co-occurring SUDs
Outreach & Engagement Skills
General Peer Services
0.00% 50.00% 100.00%
According to Mental Health Supervisors: Top Mental Health
Peer Training Needs
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Caseload2018 Oregon Behavioral Health Survey (n=296)
Mean Caseload for Peers: 24.056
Median Caseload: 18Sample Standard Deviation: 17.140
Standard of the Mean: 1.281
2016 Health Share Peer SurveyAdministrator reported avg. caseload: 17.95
Supervisor reported maximum caseload: 17.2
Peer reported maximum caseload: 18.4
Peer caseloads appear to have increased since 2016.
Median FT caseload: 18Average FT caseload: 24
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Access all behavioral health workers compared to peers (n=1,302)
Often-Sometimes, 51.10%
Often-Sometimes, 61.90%
Rarely-Never, 48.90%
Rarely-Never, 38.10%
0.00% 20.00% 40.00% 60.00% 80.00%
Addiction Workers
Mental Health Workers
Over 50% of behavioral health workers report that clients "often to sometimes" wait to
access/enter services for weeks or months
Peers reporting
wait to access
services, 57.30%
Peers reporting
wait to access
services, 42.70%
0.00% 50.00%
Often-sometimes
Rarely-never
57.3% of peers report clients “often to sometimes” must wait
to access services
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Do you receive at least 2 hours of supervision per month, including at least 1 hour of individual supervision? (n=296)
79.10%
20.90%
0.00% 10.00% 20.00% 30.00% 40.00% 50.00% 60.00% 70.00% 80.00% 90.00%
Agree
Disagree
Receiving Monthly Supervision, including 1 hour of Individual
Receiving Monthly Supervision
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What is your specialty as a peer? (word cloud generator)