FREDLA Parent Peer Support Institute

DAY THREE

www.fredla.org

Advancing Parent Peer Support: Practice, Program, & Policy

March 25, 2021

FREDLA Parent Peer Support Institute

Financing and Sustaining Parent Peer Support

www.fredla.org

Advancing Parent Peer Support: Practice, Program, & Policy

Presenters 

Wendy Tiegreen, Director of Medicaid and Health System Innovation for the Georgia Department of Behavioral Health & Developmental Disabilities

Jane Plapinger, MPH, Executive Director Maryland Coalition of Families 

Lisa Conlan Lewis, Executive Director of Parent Support Network of Rhode Island 

Maryland Coalition of FamiliesThe Statewide Family Voice

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•Founded in 1999•$5.4 million budget•81 funded positions•Serving all 24 jurisdictions

What we do

•Family Peer Support & Services Navigation•Family Leadership Training•Young Adult Programming•Public Awareness•Public Policy and Advocacy

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Revenue by Program – FY21

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Family Peer Support ‐MH

53%

Family Peer Support ‐SU & PG26%

Family Peer Support ‐

Juvenile Services10%

Family Peer Support ‐ Child Welfare

2%

Family Engagement ‐Child Welfare

3%

Youth Programming

2%

Public Awareness2% Family Leadership 

Training2%

Total = $5,444,567

We support families with…•Mental Health Disorders•Substance Use Disorders*•Child Welfare involvement•Problem Gambling*•Juvenile Services involvement•Children 0-5 years•An incarcerated parent•An adolescent at risk for substance use

* Any loved one

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MCF Grant Revenue by Funding SourceFY2021

State Agencies92%

Other8%

Total = $5,444,567

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MCF Grant Revenue – State FundingFY2021

Health74%

Education7%

Child Welfare10%

Juvenile Services9%

Total = $4,998,686

Health - Behavioral Health Administration

•Family Peer Support and Navigation•State health funds•Federal block grant funds•State problem gambling funds•SOAR (federal substance use) funds•Medicaid - 1915(i) state plan amendment

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Health - Behavioral Health Administration

Roles in Targeted Case Management:

•Family Peer Support•Outreach to families•Local Care Teams•Customized Goods & Services

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Health - Behavioral Health Administration

•Youth Leadership Development•Public Awareness

•Children’s Mental Health Awareness •Good Samaritan Ambassador Program

•State health funds

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Child Welfare

•Caregiver Engagement Project• State child welfare funds

•Family Peer Support – “Reunification” families in Baltimore City• Class action lawsuit settlement relating to health care for children in child welfare

•Parent Partner and Kinship Navigator Pilots• State child welfare funds • Future Plan: Families First funding

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DJS

•Family Peer Support and Navigation – 5-county pilot•Pending expansion through state RFP

•State juvenile services funds

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Education

•Family Leadership Training •US Dept. of Education - IDEA Discretionary Funds

•Promoting Positive Outcomes •US Dept. of Education

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MCF Grant Revenue – Other FundingFY2021

Local Grants (6)$196,208 44%

Local System of Care Grants (3)

23%

State Opioid Operational 

Command Center33%

Total = $445,881

Key Strategy: Developing Relationships

•Look for opportunities to help state partners achieve:

•System transformation (child welfare, juvenile services)•A goal in their strategic plan (education)•Improved outcomes (behavioral health)•Prevention/early intervention (education/early childhood)•Draw down of federal funds (child welfare)

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Other Strategies

•Collect data – show you are serving their population and market what more you could do with dedicated staff

•Demonstrate impact (Family Empowerment Survey)•Become a provider in a Medicaid-funded program – grant funded or fee-for-service Medicaid

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Vision Statement: All Rhode Island children, youth, families, and adults can access and receive a comprehensive range of individualized behavioral health and related services, opportunities and supports to ensure they live in healthy homes and communities and have successful futures with purpose.   

Mission statement:  Families and Peers with behavioral health lived experience and our partners empower individuals, children, youth, families, and communities through dynamic supports, education, service delivery, and advocacy to prevent neglect, abuse, reduce disparities, and promote progress towards universal healing and wellness.   

Funding Sources  • Federal‐ Substance Abuse Mental Health Services Administration, Statewide Family Network Grants Program 

• RI Department of Children, Youth and Families: State Revenue,  Family/Parent Partner/Visitation‐ Direct Service Contract

• RI Department of Education (RIDE), State Discretionary Funds  • RI Department of Children, Youth and families (DCYF):  Federal partnership 

Funds⁻ Federal‐State Children’s Mental Health Block Grants, Substance Use 

Mental Health Services Administration (SAMHSA) ⁻ Federal‐Title IVB of the Social Security Act, Family Preservation Funds  ⁻ Federal‐Community Based Child Abuse Prevention (CBCAP) Grant   ⁻ Federal‐ Child Abuse Prevention and Treatment Act (CAPTA) Grant, 

Administration for Children and Families

• Federal – Healthcare Resources Services Administration (HRSA)‐Opioid Impacted Family Support Program –Behavioral Health Paraprofessional workforce development

• RI Department of Labor, Apprenticeship Rhode Island • RI Department of Health: Federal‐CDC‐Statewide Street Outreach‐Opioid Hot 

Spots   • RI Department of Behavioral Health Care Developmental Disabilities & Hospitals 

(BHDDH): Federal partnership funds⁻ Federal‐State Mental Health Block Grants, SAMHSA, Recovery Community 

Centers  ⁻ Federal‐State Overdose Response Grant (SOR) Funds, Pregnant Women 

Perinatal Exposure & Families with OUD/SUD⁻ Federal‐Behavioral Health COVID Counseling‐Hospitality Industry    

• Rhode Island Foundation/Private Donations 

Funding Sources continued…  

FY2020 Income Statement: July 2019 to June 2020 

2021 Income Statement to Date: July 2020 to January 2021

Family & Peer Service Delivery & Workforce Revenue Approaches

$610 Children & Families

Child Per month/ $20.04 per day

• Assigned Family Partner

• Wraparound Plan

• Nurturing Parenting

• Wellness Visits

• Supervised Visitation

• Transportation

$432Adults- 18 years and older

Peer Recovery Services$13.50 per 15 min. unit-up to 32 units per day

$8000Behavioral Health Peer Workforce Development

Federal Registered Apprenticeship Program• Certified Peer Recovery Specialists

• Certified Community Health Workers

• Pregnant Women-Family Support

with Opioid and other Substance Use

• Family & Youth Support Partners

• Trauma Informed Practice

Workforce

WORKING FOR POSITIVE OUTCOMES

• Rapid Response/Outreach

• Recovery Community Centers

• Assigned Peer Recovery Specialist

• Recovery & Wellness Plan

• Ongoing Workshops

• Wellness & Mutual Aid groups

• Transportation For more info:401‐467‐6855Lisa Conlan Lewiswww.psnri.orgl.conlan@psnri.org

• Build Leadership & Executive Infrastructure‐Policies & Procedures  • Fund Development & Partnership – Contracts, Grants, Marketing, Donations • Audit Ready Fiscal Book‐keeping‐ Fiscal Staffing/Vendors• Ensure Payroll/Human Resource ‐Staff/Vendors/Employee Assistance Program  • Supervision & Workforce Development –Retention • Diversification – Braided Federal, State, and Private Funds• Cash Flow Cautions‐contracting arrangements, reimbursement, loans • Medicaid Feasibility – Preparation Application – Approval Goal:  July 2021  • Public‐Private Foundations & Partnership • Fundraising/Private donations  

Funding & Sustaining A Family‐Peer Run OrganizationStrategies & Lessons Learned 

FREDLA Parent Peer Support Institute

Financing Parent Peer Support through Medicaid

www.fredla.org

Advancing Parent Peer Support: Practice, Program, & Policy

Wendy White TiegreenGeorgia Department of Behavioral Health 

and Developmental Disabilities

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1st in Medicaid reimbursable CPS‐MH

Expanded Medicaid coverage to include addiction recovery and whole health (1st in the country)

CPS‐Y and CPS‐P Medicaid‐reimbursable as of late 2017

Georgia model became basis for 40+states and a dozen countries to adopt mental health Peer Support

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National Leaders

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Georgia: Brief History of Medicaid Peer Support

1999First Medicaid 

Billable Peer Support Service

2001Adult Mental 

Health Certification

2007Addition 

of Wellness Elements to Peer Support Definition

2007CMS State Medicaid Directors Transmittal

**

2007CMS PRTF Demo 

Waiver for Parent 

and Youth Peer 

Support

2010Medicaid CHIPRA Grant to develop Parent 

and Youth Peer 

Support

2012Medicaid Approval for Peer Support Whole Health

2012Medicaid Approval 

for Addictive Disease Peer 

Support

2013BIP and MFP for Parent 

and Youth Peer 

Support

2017Medicaid State Plan Approval for Parent and Youth 

Peer Support

State Event

National Event* http://www.nasmhpd.org/sites/default/files/Mortality%20and%20Morbidity%20Final%20Report%208.18.08.pdf** https://downloads.cms.gov/cmsgov/archived-downloads/SMDL/downloads/smd081507a.pdf

Certified Peer Specialist (CPS) Core Competencies

• Georgia Credential: CPS• Core Competencies

• Lived experience as a recovery tool

• Mutual support

• Roles and responsibilities

• Boundaries

• Ethics

• Documentation

• Treatment team participation and support

• Goal setting and attainment

• Recovery principles

• Cultural competence

Certified Peer Specialist

Certified Peer Specialist: Certified peer specialists are individuals who are trained to use their lived experience with behavioral health conditions to empower adults, children, and families to sustain their recovery and wellness and create fulfilling lives in their communities.

There Are 4 Different Types of Peer Certifications in Georgia 

Certified Peer Specialist -Addictive Diseases (CPS-AD

Certified Peer Specialist - Youth (CPS-Y)

Types of Peer Certifications

• Ages 18 ‐30 • Living with a behavioral health condition and is willing and able to self‐identify as a person who has or is receiving behavioral health services 

• Uses that experience in helping other youth and young adults living with similar behavioral health conditions

• Age 18 and older• Living in recovery from addiction and abstinent from any drug use for over (2) years 

• Supports other adults on their journey of recovery from substance use

Certified Peer Specialist - Parent (CPS-P)

• Parent or legal guardian of a child who is living with a mental health, substance use or a co occurring diagnosis

• Provides support to other parents who are raising a child with similar behavioral health conditions

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Certified Peer Specialist –Mental Health (CPS-MH)

• Age 18 and older• Living in recovery

with a mental health condition and is practicing recovery as related to that condition.

• Supports other adults on their journey of recovery with a mental health condition

MH & Whole Health MH & Forensic

Types of Peer Certifications – Ancillary CPS Credentials 

• Certified as an Adult CPS • Earned additional certification to support individuals living with a MH condition in creating a plan that considers mental and physical wellness

• Support individuals with prevention, balancing healthcare, wellness, and navigating the health care system

• Age 18 and older• Living in recovery from addiction and abstinent from any drug use for over (2) years

• Support other adults on their journey of recovery from substance use

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Certified Peer Specialist (CPS) Certification 

Status: June 2019 Tiegreen

Approximately 2,500 unduplicated Certified Peer Specialists (CPSs) are certified in Georgia.

585

15272

1958

626

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CPSs

Adult MH

Adult AD

Parent

Forensic

Youth

WholeHealth

Georgia’s Foundation: Peer-Specific Services

Mental Health Peer SupportProgrammatic Model

Mental Health Peer SupportOne-to-One Model

Addictive Diseases Peer SupportProgrammatic Model

Addictive Diseases Peer SupportOne-to-One Model

Parent Peer SupportProgrammatic Model

Parent Peer SupportOne-to-One ModelYouth Peer Support

Programmatic Model

Youth Peer SupportOne-to-One Model

Whole Health & Wellness One-to-One Model

Peer MentorsState Hospital/Prison to Community

Transition

Health & Wellness Centers

Peer Warm Line Support

Recovery Community Center Services

Statewide Benefit

Special Targeted Initiatives

AD Peer Support in EDs (Opioid Response)

AD Peer Support in NICU

Parent Peer Support in Children’s Hospital ED

Peer Specialists – Local Interagency Planning

Teams for Youth

Peer Support – First Episode Psychosis

Grantees

Georgia’s Foundation: Peer-Engaged Services

Mental Health Peer SupportProgrammatic Model

Mental Health Peer SupportOne-to-One Model

Addictive Diseases Peer Support

Programmatic Model

Addictive Diseases Peer Support

One-to-One Model

Parent Peer SupportProgrammatic Model

Parent Peer SupportOne-to-One ModelYouth Peer Support

Programmatic Model

Youth Peer SupportOne-to-One Model

Whole Health & Wellness One-to-One Model

Peer Mentors:State Hospital to Community

Transition

Health & Wellness Centers

Case Management

Addictive Disease Support Services

Community Support Teams

Community Transition Planning

Family TrainingGroup Skills Training

Assertive Community Treatment

Psychosocial Rehabilitation Supported Employment

Community Support

Intensive CustomizedCare Coordination Crisis Stabilization

Programs

Peer Warm Line Support

Recovery Community Center

Services

Youth-Centered Peer Treatment Team Model

ParentPeer Support

YouthPeer 

Support

Youth Intervention Model

Peer Support

Family Skills

Training

Parent Peer

Support

YouthPeer

Support

Case Management

Technical Aspects

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Peer Support Codes

• Base Code H0038• Modifiers – Add‐on and Clarify

Questions?

Contact Information

• Presenter Contact Info:• Jane Plapinger ‐ jplapinger@mdcoalition.org• Lisa Conlan Lewis ‐ l.conlan@psnri.org• Wendy White Tiegreen ‐Wendy.Tiegreen@dbhdd.ga.gov

• FREDLA Contact Info:• www.fredla.org• info@fredla.org