Peers Here, There, and Everywhere: Recovery in Integrated Heath Care

Keris Jän Myrick, MBA, MS Director, Office of Consumer Affairs

Center for Mental Health Services

2017 Summer Institute

Sedona Arizona July 19, 2017

Disclaimer

The views, opinions, and content expressed in this presentation do not necessarily reflect the views, opinions, or policies of the Center for Mental Health Services (CMHS), the Substance Abuse and Mental Health Services Administration (SAMHSA), or the U.S. Department of Health and Human Services (HHS).

“I want a job, a house and a social life”

Mental Health Condition

& Professional Care

Education

Community

Relationships

Family

Spiritual Work

Social Network

(Graphic – Keris Jän Myrick)

Education

Community

Relationships

Family

Spiritual

Work

Mental Health

Condition

Social Network

Professional Care

“I want a job, a house and a social life”

(Graphic – Keris Jän Myrick)

Washington Post July 16, 2017

Peer Here and Peers There

Daniels, Allen, Bergeson, Sue and Myrick,

Keris Jän. “Defining Peer Roles and

Status AmongCommunity Health Workers and

Peer Support Specialists in Integrated Systems

of Care”. Psychiatric Services in Advance

(2017): http://ps.psychiatryonline.org/doi/ful

l/10.1176/appi.ps.201600378

Peer Here and Peers There

Daniels, Allen, Bergeson, Sue and Myrick, Keris Jän. “Defining Peer Roles and

Status AmongCommunity Health Workers and Peer Support Specialists in Integrated

Systems of Care”. Psychiatric Services in Advance

(2017): http://ps.psychiatryonline.org/doi/full/10.1176/appi.ps.201600378

BRSS TACS

http://www.samhsa.gov/brss-tacs

In 2011, SAMHSA launched the Bringing Recovery Supports to Scale Technical Assistance Center Strategy (BRSS TACS) to promote the widespread adoption of recovery-oriented supports, services, and systems for people in recovery from substance use and/or mental health conditions.

Peer Workforce and Peer Competencies

• The Affordable Care Act facilitates an expansion of patient centered medical homes as well as increased community health workforce, providing an opportunity for people to benefit from peer support

• Through BRSS TACS, SAMHSA is helping to build that capacity by

– Identifying and refining a set of core competencies

– Providing technical assistance to promote strategies aimed to increase the number of peers in the workforce

Peer Workforce and Peer Core Competencies

SAMHSA assigned BRSS TACS to:

• Identify and refining a set of core competencies

• Provide technical assistance to promote strategies aimed to increase the number of peers in the workforce

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Peer Practice Guidelines

• Developed through a partnership between the Addiction and Mental Health Peer disciplines

• Operationalize peer performance expectations, skills and knowledge in the workplace

Categories of the Core Competencies

• Engages peers in collaborative and caring relationships

• Provides Support

• Shares lived experiences of recovery

• Personalizes peer support

• Recovery planning

• Links to resources, services and supports

• Teaches information and skills related o health, wellness and recovery

• Helps peers to manage crises

• Communication

• Collaboration and teamwork

• Leadership and advocacy

• Growth and development

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Core Competencies

• Core Competencies are intended to apply to all forms of peer support. They can:

– Apply to other forms of peer support provided by other roles

– Serve as the foundation upon which additional competencies for specific settings that practice peer support and/or for specific groups

• As our understanding grows, the contexts in evolve, the Core Competencies must evolve over time.

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Potential Use of Core Competencies

• Guide delivery and promote best practices in peer support.

• Inform peer training programs, assist in developing standards for certification, and inform job descriptions.

• Appraise peer workers’ job performance and peers will be able to assess their own work performance

• Set goals for continued development 14

Core Competencies Opportunities and Challenges

Opportunities

• More opportunities for input and include individuals/peers working with diverse cultures

• Clarify purpose and intent

• Clarify connection to existing mechanisms in the field

• Develop a strategic dissemination strategy

Challenges

• Need to address misconstructions of who a “peer” is and role

• More collaboration between BH systems and peer leaders

• Need sustainable funding strategies need to be identified and implemented

• Preserve the integrity of the peer services

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And Peer Support Here: Family Peer Support

• A parent provides experiential knowledge with a parent receiving support (Robbins, et al., 2009)

• Offers hope, guidance, advocacy and camaraderie for parents and caregivers

(Harry Whittier Frees photo -- Public Domain)

Family Peer Support is Recognized by Other Titles

• Parent peer support

• Family peer support

• Family support services

• Parent support professionals

• Navigators

• Mentors

• Family or parent partners

• Parent support specialists

(Hoagwood et al., 2010)

Family Peer Support Providers Offer Many Supports

• Emotional connection

• Information and educational support

• Support to develop individualized approaches and methods

(Kutash et al., 2011; Hoagwood et al., 2009)

Family Peer Support Providers Offer Many Supports

• Concrete support

• Living proof of resilience and recovery

• Others?

(Kutash et al., 2011; Hoagwood et al., 2009)

Common Services Provided by Family Peer Support Providers

(Kutash et al., 2011; Hoagwood et al., 2009; Koroloff et al., 1996)

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If you want to go fast, go alone.

If you want to go far, go together.

Photo Credit :Keris Jän Myrick

Connect with SAMHSA

Main website: https://www.samhsa.gov/ Email Updates: https://public.govdelivery.com/accounts/USSAMHSA/subscriber/new Blog: https://blog.samhsa.gov/ Social Media:

Thank you!

Keris Jän Myrick, M.B.A., M.S.

Director Office of Consumer Affairs

Substance Abuse and Mental Health Services Administration (SAMHSA)

Center for Mental Health Services (CMHS)

Phone: 240.276.0626

Email: keris.myrick@samhsa.hhs.gov

Photo Credit :Keris Jän Myrick