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Tennessee Department of Mental Health and Substance Abuse Services Certified Peer Recovery Specialist Program Whats New? 2013 CPRS Conference October 14, 2013 Vik Moore, CPRS, ITE, MS

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1)History of Certified Peer Recovery Specialist (CPRS) Program 2)BRSS TACS Grant 3)Program Changes Highlights 4)CPRS Training 5)CPRS Website-Forms Table of Contents 2

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6)CPRS Website-Forms 7)Continuing Education Hours 8)Substance Use Disorders 9)RecoveryWithinReach.org 10)Future Plans 11)Question Time Table of Contents 3

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4 HISTORY OF CPRS PROGRAM

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May 9, 2007 TDMHDD and the Office of Consumer Affairs certify its first Tennessee Certified Peer Specialist. New state certification program for peers to work as Peer Specialists in community mental health agencies. History of CPRS Program 5

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2007 TDMHDD receives a Real Choice Systems Change Grant from CMS 380 people become WRAP Facilitators 6,003 people develop their own personal WRAP plans History of CPRS Program 6

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7 April 1, 2007 TennCare approves peer support services as provided by a Certified Peer Specialist to be a reimbursable expense in Middle Tennessee. Opened the door for enhanced employment opportunities and increased marketability. In August of 2009, services become reimbursable statewide.

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August 15, 2007 The Center for Medicare and Medicaid Services (CMS) issues a formal letter to the states approving the provision of peer support services as a Medicaid reimbursable service. History of CPRS Program 8

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2010 Recovery Within Reach website begins. See http://www.recoverywithinreach.org for more details. History of CPRS Program 9

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10 July 1, 2011 The governor approves merger between Mental Health and Substance Abuse Services Department name changes

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11 BRSS TACS GRANT

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Building Recovery Supports to Scale: Technical Assistance Center Strategy $50,000 for six months Team of Tennessee policy makers, decision makers, key stakeholders Policy Academy in Washington, D.C. BRSS TACS Grant 12

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Expand program to include peers with lived experience of substance use disorders Establish a standardized initial training curriculum for all Certified Peer Specialists Identify training opportunities for supervisors of Peer Specialists Develop a statewide strategy to educate community behavioral health providers about Peer Specialists Hire a Peer Recovery Coordinator (Vik Moore) BRSS TACS Grant 13

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14 PROGRAM CHANGES HIGHLIGHTS

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Name Change (CPRS replaces TCPS) Name Change: OCA & Peer Recovery Services Statewide Training Created April 29, 2013 Continuing Education Requirements (10 hours) Addition of lived experience with substance use disorders as a CPRS Program Changes Highlights 15

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Departments New Address: 5th Floor Andrew Jackson Bldg 500 Deaderick St Nashville, TN 37243 (November 2013) New Address 16

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17 CPRS TRAINING

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Meet the Trainers 18 Michelle Webster- TAADAS Sheryl McCormick- Peninsula Behavioral Health Mark Bresee- Aim Center, MHMCML SUBSTANCE USE RECOVERYMENTAL HEALTH RECOVERYWHOLE HEALTH RECOVERY TAADAS= Tennessee Association of Alcohol, Drug, & other Addiction Services MHMCML= My Health My Choice My Life (Statewide Health & Wellness Initiative)

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The training lasts for five days, Monday through Friday, from 8:00 a.m. until 5:00 p.m. There are two breaks and an hour- long lunch break each day. Certified Peer Recovery Specialist Training 19

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The training itself is offered at no cost to qualified applicants. however, travel, lodging, and meals (including lunch and snacks) are your responsibility. Certified Peer Recovery Specialist Training 20

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40 intensive hours of interactive class participation, role-play, self- examination, and testing The tests average about five multiple- choice questions each 75% must be answered correctly Certified Peer Recovery Specialist Training 21

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Homework Each night you will be given homework and reading assignments that will aid in your study for the tests. Certified Peer Recovery Specialist Training 22

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Section 1: Welcome Training Agreement Section 2: History A Brief History of Mental Illness & Substance Use Disorder Treatment Self-determination & Legal Rights Certified Peer Recovery Specialist Training 23

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Section 3: Peer Recovery Specialists What Is a Peer Recovery Specialist? Peer Recovery Specialist Roles & Definitions What Do Peer Recovery Specialists Do? Why do Peer Recovery Specialists Do What They Do? Certified Peer Recovery Specialist Training 24

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Section 4: Recovery A Consensus Statement Defining Recovery The Importance of Hope Recovery & the Strengths Perspective Section 5: Values Certified Peer Recovery Specialist Training 25

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Section 6: Communication Active Listening The Three Main Components of Active Listening Reflecting Feelings Awareness of Nonverbal Messages Certified Peer Recovery Specialist Training 26

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Section 6: Communication, continued Paraverbal Messages Paraphrasing Using Open-Ended Questions Helpful Phrases Listening Blocks Certified Peer Recovery Specialist Training 27

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Section 7: Problem Solving Decision-Making & Problem-Solving Conflict Resolution Certified Peer Recovery Specialist Training 28

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Section 8: Stigma Stigma, Labels & Types Recognizing & Responding to Stigma Strategies & Examples Certified Peer Recovery Specialist Training 29

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Section 8: Stigma, continued Person-First Language a New Paradigm Using People First Language is Crucial Information Sources Certified Peer Recovery Specialist Training 30

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Section 9: Cultural Competency Basic Definitions Communication is Key Certified Peer Recovery Specialist Training 31

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Section 10: Health & Wellness (with Mark Bresee from My Health My Choice My Life) Health & Wellness Contributing factors for preventable & premature death Eight Dimensions of Wellness Certified Peer Recovery Specialist Training 32

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Section 10: Health & Wellness, continued Habits to Support Physical Wellness Healthy Eating Sleep Certified Peer Recovery Specialist Training 33

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Section 11: Ethics & Boundaries Confidentiality Making Ethical Decisions Roles Peer Recovery Specialists & Lived Experience Peer Support Services & the Vulnerability of Peers & Providers Potential Conflicts & the Risk of Harm Certified Peer Recovery Specialist Training 34

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Section 11: Ethics & Boundaries, continued Ethical Considerations Core Peer Support Values & Ethical Conduct Self-Disclosure Boundaries Codependency Certified Peer Recovery Specialist Training 35

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Section 12: Trauma-Informed Peer Support Section 13: Co-occurring Disorders Certified Peer Recovery Specialist Training 36

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Section 14: Motivation & Readiness What Is Motivation? Readiness to Change Stages of Change Talking about Change Pitfalls to Avoid Certified Peer Recovery Specialist Training 37

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Section 15: Documentation What to document Things to remember when documenting services Ethical & Legal Issues Using Recovery Language Certified Peer Recovery Specialist Training 38

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Section 16: Supervision How Peer Recovery Specialists & Their Supervisors Can Work Together Ask the Consumer Give Your Supervisors What They Need to Help You! Certified Peer Recovery Specialist Training 39

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Section 16: Supervision, continued Make Opportunities for People to Shine Take Time to Speak Out Guidelines I Use to Manage My Supervisor Certified Peer Recovery Specialist Training 40

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Section 17: Workplace Relationships Section 18: Self-care & Stress Management Certified Peer Recovery Specialist Training 41

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April 29-May 3Nashville graduated May 20-24Jackson graduated June 17-21 Knoxville graduated August 19-23 Memphis graduated September 9-13 Chattanooga graduated October 21-25 Johnson CityFunded November 18-22 Nashville Funded December 9-13 Jackson Funded January 13-17, 2014 Nashville Funded March 24-28 Knoxville Funded April 28 May 2 Memphis Funded May 19-23 Chattanooga Funded June 23-27Johnson CityPlanned July 21-25 MurfreesboroPlanned or Cookeville Certified Peer Recovery Specialist Training-Schedule 42 95 GRADS!

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43 CPRS WEBSITE FORMS

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COPY SLIDE Certified Peer Recovery Specialist Website- Forms 44

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COPY SLIDE Certified Peer Recovery Specialist Website-Forms 45

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COPY SLIDE Certified Peer Recovery Specialist Website-Forms 46

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CPRS Program Guidelines, Standards and Procedures (Handbook) Certified Peer Recovery Specialist Training Application 1-CPRS Program Details (12 pages) 2-CPRS Initial Application Checklist Certified Peer Recovery Specialist Forms 47

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3-CPRS Initial Application (2 pages) 4-CPRS Employment Summary (2 pages) 5-CPRS Volunteer Summary (2 pages) 6-CPRS Professional Reference (2 pages) 7-CPRS Acknowledgment of Scope of Activities Certified Peer Recovery Specialist Website-Forms 48

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8-CPRS Acknowledgment of Code of Ethics 9-CPRS Conservator Status Form 10-CPRS Renewal Application (2 pages) Duplicate Diploma Request Request for GED Documents Proof of Webinar Attendance Procedure Continuing Education Fact Sheet Certified Peer Recovery Specialist Website-Forms 49

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50 SUBSTANCE USE DISORDERS

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Lived Experience with Psychiatric (Mental Health) Disorders Lived Experience with Co-occurring Disorders As of April 29, 2013 ALSO Lived Experience with Substance Use Disorders with no mental health experience Substance Use Disorders 51

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52 CPRS CONTINUING EDUCATION HOURS (CEHS)

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Continuing Education Hours Ten Total Five Live Five can be e-media based One must be in Ethics Certified Peer Recovery Specialist CEH 53

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Certified Peer Recovery Specialist CEHs 54 http://goo.gl/RZPgwz

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Certified Peer Recovery Specialist CEHs 55

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Certified Peer Recovery Specialist CEHs 56

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Certified Peer Recovery Specialist CEHs 57 http://goo.gl/cehMF

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58 RECOVERY WITHIN REACH WEBSITE

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Recovery Education Recovery Tools Recovery-Based Treatment Recovery From Substance Abuse Peer Support Friends & Caregivers Housing Within Reach Recovery through Employment My Health My Choice My Life Resource Search Recovery Within Art- Gallery www.recoverywithinreach.org-Headings 59

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www.recoverywithinreach.org-Housing 60

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www.recoverywithinreach.org-Transportation 61

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www.recoverywithinreach.org-LGBTQI 62

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www.recoverywithinreach.org-Support Groups 63

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www.recoverywithinreach.org-Veterans Resources 64

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www.recoverywithinreach.org-Art Gallery 65

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www.recoverywithinreach.org-Jobortunity Board 66

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www.recoverywithinreach.org-Jobs 67 NASHVILLE Prevention Partnership is hiring for a Peer Recovery Coordinator KNOXVILLE-Mental Health Association of East Tennessee (Inbound-Outbound Peer Run Call Center) Peer Recovery Specialist & Part Time Call Center Specialist KNOXVILLE-Peninsula a Division of Parkwest Medical Center (Recovery Education Center) Program Counselor

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www.recoverywithinreach.org-Jobs 68 TMHCA-Administrative Assistant MURFREESBORO PeerLINK Case Manager MURFREESBORO Veterans Advocate in NASHVILLE & MURFREESBORO VA OPENINGS Peer Specialists STATEWIDE MEMPHIS -Posting Soon- S.O.A.R. Openings In The Memphis Area Stay Tuned!

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69 FUTURE PLANS

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Future Plans 70 Certified Peer Recovery Specialist Newsletter (send in your suggestions for the name) Certified Peer Recovery Specialist Mentoring Program Certified Peer Recovery Specialist Supervisor Training

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71 QUESTION TIME

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?Question Time? 72 CPRS Program Whats New? Vik Moore, CPRS, ITE, MS Peer Recovery Coordinator Office of Consumer Affairs & Peer Recovery Services Vik.Moore@tn.gov (615) 741-7693 http://www.recoverywithinreach.org 5 th Floor Andrew Jack son Building 500 Deaderick Nashville, TN 37243