MEDICAIDFUNDED PEER SUPPORT SERVICES AND THE TRAINING AND CERTIFICATION OF PEER SPECIALISTS

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MEDICAID-FUNDED PEER SUPPORT SERVICES AND THE
TRAINING AND CERTIFICATION OF PEER SPECIALISTS

• Building a Recovery House

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Overview

• Presidents New Freedom Report
• Consumers who work as providers help expand the
  range and availability of service and supports
  that professionals offer. Studies show that
  consumer-run services and consumer- providers can
  broaden access to peer support, engage more
  individuals in traditional mental health
  services, and serve as a resource in the recovery
  of people with a psychiatric diagnosis. Because
  of their experiences, consumer-providers bring
  different attitudes, motivations, insights and
  behavioral qualities to the treatment encounter.

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Overview

• Presidents New Freedom Report

Consequently, consumers should be involved in a
variety of appropriate service and support
settings. In particular, consumer-operated
services for which an evidence base is emerging
should be promoted.
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Consumer Values and Leadership

• Foundation of Consumer Values and Leadership
• Advocacy
• Training in governance
• Setting Priorities
• Establishing Relationships with Key Leaders

Foundation
Section 1 Consumer Values Leadership
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Mental Health and Medicaid Relationships

• Medicaid Overview
• created as a medical assistance program in 1965
  with Title XIX of the Social Security Act
• Medicaid is the single largest fund source
  (almost 20) of all mental health services
  delivered in the United States (GAO, 2000)

Section 2 Mental Health and Medicaid
Relationships
Foundation
FIRST FLOOR SECTION 2 Mental Health and
Medicaid Relationship
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Mental Health Block Grant as Stimulus

• Federal funding designed to stimulate mental
  health service system development and innovation
• Consumer directed activities meet block grant
  requirements
• Peer Supports and other consumer provided
  services are major components of a comprehensive
  service system as required in Criterion 1 of the
  State Plan
• Peer specialist training and certification
  address workforce development and training
  requirements included in Criterion 5 of the State
  Plan

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Training Certification of Peers

• Candidates for certification training will
• Identify themselves as former or current consumer
  of mental health or dual diagnosis services and
  are well-grounded in their own recovery
• Hold a High School diploma or GED (including
  diploma earned in Special Education)
• Demonstrate basic reading comprehension and
  written communication
• Have demonstrated experience with leadership,
  including advocacy and or creation/implementation
  of peer-to-peer services

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Training Certification of Peers

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Training Certification of Peers
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Training Certification of Peers
Other Key Components

• Code of Ethics

• Continuing Education

• Technology Support

• Mediation for Recovery Training

• Recovery Support Specialists

• The Peer Support Institute

• The Peer Support Institute

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Overcoming Barriers
Changing Hearts
Changing Heads
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Peer Support and Hospitalization

• Data
• New enrollments in FY03 to Peer Supports (not in
  that service in FY02)
• FY02 hospital admissions, and FY04 hospital
  admissions
• Definitions
• Consumer assigned to Peer Supports group if
  received service during FY03
• Analysis
• New Peer Supports Consumers
• Of consumers receiving Peer Support services, 15
  were admitted to hospital at least once during
  FY02, while only 10 were admitted to hospital at
  least once during FY04
• Of those hospitalized in FY02, 84 showed a
  reduction in the number of hospitalizations from
  FY02 to FY04. Of those 84 who showed a
  reduction, the average number o f
  hospitalizations went from 1.81 to 0.25.

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Peer Supports Employment Functioning (DLA)

• Data
• Assessment data on consumers enrolled in Peer
  Supports in FY04
• Definitions
• A Peer Supports matched pair is an initial
  assessment matched to the last available
  follow-up available during an FY04 enrollment in
  Peer Supports
• Analysis based on those consumers with available
  matched pairs
• Analysis
• Of consumers receiving Peer Supports services, 8
  were employed at the time of initial assessment,
  and 9 were employed at the time of the last
  follow-up.
• Of consumers receiving Peer Supports services,
  49 showed at least some statistically
  significant improvement in functioning on the DLA
  between their initial and last available
  follow-up assessment (compared to 45 of all
  adult mental health consumers).
• 29 of Peer Supports consumers showed at least
  some statistically significant improvement in
  functioning (compared to 18 of all adult mental
  health consumers).

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Cost Comparison

• Peer Supports Billing rate 6.12/ Hour
• Psychosocial Rehabilitation Billing rate
  11.13/ Hour

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State MHA / University CollaborationMedical
College of GA Research Institute

• This contract is the first of a planned three-
  year project to evaluate Georgias peer support
  and consumer directed services and replication.
  This will strengthen the states position as a
  national leader in consumer directed recovery
  services and provide valuable information to us
  as we plan for our own service system
  transformation. It will also give the Division an
  opportunity to impact the training and
  preparation of future mental health professionals
  with the possibility of increasing the
  availability of psychiatrists and psychologists
  who can work within our public mental health
  system.

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State MHA / University CollaborationMedical
College of GA Research Institute

• Contract developed based on proposal from MCG/Dr.
  Peter Buckley
• Contractor will conduct evaluation of Georgias
  Peer Specialist Certification and Training
• Contractor will identify key ingredients for
  successful development/ implementation of Peer
  Centers
• Contract includes development and testing of
  curriculum module to train psychiatry and
  psychology residents in the value of strength
  based recovery and partnering with peers to
  assist individuals to achieve recovery in the
  mental health practice area

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State MHA / University CollaborationMedical
College of GA Research Institute

• Contractor will develop and implement a practicum
  opportunity to expose psychiatry and psychology
  residents in clinical practice to consumer
  co-management with an emphasis on recovery,
  through partnership with a Certified Peer
  Specialist
• Contractor will develop recommendations and a
  plan for potential Medicaid and third party
  insurance billing for peer support services
  provided by peer specialists working within
  psychiatric practices
• Contractor will develop publication strategy to
  disseminate information and service data on
  Georgia recovery based best practice services

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Contact Information
Larry Fricks State of Georgia Department of Human
Resources Division of Mental Health,
Developmental Disabilities Addictive Disease 2
Peachtree Street, NW, 22nd Floor Atlanta, Georgia
30303 Phone [phone]
Cherry Finn State of Georgia Department of Human
Resources Division of Mental Health,
Developmental Disabilities Addictive Disease 2
Peachtree Street, NW, 23rd Floor Atlanta, Georgia
30303 Phone [phone]
Chris Marshall Center for Mental Health Services
Substance Abuse and Mental Health Services
Administration 1 Choke Cherry Road, Room 6-1071
Rockville, MD 20857 Phone [phone] Email
chris.marshall_at_samhsa.hhs.gov
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www.gacps.org
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