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Partnership with the IL- NET The IL-NET is a national training and technical assistance project for centers for independent living and statewide independent living councils. The IL- NET is operated by Independent Living Research Utilization (ILRU) in partnership with the National Council on Independent Living (NCIL), the Association of Programs for Rural Independent Living (APRIL), and Utah State University Center for Persons with Disabilities.  The IL-NET is supported by grant numbers 90ILTA0001 and 90ISTA0001 from the U.S. Administration for Community Living, Department of Health and Human Services, Washington, D.C. 20201. Grantees undertaking projects under government sponsorship are encouraged to express freely their findings and conclusions. Points of view or opinions do not, therefore, necessarily represent official Administration for Community Living policy. 

Serving People with MHSUD Disabilities Presented by: Kathie Knoble-Iverson

I. Identify ILC’s motivation to better serve those with MHSUD Cross disability issue (What does your 704 reflect?) Fee For Service Opportunity It’s the right thing to do!

II. What does your ILC know about MHSUD Movement? Historical issues: institutionalization Lack of community based alternatives Recovery and IL Philosophy-very compatible Consumer driven Strength based Tell your story Develop your voice to self advocate

III. What does your ILC know about Recovery? Elements of Recovery- vary widely SAMHSA’S definition: A process of change through which individuals improve their health and wellness, live a self-directed life, and strive to reach their full potential. A unique and personal process of reestablishing and/or developing new meaning and purpose in ones life after a period of illness or decompensation. Not just an absence of illness but achieving health across a multitude of dimensions Reduction and/or control of symptoms Hope, responsibility, self direction, empowerment, spirituality Effective participation in daily life domains (Example: housing, education, employment) Physical health and well being

III. What does your ILC know about Recovery? (continued) Establishing and maintaining relationships, such as family, friends, peers, and co-workers Person centered and strength based

IV. How many of your ILC staff self-identify with MHSUD? Does your agency culture have an accepting and supportive environment? Are staff comfortable discussing mental health or substance use issues in general? If I asked, what would your agency staff say about openly discussing their own mental health or substance use issues?

V. What does your ILC know about MHSUD Peer Support? Wisconsin’s efforts took time because included peers in development process Peer Support vs. Clinicians Peer Support Ethical Standards Peer Support Guidelines Peer Support Core Competencies How MH Peer Support fits with IL Peer Support

VI. Is your center ready to provide MHSUD Peer Support or other MHSUD Services? Self-assessment tools? What changes is your ILC willing to make? Role of Trauma

VII. Importance of Excellent Supervising Allows Peer Specialists to identify and grow their unique strengths Effectively address areas of importance Flourish in professional lives Address own biases about peers Symptoms treated similarly to other medical conditions Afford privacy and trust in their ability to manage their health issues Listen and Support

VIII. Is ILC culture change necessary? Must be a safe, supportive and inclusive place for all staff What kind of language is used when discussing MHSUD? Chances of failure?

IX. Comprehensive Community Service Medicaid reimbursed skill training Outcomes tied to consumer driven service plan Not long-term care? Specific documentation needed Special training/ongoing clinical support required in Wisconsin Works best if use CPS- much better outcomes

X. How is MHSUD & Homelessness dealt with at your ILC? Referred to places that “deal” with it? Assist people to find housing Barriers to permanent housing Familiar with specific issues of homeless population Lack of healthcare

XI. MHSUD Drop-in Centers Recovery Avenue (RAVE) All staff Peer Specialists Recovery and IL Philosophy based Consumer Advisory Committee Give direction to administration regarding RAVE

Wisconsin Resources www.wicps.org Wisconsin Certified Peer Specialist Code of Ethics Wisconsin Certified Peer Specialist Scope of Practice Wisconsin Certified Peer Specialist Core Competencies Employer Toolkit ILC Self Assessment

Questions? Comments?