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

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

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

4 HISTORY OF CPRS PROGRAM

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

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

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.

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

2010 Recovery Within Reach website begins. See for more details. History of CPRS Program 9

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

11 BRSS TACS GRANT

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

 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

14 PROGRAM CHANGES HIGHLIGHTS

 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

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

17 CPRS TRAINING

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)

 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

 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

 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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

43 CPRS WEBSITE FORMS

COPY SLIDE Certified Peer Recovery Specialist Website- Forms 44

COPY SLIDE Certified Peer Recovery Specialist Website-Forms 45

COPY SLIDE Certified Peer Recovery Specialist Website-Forms 46

 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

 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

 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

50 SUBSTANCE USE DISORDERS

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

52 CPRS CONTINUING EDUCATION HOURS (CEHS)

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

Certified Peer Recovery Specialist CEHs 54

Certified Peer Recovery Specialist CEHs 55

Certified Peer Recovery Specialist CEHs 56

Certified Peer Recovery Specialist CEHs 57

58 RECOVERY WITHIN REACH WEBSITE

 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 59

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Groups 63

Resources 64

Gallery 65

Board 66

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

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!

69 FUTURE PLANS

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

71 QUESTION TIME

?Question Time? 72 CPRS Program What’s New? Vik Moore, CPRS, ITE, MS Peer Recovery Coordinator Office of Consumer Affairs & Peer Recovery Services (615) th Floor Andrew Jack son Building 500 Deaderick Nashville, TN 37243