1. 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

2. 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

3. 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. 4 HISTORY OF CPRS PROGRAM

5. 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

6. 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. 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.

8. 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

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

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

11. 11 BRSS TACS GRANT

12. 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

13.  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. 14 PROGRAM CHANGES HIGHLIGHTS

15.  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

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

17. 17 CPRS TRAINING

18. 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)

19.  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

20.  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

21.  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

22. 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

23. 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

24. 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

25. 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

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

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

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

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

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

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

32. 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

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

34. 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

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

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

37. 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

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

39. 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

40. 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

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

42. 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!

43. 43 CPRS WEBSITE FORMS

44. COPY SLIDE Certified Peer Recovery Specialist Website- Forms 44

45. COPY SLIDE Certified Peer Recovery Specialist Website-Forms 45

46. COPY SLIDE Certified Peer Recovery Specialist Website-Forms 46

47.  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

48.  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

49.  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. 50 SUBSTANCE USE DISORDERS

51. 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. 52 CPRS CONTINUING EDUCATION HOURS (CEHS)

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

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

55. Certified Peer Recovery Specialist CEHs 55

56. Certified Peer Recovery Specialist CEHs 56

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

58. 58 RECOVERY WITHIN REACH WEBSITE

59.  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

60. www.recoverywithinreach.org-Housing 60

61. www.recoverywithinreach.org-Transportation 61

62. www.recoverywithinreach.org-LGBTQI 62

63. www.recoverywithinreach.org-Support Groups 63

64. www.recoverywithinreach.org-Veterans Resources 64

65. www.recoverywithinreach.org-Art Gallery 65

66. www.recoverywithinreach.org-Jobortunity Board 66

67. 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

68. 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!

69. 69 FUTURE PLANS

70. 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. 71 QUESTION TIME

72. ?Question Time? 72 CPRS Program What’s 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