1 / 27

California Peer Specialist (PS) Career Pathway

California Peer Specialist (PS) Career Pathway. State Certified Peer Specialists. Current & Future Need. Current CA Peer Specialist workforce estimate : 6,000 Peer Specialists reflect cultural , ethnic, linguistic, sexual orientation, & socio-economic diversity

nevaeh
Download Presentation

California Peer Specialist (PS) Career Pathway

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. California Peer Specialist (PS) Career Pathway State Certified Peer Specialists

  2. Current & Future Need • Current CA Peer Specialist workforce estimate: 6,000 • Peer Specialists reflect cultural, ethnic, linguistic, sexual orientation, & socio-economic diversity • Given anticipated workforce shortages; Peer Specialists can fill this gap while increasing diversity in workforce • Depending on service settings, ratios range from 1:10 to 1:50 of Peer Specialists to people served in public mental health 1:25 ratio = need 39,312 Peer Specialists From DHCS Behavioral Health Services Needs Assessment (Feb. 2012) & Pillars of Peer Support

  3. Future Need • Optimal workforce total of 39,312 Certified Peer/Family Specialists • To build an optimal cost-effective recovery & resiliency-based workforce in 2013, current needs is: An increase of 33,312 Certified Peer/Family Specialists

  4. Peer Specialist Pathway Pre-Training Workforce K-12 education • TARGET GROUPS: Required to be • people with lived experience with • mental health challenges, including • Consumers, Family Members, Parents. • Recipients of Behavioral Health Services • People from Diverse Cultural & Linguistic Communities • People in Jail & Prison Re-entry Programs • Faith-Based Community Members • Promotoras & Health Conductors • Adult Education Regional Occupational Programs • Middle, High School, Community College Students • Veterans • Career Changers, Previously Employed Workers with Disabilities Trauma, mental health, & substance use exposure Career awareness Financial & logistic feasibility Training program retention Academic preparation & entry support Financing & Support Systems Access to health professions training program Retention & Advancement Hiring & Orientation Internships Assessment Stigma, lack of understanding of value of peer specialist, recovery & resiliency to mental health Uneven state distribution of and access to training in rural, small programs No Financial support of individuals in Peer Specialist training programs Lack of Internships & training for other professionals on how to work with Peer Specialists No State Plan Amendment or mechanism to bill Medi-Cal SPECIFICALLY for ‘Peer Specialist as a Service Type’or ‘Provider type’ Inappropriate assignments, lack supervision Lack funding for State certification of Peer Specialists County policies differ, few counties allow PSS to bill on existing codes No CA scope of practice, training, supervision standards for Peer Specialists via State certification Mental health professionals doubt value, abilities of Peer Specialists Limited awareness of profession; No recognition of profession Background checks bar employment of Peer Specialists well qualified to serve special populations Peer Specialists often lack upward mobility, lack applied career ladders & graduate education Coordination & Support Infrastructure Health Professions Education Quality, Diverse, Mental Health Workforce of Trained People with Lived Experience Cultural Sensitivity and Responsiveness Adapted from the coordinated health career pathway developed by Jeff Oxendine.

  5. Recommendations: Identified Barriers

  6. Recommendation: Establish Certifying Body • To be a Peer-Operated Organization &/or Existing State Organization with certifying capacity (i.e. Statewide Consumer & Family/Parent Collaborative) • To honor & vet existing trainings developed by local consumer & family organizations to retain cultural & regional diversity • To establish formal Scope of Practice, Values & Ethics, & standards for supervision of Peer Specialists in CA

  7. Scope of Practice Supervised Sample Duties Include: • Provide individualized support to coach wellness, resiliency and recovery • Facilitate Wellness Recovery Action Plan (WRAP) & other Health Management groups, ex. Diabetes • Model coping skills and self-help strategies • Assist in development of Individualized Educational Plan (IEP) & related school-based services • Educate, advocate & mentor families & parents in navigating systems & community services • Liaison to services for wellness needs, community resources, groups & natural supports

  8. Recommendation: Service Settings Examples of Service Settings: • Crisis Respite Houses & Crisis Residential • Hospitals & Outpatient Programs • Housing & Employment Programs • Primary Care Wellness Coaching • Wellness Centers • Homeless Forensic Programs (AB109) • Full Service Partnerships/Integrated Service Teams • Peer-Run Programs

  9. Recommendation: State Certification Education & Experience • State Certification • 80 hours of training by accredited programs with testing • Additional 25 hours of training for specialty emphasis in whole health, forensics, co-occurring, foster care, etc. • Continuing Education requirements for re-certification • Experience • Lived experience with mental health challenges or family • 6 months of full time peer specialist internship, work or volunteer • Training Timelines • Average time from starting training program to State Certification would be under 1 year

  10. Sample Core Competency Domains • Wellness, Recovery, & Resiliency • Interpersonal Communication & Collaborative Documentation Practices • Professional Role Competencies (Law, Ethics, Boundaries) • Integrated & Whole Health Services • Trauma Informed & Substance Use Service Competencies • Diversity & Cultural Responsiveness • Systems Competencies & Navigation • Effecting Change: Education & Advocacy • Professional Development & Self Care • Wellness Coaching, Natural Supports, & Local Resources

  11. Recommendations: Identified Barriers

  12. Recommendations: Identified Barriers

  13. Recommendations: Identified Barriers

  14. Recommendations: Identified Barriers

  15. Recommendations: Identified Barriers

  16. Recommendations: Identified Barriers

  17. Recommendations:Identified Barriers

  18. Recommendations: Identified Barriers

  19. Recommendations: Identified Barriers

  20. Recommendations: Identified Barriers

  21. Recommendations: Identified Barriers

  22. Recommendations: Identified Barriers

  23. Recommendations: Identified Barriers

  24. Peer Specialists & Affordable Care Act • USA Today on September 11, 2013: “Peers May Ease Mental Health Worker Shortage Under Obamacare” http://www.usatoday.com/story/news/nation/2013/09/11/stateline-mental-health/2798535/ • “It’s not- like you might think- that you don’t have the money to offer recovery support services, but rather that you don’t have the money NOT to offer them.” • Quote from Keith Humphreys, Pillars of Support 2012

More Related